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Nursing home report

LEXINGTON MEDICAL LODGE

FARMERSVILLE, TX · Medicare-certified · 128 beds

In good standing
Government-runChain member
4 of 5 overall

LEXINGTON MEDICAL LODGE (Farmersville, TX) has an overall 4 out of 5 stars, with strong health inspection and quality ratings but a very low staffing rating. Reported nurse staffing is 3.05 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.0499 hrs/resident/day

Quality measures

Last inspection: December 9, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0499.

Staffing detail

Registered nurses
0.26
Licensed practical nurses
0.98
Nurse aides
1.81
Weekend nursing
2.63

Hours per resident per day.

Total staff turnover: 36%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

10.7%Steady

Residents with a fall causing major injury

4.4%Worsening

Residents with pressure ulcers (bedsores)

6.4%Worsening

Residents with a urinary tract infection

3%Worsening

Residents who lost too much weight

5.1%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

13.9%Worsening

Residents whose ability to walk got worse

10.7%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

26.9%Improving

Short-stay residents newly given an antipsychotic

0.3%Improving

Residents with a long-term catheter

1%Worsening

Residents with new or worsening incontinence

16.3%Improving

Residents with depressive symptoms

36.5%Improving

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

97.9%Steady

Short-stay residents given the pneumonia vaccine

99.6%Improving

What the inspectors found

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: E

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited April 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 558 — 42 CFR §483.10 — S/S: D

The home failed to provide safe and appropriate breathing care when a resident needed it. Cited April 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 695 — 42 CFR §483.25(i) — S/S: D

The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited March 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
Government - Hospital district
Chain
Part of FOURSQUARE HEALTHCARE · 10 homes · 3.6 stars avg
Occupancy
112.3 residents on an average day (88% of 128 beds)
Resident voice
Resident council
Medicare history
Certified for 10 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.