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.
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.
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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.
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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.
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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.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 3 health deficiencies.
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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.