Nursing HomeInspections

Farmersville Health and Rehabilitation

Nursing home in Farmersville, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (972) 784-6191Send a messageMap ↗

Public-record details

Address
205 Beech St, Farmersville, TX 75442
Phone
(972) 784-6191
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
676424
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
74
Average residents per day
65
Ownership
For-profit, corporation
Legal business name
Nocona Hospital District
Chain
Foursquare Healthcare (10 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 2017
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676424. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 17, 2026. CMS lists 22 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 19, 2023 to Mar 17, 2026): 7 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 17, 2026Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental		C
Potential for minimal harm, widespread
Mar 17, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 17, 2026Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 17, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 17, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 17, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 17, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental		D
Potential for more than minimal harm, isolated
Mar 17, 2026Keep residents' personal and medical records private and confidential.
Resident Rights		E
Potential for more than minimal harm, pattern
Mar 17, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Mar 17, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jan 16, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 7, 2025Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental · complaint inspection		C
Potential for minimal harm, widespread

Showing the 12 most recent of 22. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.88 hours
Registered nurse (RN) time per resident per day
0.59 hours
Nurse aide time per resident per day
1.69 hours
Total nurse staffing on weekends
2.55 hours
Nursing staff turnover (yearly)
47%
RN turnover (yearly)
17%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Farmersville

Lexington Medical Lodge2000 West Audie Murphy Pkway · Farmersville, TX 75442 · (972) 784-7770 · Government-owned12 health citations in 3 inspection cycles · last standard inspection Apr 29, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)

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