Farmersville Health And Rehabilitation
205 BEECH ST, Farmersville, TX, 75442
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Foursquare Healthcare
- Certified beds
- 74 · avg 67 residents/day
- Total nursing staff turnover
- 48.1% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 0% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 147519
- Service type
- Medicare/medicaid
- Licensed capacity
- 74 beds
- Bed type breakdown
- 74 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nocona Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Foursquare Texas 16 Llc
- Administrator
- Jacey Box
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Foursquare Healthcare chain — 10 facilities. Chain-wide average overall rating 3.3 / 5.
Disclosed owners (20 on record)
- Foursquare Texas 16 Llc
Adp of The Snf · since 2025
- Fairbrook Partners, lp
5% or Greater Mortgage Interest · 8% · since 2024
- Collin nh Realty Ltd
5% or Greater Mortgage Interest · 100% · since 2017
- David w Miller
Operational/managerial Control · since 2017
- Don Edward Miller
5% or Greater Mortgage Interest · since 2017
- Dwm 5x5 Trust
Adp of The Snf · since 2017
+ 14 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 14)
- D0600·Jan 16, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- C0912·Jan 7, 2025Complaint
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- D0880·Jan 7, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0695·Jan 7, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0880·Oct 19, 2023Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0644·Oct 19, 2023Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0610·Oct 19, 2023Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0607·Oct 19, 2023Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Jan 7, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Farmersville Health And Rehabilitation is a 74-bed nursing home in Farmersville, Collin County, Texas, licensed for both Medicare and Medicaid. CMS rates it 5 stars overall, with 5 stars on health inspections. Staffing earns 2 stars — the main counterweight to the high overall rating. Managed by Foursquare Healthcare under a Hospital District license, it has operated continuously since 1971.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing 2 stars here. Each resident receives about 161 minutes of nursing care per day — roughly 80 minutes less than at a 4-star-staffing facility in Texas, which averages 241 minutes. About 32 of those 161 minutes involve a registered nurse. Residents here need more hands-on care than at a typical facility — less mobile or medically complex on average — so the same staffing hours stretch thinner than the raw minutes already suggest.
RN turnover is exceptionally low: zero registered nurses left in the past year. That sits well below the state's 25th-percentile cutoff, meaning RN continuity here is better than roughly three-quarters of nursing homes in Texas. Total nursing staff turnover runs at 48.1%, which falls between the Texas median (50%) and the 25th percentile (42%) — no separate signal was flagged for the broader staff group.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Weekend nursing hours average 2.3 minutes per resident per hour — ask how many nurses and aides are on the floor overnight and on Saturdays and Sundays.
RN coverage during day shifts
Reported RN hours average about 32 minutes per resident per day; ask which shifts have a registered nurse physically present in the building.
How care plans are reviewed
CMS rates quality measures 3 stars despite a 5-star inspection record; ask how often care plans are updated and who leads those reviews.
Resident Council meeting access
The facility has a Resident Council but no Family Council; ask whether family members may attend Resident Council meetings or how they can raise concerns formally.
Management company's role
Day-to-day operations are run by Foursquare Healthcare while the license is held by Nocona Hospital District; ask which entity sets staffing budgets and responds to complaints.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.