Lexington Medical Lodge
2000 WEST AUDIE MURPHY PKWAY, 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
- Government - Hospital district · Chain: Foursquare Healthcare
- Certified beds
- 128 · avg 115 residents/day
- Total nursing staff turnover
- 36.3% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas 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
- 143295
- Service type
- Medicare/medicaid
- Licensed capacity
- 128 beds
- Bed type breakdown
- 128 Medicaid/Medicare
- Current license effective
- September 21, 2024
- Current license expires
- September 21, 2027
- Initial license date
- September 21, 2015
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nocona Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Uptown Fs Llc
- Administrator
- Clayton Chesser
Texas HHS licensing registry · as of April 16, 2026
About this community
Lexington Medical Lodge is a 128-bed Medicare/Medicaid nursing home in Farmersville, Collin County, operated under a hospital district license and managed by Foursquare Healthcare. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier — despite 4-star health inspection and quality-measure scores. About 115 of its 128 beds are occupied on a typical day. The license is active through September 2027.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 182 minutes of nursing care per day, about 59 minutes less than at a 4-star-staffing facility in Texas. Registered nurses account for only 16 of those minutes. Residents here need more hands-on care than at a typical facility — they are sicker or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
About 4 in 10 nursing staff left in the past year. That figure falls below Texas's 25th-percentile cutoff, meaning staff turnover is better than roughly three-quarters of nursing homes in the state.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
CMS rates staffing 1 star and weekend hours average 2.6 minutes per resident — ask how many nurses and aides are on duty overnight and on Saturdays and Sundays.
How RN coverage is scheduled
Reported registered-nurse time works out to about 16 minutes per resident per day; ask whether an RN is on-site around the clock or only during certain shifts.
Care planning for higher-need residents
The facility's resident mix skews toward people who need more hands-on help than average; ask how care plans are reviewed and updated when a resident's condition changes.
Role of Foursquare Healthcare day-to-day
The facility is licensed to Nocona Hospital District but managed by Foursquare Healthcare — ask which entity sets staffing budgets and handles complaints.
Resident Council meeting frequency
CMS records a Resident Council but no Family Council; ask how often the council meets and how family members can raise concerns when residents cannot advocate for themselves.
Waitlist and admission timeline
About 115 of 128 licensed beds are occupied on a typical day; ask whether there is currently a waitlist and what the usual timeline is from application to move-in.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.