Lexington Medical Lodge
Farmersville, TX · Medicare and Medicaid-certified nursing home (CCN 676390) · 128 certified beds
Health inspection: 5 · Quality measures: 4 · Staffing: 1
Federal fines: none on current record
Phone: (972) 784-7770 · Verify on Medicare Care Compare ↗
Lexington Medical Lodge has an overall CMS rating of 4 out of 5 stars, above the Texas state average of 2.65 stars. Its health inspection rating is 5 stars, while its staffing rating is 1 star.
Lexington Medical Lodge reports total nurse staffing of about 2.99 hours per resident per day, including roughly 0.30 RN hours per resident per day, with a nursing staff turnover rate of 35.8%. CMS gives this facility a staffing rating of 1 out of 5 stars.
Lexington Medical Lodge has no federal fines on record — zero fines totaling $0.00 — and no payment denials noted by CMS. There is no abuse icon flagged and no Special Focus Facility designation in the available data.
About this facility
Lexington Medical Lodge is a government-owned (hospital district) nursing home in Farmersville, Collin County, Texas, certified for both Medicare and Medicaid since September 21, 2015. The facility maintains 128 certified beds with an average of 113 residents.
According to CMS Care Compare, Lexington Medical Lodge holds an overall rating of 4 out of 5 stars, which is above the Texas state average of 2.65 stars. This overall score is built from a 5-star health inspection rating, a 4-star quality measure rating, and a 1-star staffing rating. The low staffing star reflects total nurse staffing of approximately 2.998 hours per resident per day, including about 0.296 RN hours per resident per day, alongside a nursing staff turnover rate of 35.8%.
On the penalty front, CMS records show no federal fines on record for this facility — zero fines totaling $0.00 — and no payment denials on file. There is no abuse icon flagged and no Special Focus Facility status noted in the provided data.
Lexington Medical Lodge is part of the Foursquare Healthcare chain, which operates 10 facilities nationally with an average CMS rating of 3.5 stars across the chain. There has been no change in ownership within the past 12 months, so current ratings reflect the present operator.
Families should review the facility's staffing figures and turnover rate alongside the strong health inspection and quality scores. Data sourced from CMS Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Lexington Medical Lodge has an overall CMS rating of 4 out of 5 stars, above the Texas state average of 2.65 stars.
Does this facility accept Medicare, Medicaid, or both?
Yes, Lexington Medical Lodge is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is about 2.99 hours per resident per day, with about 0.30 RN hours per resident per day, and a turnover rate of 35.8%; CMS rates staffing at 1 out of 5 stars.
Does this facility have federal fines or penalties on record?
No, CMS records show zero fines totaling $0.00 and no payment denials for this facility.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The provided data does not indicate an abuse icon or Special Focus Facility status for Lexington Medical Lodge.
How large is this facility and how many residents live there?
The facility has 128 certified beds with an average of 113 residents.
Who owns this facility — and is it part of a chain?
It is government-owned (hospital district) and part of the Foursquare Healthcare chain, which includes 10 facilities with an average rating of 3.5 stars.
How long has this facility been Medicare/Medicaid certified?
Lexington Medical Lodge has been certified since September 21, 2015.
What do the four different CMS star ratings mean?
CMS rates facilities on overall quality, health inspections, staffing, and quality measures; this facility scores 4, 5, 1, and 4 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The provided data does not specify service types; contact the facility at 9727847770 or verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided doesn't cover tour specifics; contact the facility at 9727847770 to arrange a visit and verify details.
How do I verify this facility's current record on Medicare Care Compare?
You can view the current record at https://www.medicare.gov/care-compare/details/nursing-home/676390?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.