Lexington Medical Lodge: Staffing, Turnover, and Inspection Record
Lexington Medical Lodge is a 128-bed government-run nursing home in Farmersville, Texas, part of Foursquare Healthcare. In the CMS August 2026 release it reported 1.72 nurse aide hours per resident per day, 14% below the Texas average of 2.00, and 35.8% nursing staff turnover (Texas average 55.3%).
Lexington Medical Lodge
2000 West Audie Murphy PkwayFarmersville, TX 75442
Collin County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Lexington Medical Lodge, nurse aides logged 1.72 hours per resident per day, 14% below the Texas average. With about 113 residents a day, that works out to roughly 195 aide hours a day, or about 24 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.72 | 2.00 | 2.32 |
| Licensed practical nurses | 0.98 | 0.95 | 0.86 |
| Registered nurses | 0.30 | 0.43 | 0.69 |
| All nursing staff | 3.00 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.64 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
35.8% of nursing staff at Lexington Medical Lodge left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 20.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 29, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Lexington Medical Lodge holds 4 of 5 overall; the Texas average is 2.6.
About Lexington Medical Lodge
- Ownership: Government - Hospital district
- Chain: Foursquare Healthcare, 10 homes
- Legal name: Nocona Hospital District
- Medicare and Medicaid certified since: Sep 21, 2015
- Located inside a hospital
- Councils: resident council
- Area: urban
Nursing homes near Lexington Medical Lodge
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Farmersville Health and Rehabilitation Farmersville | 1.3 | 74 | 1.69 | 2.88 | 47.1% | 4 | None |
| Princeton Medical Lodge Princeton | 8.4 | 138 | 1.86 | 3.06 | 51.1% | 4 | None |
| Wylie Oaks Healthcare and Rehabilitation Wylie | 12.7 | 106 | 2.02 | 3.55 | 32.8% | 2 | $58,390 |
| Royse City Medical Lodge Royse City | 13.7 | 124 | 1.97 | 3.24 | 44.9% | 3 | None |
| North Park Health and Rehabilitation Center McKinney | 14.1 | 140 | 1.75 | 3.05 | 95.6% | 3 | None |
| McKinney Healthcare and Rehabilitation Center McKinney | 14.3 | 125 | 1.79 | 3.06 | 50.7% | 4 | None |
| Park Manor of McKinney McKinney | 14.8 | 138 | 1.71 | 3.25 | 62.4% | 2 | $29,426 |
| Greenville Health & Rehabilitation Center Greenville · SFF candidate · abuse citation · many days without an RN | 15.0 | 120 | 2.40 | 3.48 | 50.0% | 1 | $96,065 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.