All states › Texas › Farmersville › Lexington Medical Lodge
2000 West Audie Murphy Pkway Farmersville, TX 75442 · Collin County
All 2 nursing homes in Farmersville, TX (2 take Medicaid)
CMS certification number 676390 · See this home on Medicare Care Compare
Is Lexington Medical Lodge a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Lexington Medical Lodge as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.00 hours per resident per day at Lexington Medical Lodge, below the Texas median of 3.30 (US median: 3.72). About 0.28 of those hours are from registered nurses. On weekends it falls to 2.57 hours, 14% below its all-week average. 37.2% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.
About this nursing home
Paying for care at Lexington Medical Lodge: Medicare and Medicaid
Lexington Medical Lodge is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 23, 2026 and found 6 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 18 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 18 citations at Lexington Medical Lodge across 7 inspection dates, 8 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 18 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (9) and pharmacy service (3). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level E, June 23, 2026).
June 23, 2026 · 6 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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 locked compartments, separately locked, compartments for controlled drugs.
December 9, 2025 · 2 citations · includes complaint inspection
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EProvide and implement an infection prevention and control program.
April 29, 2025 · 2 citations
DReasonably accommodate the needs and preferences of each resident.
DProvide safe and appropriate respiratory care for a resident when needed.
March 12, 2025 · 3 citations · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 28, 2024 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
February 22, 2024 · 2 citations
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
October 4, 2023 · 2 citations · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Questions to ask on a tour of Lexington Medical Lodge
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 4/5 | 1/5 | 4/5 |
| August 2026 | 4/5 | 5/5 | 1/5 | 4/5 |
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Location
Hospitals near Lexington Medical Lodge
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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14.8 mi
Medical Center of McKinney McKinneyEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 24m for patients treated and sent home
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15.1 mi
Hunt Regional Medical Center GreenvilleEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 56m for patients treated and sent home
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17.2 mi
Texas Health Presbyterian Hospital Allen AllenEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 16m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Lexington Medical Lodge › All nursing homes in Farmersville ›
Compare Lexington Medical Lodge with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Farmersville Health and Rehabilitation · Farmersville · 4 stars · 1.3 mi
Other Foursquare Healthcare nursing homes in Texas
- Senior Care Health & Rehabilitation Center - Wichi · Wichita Falls · 5 stars
- Sheridan Medical Lodge · Burkburnett · 4 stars
- Farmersville Health and Rehabilitation · Farmersville · 4 stars
- Cheyenne Medical Lodge · Mesquite · 3 stars
- Midland Medical Lodge · Midland · 3 stars
- Madison Medical Resort · Odessa · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 10 Foursquare Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.