Farmersville Health and Rehabilitation
Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.
based on 17 Google reviews

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What this means for your family
This facility is highly regarded for its compassionate nursing and therapy teams, making it a strong candidate for rehabilitation. However, because of specific, serious allegations regarding medication use and facility cleanliness, you should conduct a thorough in-person inspection and ask staff directly about their protocols for managing agitation and infection control.
Google Reviews
Google Reviews
17 reviews analyzed“Families seeking long-term care or rehab will find a highly compassionate staff that many reviewers describe as treating residents like family. While the facility is praised for its nursing and therapy teams, there are serious, highly critical allegations regarding medication management and facility cleanliness that should be investigated during a visit.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Excellent rehabilitation and therapy services
- Engaging resident activities and social events
- Professional and helpful administrative team
Concerns
- Allegations of improper medication use (sedation) for dementia patients
- Issues with facility cleanliness and infection control
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner provides highly personalized, warm, and empathetic responses to positive reviews, often mentioning specific staff members or family connections. However, responses to negative reviews become defensive and dismissive, questioning the reviewer's identity or accuracy.
Questions for Your Tour
- 1It's wonderful to see how much the administration engages with feedback; how do you use resident and family suggestions to improve the facility?
- 2We've heard great things about your therapy services; could you tell us more about how the rehab program helps residents regain their independence?
- 3What specific protocols do you have in place to ensure medication is administered accurately and safely for every resident?
- 4Could you walk us through your current cleaning and sanitation schedules to ensure the resident rooms and common areas stay pristine?
- 5What kind of social events or daily activities do you have planned to keep residents engaged and connected with one another?
- 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and providing care?
Personalized based on this facility's data
Key Review Excerpts
“The nurses and caregivers are not only highly skilled and attentive, but they treat every resident with dignity, kindness, and respect.”
“Every one of the staff there has been amazing you can tell they really care about their patients and want to help.”
“I have two family members here and 100% percent know they are taken care of and well loved! Everyone treats them both like family!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
6
measures
8
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed 8 complaints against this facility, raising concerns about resident protection from abuse and neglect, with one recent abuse-related deficiency still lacking a correction plan. The facility has persistent issues with room size requirements, heating and ventilation systems, and fire safety barriers that repeat across multiple surveys, though most deficiencies have been corrected when identified.
Jan 16, 2026Complaint1
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.
Jan 7, 2025Routine4
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jan 7, 2025Complaint1
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Oct 19, 2023Routine5
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Oct 19, 2023Complaint5
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 6, 2023Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operations
Who Operates This Facility
Nocona Hospital District
for profit
FOURSQUARE TEXAS 16 LLC
JACEY BOX
Chain Affiliation
Foursquare Healthcare
10 facilities nationwide
Chain avg rating: 3.3/5 · Rank 1 of 10 (Best)
Ownership & Management
Owners
Nocona Hospital District
Owner · Organization
Campbell, John
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Campbell, Kenneth
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
17 reviews from families & visitors
Official Website
Visit farmersvillehr.com
Medicare data downloads
Original nursing home datasets
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