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Nursing HomeMedicaid

Farmersville Health and Rehabilitation

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

205 Beech St, Farmersville, TX 7544274 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 17 Google reviews

5
4
3
2
1
Farmersville Health and Rehabilitation Nursing Home in Farmersville, TX — Street View
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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 details
Food8.0Staff9.0Clean3.0Activities9.0Meds1.0MemoryN/AComms8.0ValueN/A

Strengths

  • 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

2343.02019(1)5.02020(5)4.52022(2)4.32023(6)3.02024(2)5.02025(1)5.02026(3)

Distribution

5
13
4
1
3
1
2
0
1
2

How They Respond to Reviews

71%response rate
Good

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.

Local Guide · 2026★★★★★

Every one of the staff there has been amazing you can tell they really care about their patients and want to help.

Family member · 2025★★★★★

I have two family members here and 100% percent know they are taken care of and well loved! Everyone treats them both like family!

Family member · 2023★★★★★
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
71%
Registered nurses for medical care
Total Nursing
2.60hrs
63%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility44.3%
Worse than Avg
Here
44.3%
US
19.5%
TX
18.4%
Collin
20.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility31.9%
Worse than Avg
Here
31.9%
US
19.4%
TX
14.2%
Collin
16.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility13.7%
Worse than Avg
Here
13.7%
US
12.1%
TX
2.5%
Collin
6.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.3%
TX
14.9%
Collin
16.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.9%
Better than Avg
Here
7.9%
US
14.4%
TX
16.1%
Collin
15.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.2%
Mixed vs Avgs
Here
15.2%
US
15.4%
TX
9.4%
Collin
8.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Collin
88.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.3%
Worse than Avg
Here
2.3%
US
1.6%
TX
1.5%
Collin
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Well below state avg (9.1)
8 complaint-triggered

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, 2026Complaint
1
0600MinorCorrected

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, 2025Routine
4
0695ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jan 7, 2025Complaint
1
0912MinorCorrected

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, 2023Routine
5
0584ModerateCorrected

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.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0912MinorCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Oct 19, 2023Complaint
5
0580MinorCorrected

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.

0607MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0610MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 6, 2023Complaint
1
0689MinorCorrected

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

Owner / Operator

Nocona Hospital District

Organization Type

for profit

Management Company

FOURSQUARE TEXAS 16 LLC

Administrator

JACEY BOX

Chain Affiliation

Chain Name

Foursquare Healthcare

Chain Size

10 facilities nationwide

Chain avg rating: 3.3/5 · Rank 1 of 10 (Best)

Ownership & Management

Owners

Nocona Hospital District

Owner · Organization

100%

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

Collin Nh Realty Ltd5% or Greater Mortgage InterestDwm 5x5 Trust5% or Greater Mortgage InterestFairbrook Partners, Lp5% or Greater Mortgage InterestJec 5x5 Trust5% or Greater Mortgage InterestJem 5x5 Trust5% or Greater Mortgage Interest
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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