Nursing HomeMedicaid

Lexington Medical Lodge

Strong Medicare quality ratings; families often praise exceptional physical therapy staff. Still worth an in-person visit.

2000 West Audie Murphy Pkway, Farmersville, TX 75442|128 beds|Licensed & Active

4/5

Medicare

Inspection

Quality

Staffing

Google rating

4.1/5

based on 109 Google reviews

(972) 784-7770 Directions Website

Street View

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What this means for your family

This facility's physical therapy and nursing teams are standout strengths that provide excellent support for post-surgical rehab. However, families should be prepared for potential communication gaps during evenings and weekends, and you may want to personally verify the current food quality and bed comfort during your visit.

Google Reviews

109 reviews analyzed

“Families considering Lexington Medical Lodge will find a facility highly praised for its exceptional physical therapy team and a warm, welcoming atmosphere. While many residents benefit from compassionate nursing and a clean environment, there are significant, recurring concerns regarding communication responsiveness, particularly during weekends, and inconsistent food quality.”

Quality Themes

Tap a score for details

Strengths

Exceptional physical therapy staff
Clean and beautiful facility
Compassionate and friendly nursing aides
Welcoming and professional administration

Concerns

Difficulty reaching staff/administration via phone, especially at night or on weekends (mentioned by 4 reviewers)
Inconsistent food quality and nutrition (mentioned by 3 reviewers)
Issues with billing and administrative responsiveness (mentioned by 2 reviewers)
Concerns regarding cleanliness and hygiene in certain instances (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution

How They Respond to Reviews

100%response rate

Good

The owner provides highly personalized responses to positive reviews, often using the reviewer's name and referencing specific staff members or details. While they address negative reviews, the tone occasionally shifts to being defensive or dismissive when addressing specific grievances.

Questions for Your Tour

1I noticed many people mention how beautiful and clean the facility is; how do you ensure that level of cleanliness is maintained in the resident rooms every day?
2The physical therapy team seems to be a real standout here—could you tell us more about how the therapy programs are integrated into a resident's daily routine?
3What is the best way for family members to get in touch with the nursing staff or administration if we have a question during the evening or over the weekend?
4We want to make sure our loved one is getting great nutrition; could you describe the meal planning process and how you handle specific dietary needs?
5In the event of a medical emergency during the night, what is the specific protocol for notifying the family and providing immediate care?
6What kind of social activities or group outings are available to help residents stay engaged and connected with each other?

Personalized based on this facility's data

Key Review Excerpts

“Really thought the Physical Therapy staff top of the line. I was never treated better at any other medical facility.”

Rehab patient · 2026★★★★★

“The building is beautiful, and I hear the food is absolutely amazing. The entire staff... are all incredibly friendly, helpful, and dedicated to their residents.”

Long-term resident's family · 2025★★★★★

“The food is atrocious. Really very very poor. Also, the beds are 50+ years old and very uncomfortable and noisy.”

Current resident · 2025★★★★★

Source: 109 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.26hrs

35%

Registered nurses for medical care

Total Nursing

3.05hrs

74%

All nurses + aides combined

Staff Turnover

36%

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

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility36.5%

Worse than Avg

Here

36.5%

12.1%

2.5%

Collin

5.1%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility26.9%

Worse than Avg

Here

26.9%

19.5%

18.4%

Collin

21.1%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

96.9%

Collin

97.3%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility10.7%

Better than Avg

Here

10.7%

15.3%

14.9%

Collin

16.6%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility10.7%

Mixed vs Avgs

Here

10.7%

15.4%

9.4%

Collin

8.8%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

95.5%

98.0%

Collin

98.7%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility97.9%

Better than Avg

Here

97.9%

79.7%

88.0%

Collin

90.6%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility99.6%

Better than Avg

Here

99.6%

81.8%

89.2%

Collin

88.4%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.3%

Better than Avg

Here

0.3%

1.6%

1.5%

Collin

1.0%

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

Eight families have filed complaints against Lexington Medical Lodge, triggering half of the facility's 18 deficiencies across 7 surveys. Recurring problems involve personal care assistance, infection control, and fire safety issues. While the facility has corrected all cited deficiencies, the pattern of repeated complaints about basic care quality and safety standards suggests families should carefully evaluate this facility's ability to provide consistent, reliable care.

Dec 9, 2025Complaint2 findings

0690ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 29, 2025Routine5 findings

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.

0363ModerateCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0695MinorCorrected

Quality of Life and Care Deficiencies

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

0325MinorCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

Mar 12, 2025Complaint3 findings

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Mar 28, 2024Complaint1 finding

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Feb 22, 2024Routine4 findings

0916ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Oct 4, 2023Complaint2 findings

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.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nocona Hospital District

Organization Type

for profit

Management Company

UPTOWN FS LLC

Administrator

CLAYTON CHESSER

Chain Affiliation

Chain Name

Foursquare Healthcare

Chain Size

10 facilities nationwide

Chain avg rating: 3.3/5 · Rank 6 of 10

Ownership & Management

Owners

Nocona Hospital District

Owner · Organization

100%

Campbell, John