Skilled nursing facility · CMS certification number 676390
LEXINGTON MEDICAL LODGE
FARMERSVILLE, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 128
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for September 1, 2024 to August 31, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 25, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,379,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $15,653,295 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,726,677 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,065,163 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$338,486 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $625,089 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $286,603 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $286,603 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 46,720 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,144 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 26,698 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,587 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 43,429 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 139 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 38 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,067.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 215 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450056, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended August 31, 2024
Cost report for September 1, 2023 to August 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 17, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,765,464 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,667,397 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,098,067 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,008,784 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$910,717 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $515,807 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$394,910 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$394,910 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,925 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 302 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 848.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1444920, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended August 31, 2023
Cost report for September 1, 2022 to August 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 18, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,632,525 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,218,962 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,413,563 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,269,315 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$855,752 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $422,776 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$432,976 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$432,976 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,090 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 357.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1399095, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended August 31, 2022
Cost report for September 1, 2021 to August 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 25, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,759,064 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,606,118 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,152,946 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,752,257 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $400,689 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $345,733 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $746,422 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $746,422 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,483 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 227 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 387.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371258, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended August 31, 2021
Cost report for September 1, 2020 to August 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,176,444 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,457,050 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,719,394 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,775,868 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$56,474 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $191,536 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $135,062 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $135,062 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,452 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 374 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 154.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1347143, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended August 31, 2020
Cost report for September 1, 2019 to August 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 23, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,593,800 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $12,966,471 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,627,329 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,627,666 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $999,663 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $804,921 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,804,584 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,804,584 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,376 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 321 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 267.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281623, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 3, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,485,848 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $15,058,075 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,427,773 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,685,346 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $742,427 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $65,687 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $808,114 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $808,114 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,712 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 390 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 229.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1285360, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,209,066 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,696,424 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,512,642 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,685,958 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $826,684 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,281 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $860,965 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $860,965 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,043 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 378 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 219.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241874, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 15, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,366,620 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $13,997,997 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,368,623 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,336,715 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $31,908 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,114 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $88,022 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $88,022 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,568 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 439 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1212928, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for September 21, 2015 to June 30, 2016 — a reporting period of 283 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,770,404 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,901,752 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,868,652 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,803,885 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $64,767 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,037 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $87,804 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $87,804 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,829 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 243.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151025, read from the public cost report file SNF10FY2015.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| NOCONA HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 06/01/2015 |
| CAMPBELL GS-TRUST | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/21/2015 |
| COLLIN NH REALTY LTD | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/21/2015 |
| FAIRBROOK PARTNERS, LP | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/21/2015 |
| MILLER GS- TRUST | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/21/2015 |
| MONTAGUE NH, LP | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/21/2015 |
| SDL GS 5X5 TRUST | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/21/2015 |
| CAMPBELL GS-TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2015 |
| CHESSER, CLAYTON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/21/2015 |
| COLLIN NH REALTY LTD | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2015 |
| FAIRBROOK PARTNERS, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2015 |
| MILLER GS- TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2015 |
| MONTAGUE NH, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2015 |
| SDL GS 5X5 TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2015 |
| UPTOWN FS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/23/2025 |
| YAZDANI, REHAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/21/2015 |
| MEEKINS, GREG | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/21/2015 |
| CAMPBELL, JOHN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| CAMPBELL, KENNETH | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| CAMPBELL, WILLIAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| MILLER, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| MILLER, DON | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| MILLER, JOHN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| MILLER, RICHARD | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| LEWIS, SHANE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/21/2015 |
| UPTOWN FS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/21/2015 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of NOCONA HOSPITAL DISTRICT (enrollment ID O20150814014280).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| NOCONA HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAMPBELL GS-TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | 29.67 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| COLLIN NH REALTY LTD | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| FAIRBROOK PARTNERS, LP | Organization | 5% OR GREATER MORTGAGE INTEREST | 8 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| MILLER GS- TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | 22.44 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| MONTAGUE NH, LP | Organization | 5% OR GREATER MORTGAGE INTEREST | 22.67 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| SDL GS 5X5 TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | 32 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAMPBELL GS-TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLAYTON THOMAS CHESSER | Individual | ADP OF THE SNF | Not stated in the filing | 9/21/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COLLIN NH REALTY LTD | Organization | ADP OF THE SNF | Not stated in the filing | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| FAIRBROOK PARTNERS, LP | Organization | ADP OF THE SNF | Not stated in the filing | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| MILLER GS- TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| MONTAGUE NH, LP | Organization | ADP OF THE SNF | Not stated in the filing | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| REHAN SAEED YAZDANI | Individual | ADP OF THE SNF | Not stated in the filing | 9/21/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SDL GS 5X5 TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| UPTOWN FS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/23/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GREG LANCE MEEKINS | Individual | CORPORATE OFFICER | 0 | 9/21/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHANE DELBERT LEWIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/21/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| UPTOWN FS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- July 1, 2025: TERI FARMER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CRIS LEMON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ROBERT C KECK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KEN KOONTZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GREG LANCE MEEKINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CHARLES MAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MILLER GS- TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MILLER GS- TRUST (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FAIRBROOK PARTNERS, LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FAIRBROOK PARTNERS, LP (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: COLLIN NH REALTY LTD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: COLLIN NH REALTY LTD (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: UPTOWN FS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHANE DELBERT LEWIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MNHP, LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MNHP, LP (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CLAYTON THOMAS CHESSER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CAMPBELL GS-TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CAMPBELL GS-TRUST (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: REHAN SAEED YAZDANI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SDL GS 5X5 TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SDL GS 5X5 TRUST (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- February 15, 2023: TODD PETERSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: CHARLES BROWN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MELISSA MURPHEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- October 31, 2022: FOURSQUARE SNF INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: UPTOWN FS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since February 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- June 23, 2026: A deficiency was cited under tag F 0761, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 23, 2026: A deficiency was cited under tag F 0755, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 23, 2026: A deficiency was cited under tag F 0695, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 23, 2026: A deficiency was cited under tag F 0693, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 23, 2026: A deficiency was cited under tag F 0677, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 23, 2026: A deficiency was cited under tag F 0812, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- June 23, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- May 25, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- December 17, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- July 1, 2025: TERI FARMER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CRIS LEMON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ROBERT C KECK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KEN KOONTZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: GREG LANCE MEEKINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CHARLES MAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MILLER GS- TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MILLER GS- TRUST (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FAIRBROOK PARTNERS, LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: FAIRBROOK PARTNERS, LP (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: COLLIN NH REALTY LTD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: COLLIN NH REALTY LTD (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: UPTOWN FS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHANE DELBERT LEWIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MNHP, LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: MNHP, LP (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CLAYTON THOMAS CHESSER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CAMPBELL GS-TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CAMPBELL GS-TRUST (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: REHAN SAEED YAZDANI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SDL GS 5X5 TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SDL GS 5X5 TRUST (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since September 21, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- November 18, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- December 25, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- May 11, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- February 15, 2023: TODD PETERSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: CHARLES BROWN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MELISSA MURPHEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- October 31, 2022: FOURSQUARE SNF INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: UPTOWN FS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since February 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- June 3, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 23, 2026 | June 23, 2026 | 8 | 4 |
| 2 | April 29, 2025 | April 29, 2025 | 5 | 3 |
| 3 | February 22, 2024 | February 22, 2024 | 5 | 2 |
| 3 | December 8, 2022 | December 8, 2022 | 3 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 23, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | July 24, 2026 |
| June 23, 2026 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure 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. | D | No | Deficient, Provider has date of correction | July 24, 2026 |
| June 23, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 24, 2026 |
| June 23, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | July 24, 2026 |
| June 23, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure 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. | D | No | Deficient, Provider has date of correction | July 24, 2026 |
| June 23, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | July 24, 2026 |
| December 9, 2025 | Health | F 0690 | 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. | E | Yes | Deficient, Provider has date of correction | December 10, 2025 |
| December 9, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | December 10, 2025 |
| April 29, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| April 29, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | May 15, 2025 |
| March 12, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | April 15, 2025 |
| March 12, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | April 15, 2025 |
| March 12, 2025 | Health | F 0842 | 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. | D | Yes | Deficient, Provider has date of correction | April 15, 2025 |
| March 28, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | April 1, 2024 |
| February 22, 2024 | Health | F 0656 | 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. | D | No | Deficient, Provider has date of correction | February 25, 2024 |
| February 22, 2024 | Health | F 0690 | 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. | D | No | Deficient, Provider has date of correction | February 25, 2024 |
| October 4, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | November 3, 2023 |
| October 4, 2023 | Health | F 0690 | 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. | D | Yes | Deficient, Provider has date of correction | November 3, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - Hospital district |
| Legal Business Name | NOCONA HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2015-09-21 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Collin |
| Telephone Number | 9727847770 |
| Chain Name | FOURSQUARE HEALTHCARE |
| Chain ID | 226 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 128 |
| Average Number of Residents per Day | 113.0 |
| Overall Rating | 3 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on LEXINGTON MEDICAL LODGE: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On June 23, 2026: A deficiency was cited under tag F 0761, scope and severity D. That is one line of the alert.
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The citable document for LEXINGTON MEDICAL LODGE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676390.