Hearth Record

Farmersville Health and Rehabilitation

A nursing home in Farmersville, Texas 75442

205 Beech St, Farmersville, Texas 75442. (972) 784-6191.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 14 citations in 3 months of the last 36. Last cited Mar 2026. Most serious: no actual harm, potential for more than minimal harm (E). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

11 health citations at the latest inspection cycle

The Texas average is 9.6.

Last standard inspection Mar 17, 2026.

Most serious in three years: E: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

14 citations in 3 months of the last 36. Last cited Mar 2026. Most serious: no actual harm, potential for more than minimal harm (E). The last 3 years, to Nov 5, 2026.

14 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 14 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 2 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Mar 17, 2026: standard inspection10 citations

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

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

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • 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.

    Rule F0693. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

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

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

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

    Rule F0755. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

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

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

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

    Rule F0912. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Apr 17, 2026.

Jan 16, 2026: complaint inspection1 citation

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 15, 2026.

Jan 7, 2025: standard inspection2 citations

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

    Rule F0695. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2025.

Jan 7, 2025: standard and complaint inspection1 citation

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

    Rule F0912. C: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 8, 2025.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Apr 1, 2017.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 74 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 2 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

2.77 nurse hours per resident per day

The Texas average is 3.42.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeTexas average
Nurse hours per resident per day2.773.42
Of which registered nurses0.540.44
At weekends2.342.99
Nursing staff turnover39.6%50.8%
Registered nurse turnover16.7%49.8%
Administrators who left0Not given

Who owns it?

  • Nocona Hospital District owns 100% directly since Apr 1, 2017.
  • Foursquare Texas 16 LLC runs it.
  • 9 owners or officers are people: John E Miller (runs it (operational or managerial control)); Greg Lance Meekins (corporate director, 0%); Tamara Barsik (additional disclosable party (controls, leases property to, or provides services to the home)); Don Edward Miller (holds 5% or more of the mortgage, 0%); Richard Miller (runs it (operational or managerial control)); Shane Delbert Lewis (runs it (operational or managerial control)); Jacey Laray Box (runs it (operational or managerial control)); Jacey Laray Box (additional disclosable party (controls, leases property to, or provides services to the home)); David W Miller (runs it (operational or managerial control)).
  • Part of Foursquare Healthcare (10 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Nocona Hospital DistrictOwns 5% or more directly100%Apr 1, 2017
Collin NH Realty LtdHolds 5% or more of the mortgage100%Apr 1, 2017
Sdl Gs 5x5 TrustHolds 5% or more of the mortgage31.67%Apr 1, 2017
Rockett, LPHolds 5% or more of the mortgage30.67%Apr 1, 2017
Montague NH, LPHolds 5% or more of the mortgage22.67%Apr 1, 2017
Kjc 5x5 TrustHolds 5% or more of the mortgage15.18%Apr 1, 2017
Jec 5x5 TrustHolds 5% or more of the mortgage15.18%Apr 1, 2017
Jem 5x5 TrustHolds 5% or more of the mortgage9.83%Apr 1, 2017
Fairbrook Partners, LPHolds 5% or more of the mortgage8%Jan 1, 2024
Dwm 5x5 TrustHolds 5% or more of the mortgage5.83%Apr 1, 2017
Rmm 5x5 TrustHolds 5% or more of the mortgage5.83%Apr 1, 2017
Sdl Gs 5x5 TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2017
Jem 5x5 TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2017
Dwm 5x5 TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2017
Rockett, LPAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2017
Rmm 5x5 TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2017
Montague NH, LPAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2017
Kjc 5x5 TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2017
Collin NH Realty LtdAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2017
Fairbrook Partners, LPAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2017
Foursquare Texas 16 LLCRuns it (operational or managerial control)Apr 1, 2017
Foursquare Texas 16 LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 23, 2025
Jec 5x5 TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2017

How do residents fare?

  • CMS rates its quality measures 3 of 5 (Texas average 3.8).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating4 of 5
Health inspections4 of 5
Staffing2 of 5
Quality measures3 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 16.1 miles, this one had the 4th most health citations at the latest inspection cycle (11; the middle value was 8.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Farmersville Health and Rehabilitation This nursing home11
Lexington Medical Lodge1.38
Princeton Medical Lodge9.79
Royse City Medical Lodge12.95
Wylie Oaks Healthcare and Rehabilitation13.613
Greenville Health & Rehabilitation Center13.627
Briarcliff Health Center of Greenville13.912
Greenville Gardens14.110
North Park Health and Rehabilitation Center15.31
Mckinney Healthcare and Rehabilitation Center15.66
Legend Healthcare and Rehabilitation - Greenville15.86
Park Manor of Mckinney16.11

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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