Collin County, Texas · Nursing home
Farmersville Health and Rehabilitation
4 of 5 overall from CMS
205 Beech St, Farmersville, TX 75442
At a glance
- Overall rating 4 of 5 Above the state average of 2.7
- Nurse time per resident, per day 2.88 hours Below the state average of 3.39
- Nursing staff who left in a year 47.1% Below the state average of 55.3%
- Health citations, last 3 inspection cycles 22 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 87.6% of 74 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Farmersville Health and Rehabilitation is a 74-bed nursing home in Farmersville, Texas (Collin County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 2.88 nurse staffing hours per resident per day, below the Texas average of 3.39. CMS lists no fines in the past three years.
- Certified beds
- 74
- Residents per day (average)
- 64.8
- Certified since
- 2017 (9 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Foursquare Healthcare (10 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Farmersville Health and Rehabilitation
Chosen from this home's public data.
- CMS counts 11 health deficiencies in the latest inspection cycle (the standard inspection on Mar 17, 2026 plus complaint and infection-control inspections); the Texas average is 9.4. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 2.55 hours per resident on weekends against 2.88 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Texas average 2.7
- Health inspections 4 of 5 Texas average 2.8
- Staffing 2 of 5 Texas average 1.9
- Quality measures 4 of 5 Texas average 3.7
The vertical line marks the Texas average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 2.88 h Texas average 3.39
- Nurse aides 1.69 h Texas average 2.01
- Licensed practical nurses 0.60 h Texas average 0.95
- Registered nurses 0.59 h Texas average 0.43
- All staff, weekends 2.55 h Texas average 2.98
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Texas average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover47.1%
- Texas average55.3%
- Registered nurse turnover16.7%
- Texas average54.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Texas and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Texas | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 8.0% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.4% | 3.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% | 0.3% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.3% | 0.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 12.3% | 2.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 96.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 6.7% | 14.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.1% | 18.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% | 98.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.7% | 3.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.0% | 13.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 14.3% | 9.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.44 | 2.17 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.34 | 2.06 | 1.78 |
Short-stay residents
| Measure | This home | Texas | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 88.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 88.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.1% | 25.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 5.9% | 12.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 22 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 7 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 17, 2026 | 11 | 4 |
| Jan 7, 2025 | 3 | 2 |
| Oct 19, 2023 | 8 | 2 |
Texas homes averaged 9.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (22)
-
EPotential for more than minimal harm, pattern
Keep residents' personal and medical records private and confidential.
Resident Rights · Deficient, Provider has date of correction (Apr 17, 2026)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Apr 17, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 17, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 17, 2026)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 17, 2026)
Show 17 more
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 17, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Apr 17, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 17, 2026)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Apr 17, 2026)
-
CPotential for minimal harm, widespread
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental · Deficient, Provider has date of correction (Apr 17, 2026)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 15, 2026)
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 8, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jan 8, 2025)
-
CPotential for minimal harm, widespread
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jan 8, 2025)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Nov 18, 2023)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 20, 2023)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 20, 2023)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 20, 2023)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 20, 2023)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 18, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Oct 20, 2023)
-
CPotential for minimal harm, widespread
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental · Deficient, Provider has date of correction (Oct 20, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Texas homes averaged 1.5 fines and $44,141 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Texas
- Size1010 of 1177 by certified beds
- Texas average residents per day75.8
- ChainFoursquare Healthcare
- Chain average overall rating3.2 of 5
- Resident or family councilResident
- Homes in Collin County22
Common questions
What is the CMS star rating for Farmersville Health and Rehabilitation?
Farmersville Health and Rehabilitation has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 2 and quality measures is 4.
How many beds does Farmersville Health and Rehabilitation have?
Farmersville Health and Rehabilitation has 74 certified beds. It averages 64.8 residents per day, about 87.6% of its certified beds.
How much nursing care do residents get at Farmersville Health and Rehabilitation?
The home reports 2.88 hours of nurse staffing per resident per day, including 0.59 hours from registered nurses. The Texas average is 3.39 hours and 0.43 hours from registered nurses.
Has Farmersville Health and Rehabilitation been fined?
CMS lists no fines for this home in the past three years.
Does Farmersville Health and Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Lexington Medical Lodge 128beds 88.3%in use 3.00nurse hours a day
- 3 of 5 Princeton Medical Lodge 138beds 87.2%in use 3.06nurse hours a day
- 3 of 5 Royse City Medical Lodge 124beds 74.0%in use 3.24nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Collin County
Who to call in Texas
These offices serve residents of every nursing home in Texas.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-252-2412 An advocate for residents and their families.
- File a complaint about a nursing home Complaint and Incident Intake 1-800-458-9858 (Monday to Friday, 7 a.m. to 7 p.m. Central) The state agency that inspects nursing homes.
Texas staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 676424. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.