Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Farmersville Health And Rehabilitation during CMS and state inspections, most recent first.
A resident with Parkinson's disease and moderate cognitive impairment reported that a CNA was rude and mean during care, describing the behavior as disrespectful and upsetting. The resident's family reviewed in-room surveillance video and observed the CNA speaking to the resident in a rude, demeaning manner, including religious comments about God not helping mean people and implying the family did not care because they did not visit. Facility leadership and a Regional Nurse later confirmed, based on the video and interviews, that the CNA's conduct constituted inappropriate and verbally abusive statements toward the resident, in violation of the facility's abuse/neglect and resident rights policies.
The facility failed to properly store nasal cannulas for four residents on oxygen therapy, risking respiratory infections. A resident with COPD had a nasal cannula on her wheelchair seat, not bagged. Another resident, cognitively intact, had a nasal cannula coiled on his wheelchair without a bag. A third resident with severe cognitive impairment had a nasal cannula hanging from her wheelchair. A fourth resident on hospice care had a nasal cannula hanging from an oxygen concentrator. The facility lacked a specific policy for bagging nasal cannulas, and staff did not consistently follow infection control protocols.
A CNA in a LTC facility failed to follow proper hand hygiene and glove-changing protocols while providing incontinent care to a resident with acute kidney failure and incontinence. The CNA did not sanitize hands before putting on gloves and did not change gloves after cleaning the resident's bottom, risking cross-contamination and infection. Facility policies on hand washing and perineal care were not adhered to during the incident.
The facility did not ensure that 34 multiple-resident rooms met the required minimum of 80 square feet per resident. Despite having a room size waiver, the rooms were below the required size, potentially placing residents at risk. The Administrator confirmed no changes in room sizes, and no policy was provided before the survey exit.
Failure to Protect a Resident From Verbal Abuse by CNA
Penalty
Summary
The facility failed to protect a resident from verbal abuse when a CNA spoke to the resident in a rude, demeaning, and inappropriate manner, including making unnecessary and offensive comments. The resident was an adult male with Parkinson's disease and a cognitive communication deficit, with a BIMS score of 11 indicating moderate cognitive impairment. During an interview, the resident reported that the CNA was rude and mean during care, describing the behavior as disrespectful and inappropriate and stating the interaction was upsetting and should not have occurred. A family member, after being informed by the resident, reviewed surveillance video from a camera in the resident's room and observed the CNA speaking to the resident in a rude and demeaning manner, including comments about God not helping mean people and implying the resident's family did not visit because they did not care about him. The family reported the incident and video to facility leadership, and the Administrator and Regional Nurse later confirmed that the CNA made inappropriate verbal comments, including religious statements implying blame for the resident's condition, which they determined to be verbally abusive. Progress notes documented that the physician was notified of verbal abuse by a staff member toward the resident, and a subsequent note indicated the resident later reported he was doing fine with no residual issues related to the incident. The Social Worker became aware of the allegation after notification by the Administrator and conducted facility-wide safety surveys, but there is no indication in the report that she spoke directly with the resident about the incident. The facility's Abuse/Neglect and Resident Rights policies state that residents have the right to be free from verbal abuse and that all allegations must be immediately reported, investigated, and addressed to ensure resident safety, yet the incident of verbal abuse by the CNA toward the resident occurred despite these policies.
Improper Storage of Nasal Cannulas for Residents on Oxygen Therapy
Penalty
Summary
The facility failed to ensure proper storage of nasal cannulas for four residents who required oxygen therapy, potentially placing them at risk for respiratory infections. Resident #20, diagnosed with respiratory infections, emphysema, and COPD, was observed with a nasal cannula on her wheelchair seat, not stored in a plastic bag as required. The resident was unaware of the need to bag the cannula when not in use, and her care plan did not specify that she was responsible for removing it. Resident #27, who was cognitively intact and diagnosed with COPD, had a nasal cannula coiled on his wheelchair seat without a plastic bag. The resident relied on staff for assistance with transfers and was unaware of the storage protocol for his nasal cannula. Similarly, Resident #36, with severe cognitive impairment and COPD, had a nasal cannula hanging from her wheelchair, not bagged, with the prongs nearly touching the wheel, indicating a lack of proper storage. Resident #57, on hospice care with Alzheimer's disease, had a nasal cannula attached to an oxygen concentrator, left hanging without a bag. The facility's RN and DON acknowledged the oversight, noting that nasal cannulas should be bagged to prevent cross-contamination and infection. However, the facility lacked a specific policy for bagging nasal cannulas, and staff did not consistently follow infection control protocols during their rounds.
Infection Control Breach During Incontinent Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by an incident involving a certified nursing assistant (CNA) who did not adhere to proper hand hygiene and glove-changing protocols while providing incontinent care to a resident. The resident, a female with acute kidney failure and incontinence, was observed receiving care from CNA B, who did not sanitize or wash her hands before putting on gloves. During the care process, CNA B failed to change gloves after cleaning the resident's bottom and before handling a new brief, which could lead to cross-contamination and infection. The resident's medical records indicated she was always incontinent for both bowel and bladder, necessitating regular perineal care. The facility's policies on hand washing and perineal care were not followed, as CNA B did not perform hand hygiene before and after the procedure, nor did she change gloves when moving from a soiled to a clean task. This oversight was acknowledged by both the CNA and the Director of Nursing (DON), who emphasized the importance of hand hygiene in preventing infection spread.
Facility Fails to Meet Room Size Requirements
Penalty
Summary
The facility failed to ensure that 34 multiple-resident rooms met the required minimum of 80 square feet per resident. During the survey, it was revealed that the facility had a room size waiver in place for these rooms, which were all classified as Medicare and Medicaid. The Administrator confirmed that there had been no changes in the room sizes over the past years. The survey included a review of the facility's license, which indicated it was licensed for 74 beds, and a review of the resident bedroom measurements provided by the Administrator. The measurements showed that the rooms varied in size, with some as small as 127 square feet for two residents, which is below the required minimum of 160 square feet for two residents. Despite the waiver, the facility's failure to meet the square footage requirement could place residents at risk of not having sufficient space. No policy was provided by the facility prior to the exit of the surveyors.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Farmersville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lexington Medical Lodge | 1.3 mi | ★★★★★ | 2 | 0 |
| Princeton Medical Lodge | 9.7 mi | ★★★★★ | 5 | 0 |
| Royse City Medical Lodge | 12.9 mi | ★★★★★ | 6 | 0 |
| Wylie Oaks Healthcare And Rehabilitation | 13.6 mi | ★★★★★ | 2 | 0 |
| Greenville Health & Rehabilitation Center | 13.6 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.