Lexington Medical Lodge

    2000 W Audie Murphy Pkwy, Farmersville, TX 75442
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.86·(144)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.2
    • Staff

      3.5
    • Meals

      3.7
    • Amenities

      3.6
    • Value

      3.0

    Pros

    • Modern, clean and well-maintained facility
    • Bright rooms with en suite bathrooms
    • In-room amenities (mini-fridge, TV, private storage)
    • Strong physical and speech therapy programs
    • Compassionate and attentive nursing and aide staff
    • Helpful and friendly admissions/intake staff
    • Engaging activities and social programming
    • On-site hair salon and renovated dining bistro
    • Accessible outdoor seating and pleasant grounds
    • Personalized discharge planning and care coordination
    • Therapy studio with up-to-date equipment
    • Supportive ancillary staff (dietary, housekeeping, social work)
    • Hearing support and occasional pet/therapy visits
    • Secure nighttime environment
    • Generous visiting hours

    Cons

    • Understaffing and staffing variability
    • Gaps in medication management and timeliness
    • Inconsistent personal-care and bathing schedules
    • Cleanliness and odor concerns in some units
    • Limited weekend therapy and administrative coverage
    • Delays in clinical escalation and wound management
    • Inconsistent meal-service timing and temperature control
    • Variable infection-control and PPE compliance
    • Property loss and belongings misplacement
    • Weak family communication and leadership responsiveness
    • Small shared rooms and limited private-room availability
    • High staff turnover and variable staff training
    • Safety-response delays and transfer-safety gaps
    • Billing and administrative coordination issues

    Summary of reviews

    Overall impression: Lexington Medical Lodge presents as a modern, well-appointed post-acute and long-term care facility with many features families find attractive—bright rooms, en suite bathrooms, in-room refrigerators and TVs, renovated dining spaces, and pleasant outdoor areas. The facility also has a well-equipped therapy studio and a clear rehabilitation focus that several families credited with measurable functional improvement.

    Care and clinical quality: Clinical performance appears mixed. Many reviewers praised the therapy teams and cited effective physical and speech therapy programs that supported successful discharges. At the same time, there are recurring concerns about medication timeliness and accuracy, missed or delayed administration, and gaps in wound and clinical-incident management. Families described delays in escalation for infections and wound care; these accounts point to inconsistencies in clinical follow-up and late initiation of treatments in some cases.

    Staff and communication: Staff interactions are a polarizing theme. Numerous comments highlight compassionate, attentive nurses, CNAs, therapists, and admissions staff who communicate well and build rapport with residents. Conversely, reviewers also described variable staffing levels, high turnover, and uneven training—factors that contributed to slow responses to call lights, inconsistent personal-care routines, and what families characterized as lapses in bedside attention. Leadership responsiveness and family communication were cited as strengths by some families and as an area needing improvement by others.

    Dining and activities: The facility’s dining program and activity offerings receive largely positive feedback. The renovated bistro and many menu items were appreciated; activities such as bingo, crafts, outings, salon services, and occasional pet visits contributed to an engaged atmosphere for residents. That said, there are intermittent complaints about meal timing, late or cold meal delivery, and variability in food quality.

    Facilities and operations: Physical plant and amenities are generally praised—clean common areas, comfortable grounds, and well-equipped therapy spaces. Practical operational issues surfaced repeatedly: limited availability of private rooms (shared rooms are common), inconsistent room cleaning without prompts, furniture or mattress comfort concerns, and occasional delivery or equipment coordination problems. Infection-control practices and weekend staffing/scheduling were also cited as operational weaknesses during specific incidents.

    Management and notable patterns: Review sentiment is polarized: many families describe seamless admissions, excellent discharge planning, and proactive management, while a subset describe poor administrative follow-through, billing disputes, and slow responses to critical complaints. Patterns that recur across reviews include understaffing (particularly on weekends), variability in medication and personal-care processes, and inconsistent leadership communication. There are also repeated mentions of property misplacement or loss and concerns about infection-control events.

    Guidance for prospective families: Given the mixed themes, families should consider an in-person visit and structured questions about staffing ratios (including weekend coverage), medication administration protocols, wound-care escalation procedures, infection-control policies, private-room availability, and the facility’s approach to family communication and incident disclosure. Ask for recent quality metrics, therapy schedules and intensity, and examples of how leadership has addressed prior clinical or operational concerns. A tour during a meal and an opportunity to speak with therapy staff and nursing leadership can help assess whether the facility’s strengths align with a prospective resident’s clinical and social needs.

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    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Lexington Medical Lodge is located at 2000 W Audie Murphy Pkwy, Farmersville, TX, 75442.

    About Lexington Medical Lodge

    Lexington Medical Lodge in Farmersville, Texas, is a senior living community offering luxury accommodations along with both short-term and long-term care, and you'll find that the facility covers most needs with services like skilled nursing, ongoing health management, and support from trained professionals in physical and speech therapy, which means folks can recover after hospital stays or maintain wellness over time depending on what's needed, while a team of knowledgeable medical staff provides attentive daily care and helps residents stay comfortable and medically supported, and there's a focus on promoting independence and social interaction with a packed calendar full of social, educational, and entertaining activities that keep people's spirits up and their minds engaged. The place is set up with features that make things easier for both new and current residents, like a photo gallery on its website and a virtual tour so families can explore the facility without leaving home, and that helps everyone know what's available, whether it's extensive amenities for seniors, social spaces, or quiet rooms, and the staff pays close attention to residents' physical and emotional needs using structured programs to encourage new friendships and an active lifestyle. The location is convenient because it's close to medical centers and local attractions, and the management, who get involved by doing things like hosting employee cookouts and offering personalized assistance when needed, work hard to make sure daily life goes smoothly while residents enjoy a safe, lively, and caring environment.

    People often ask...

    Lexington Medical Lodge offers assisted living, memory care, and skilled nursing.

    There are 18 photos of Lexington Medical Lodge on Mirador.

    The full address for this community is 2000 W Audie Murphy Pkwy, Farmersville, TX 75442.

    No, Lexington Medical Lodge does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RriEAAAZ
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity128 residents
    LicenseeNocona Hospital District
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    2

    Reports

    7

    Citations

    0

    Complaints

    0

    Years

    22 Sept 2026Inspection
    Found universal precautions were not enforced in the care of all residents.
    • —Health Visit
    24 Jun 2026Life Safety
    Cited deficiencies in life safety and electrical systems, including emergency wiring arrangement, exits, NEC compliance, smoke-control shutoffs, lighting, and generator documentation.
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Lexington Medical Lodge. The information above has not been verified or approved by the owner or operator. For exact information, please contact Lexington Medical Lodge directly. There is no cost for this service. We are compensated by the community you select.

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