CCN 676424 · Collin County, Texas
Farmersville Health and Rehabilitation
205 Beech St, Farmersville, TX 75442
Farmersville Health and Rehabilitation is a 74-bed for-profit nursing home in Farmersville, Texas, first certified for Medicare or Medicaid in 2017. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 64.8 residents a day, about 88% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 74
- Average residents per day
- 64.8 (87.6% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Nocona Hospital District
- Certified since
- Apr 1, 2017
- Chain or affiliated group
- Foursquare Healthcare (10 facilities, chain average 3.2 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 2.88 | 3.27 | 3.68 |
| RN hours per resident per day | 0.59 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 2.55 | ||
| Nursing staff turnover | 47.1% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 87.6% | 68.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 11 (Mar 17, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Farmersville Health and Rehabilitation meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Nocona Hospital DistrictOrganization | Direct Ownership Interest | 100% | 04/01/2017 |
| Collin Nh Realty LtdOrganization | Mortgage Interest | n/a | 04/01/2017 |
| Dwm 5X5 TrustOrganization | Mortgage Interest | n/a | 04/01/2017 |
| Fairbrook Partners, LPOrganization | Mortgage Interest | n/a | 01/01/2024 |
| Jec 5X5 TrustOrganization | Mortgage Interest | n/a | 04/01/2017 |
| Jem 5X5 TrustOrganization | Mortgage Interest | n/a | 04/01/2017 |
| Kjc 5X5 TrustOrganization | Mortgage Interest | n/a | 04/01/2017 |
| Montague Nh, LPOrganization | Mortgage Interest | n/a | 04/01/2017 |
| Rmm 5X5 TrustOrganization | Mortgage Interest | n/a | 04/01/2017 |
| Rockett, LPOrganization | Mortgage Interest | n/a | 04/01/2017 |
| Sdl Gs 5X5 TrustOrganization | Mortgage Interest | n/a | 04/01/2017 |
| Miller, DonIndividual | Mortgage Interest | n/a | 04/01/2017 |
| Foursquare Texas 16 LLCOrganization | Operational / Managerial Control | n/a | 04/01/2017 |
| Box, JaceyIndividual | Operational / Managerial Control | n/a | 04/01/2017 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Collin Nh Realty Ltd, Don Miller, Dwm 5X5 Trust, Fairbrook Partners, LP, Jec 5X5 Trust, Jem 5X5 Trust.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.