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Foursquare Healthcare nursing homes
10 nursing homes with 1,240 beds in Texas (10).
CMS affiliated entity 226 · data as of September 1, 2026
The group's record in brief
CMS links 10 certified nursing homes in 1 state to Foursquare Healthcare: 5 for profit, 0 nonprofit, 5 government run. 10 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 150 health citations; 10 citations were rated actual harm or immediate jeopardy, 7 of them immediate jeopardy. At their latest standard inspections the homes averaged 4.3 health deficiencies (national average 9.2).
3 homes in the group were fined in the last three years, $102,960 in all across 4 fines. Average nursing staff turnover across its homes was 47.1% (national 45.8%).
Staffing across the group
Daily payroll records from 10 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 20% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.21 | 3.75 |
| Registered nurses | 0.39 | 0.62 |
| Weekdays | 3.41 | 3.92 |
| Weekends | 2.72 | 3.33 |
| Share of nursing hours by contract staff | 0.0% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
10 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 3.2 overall, 3.9 health inspections, 1.2 staffing, 3.6 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 0 | |
| 4 of 5 | 4 | |
| 3 of 5 | 4 | |
| 2 of 5 | 2 | |
| 1 of 5 | 0 |
Across the group: 10 citations rated actual harm or immediate jeopardy, and an average of 3.19 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| Sheridan Medical Lodge | Burkburnett | TX | 4 | 13 | |
| Traymore Nursing Center | Dallas | TX | 3 | 11 | $25,080 |
| Lexington Medical Lodge | Farmersville | TX | 3 | 18 | |
| Farmersville Health and Rehabilitation | Farmersville | TX | 4 | 22 | |
| Cheyenne Medical Lodge | Mesquite | TX | 4 | 22 | |
| Midland Medical Lodge | Midland | TX | 3 | 17 | |
| Madison Medical Resort | Odessa | TX | 2 | 11 | $32,445 |
| Princeton Medical Lodge | Princeton | TX | 3 | 13 | |
| Whitney Nursing and Rehabilitation Center | Whitney | TX | 2 | 15 | $45,435 |
| Senior Care Health & Rehabilitation Center - Wichi | Wichita Falls | TX | 4 | 8 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.