Foursquare Healthcare
10 nursing homes in 1 state, in CMS's provider file of 2026-09-01.
These are the homes CMS lists under this chain today. Where a home has changed owner since 2016, CMS's change-of-ownership file (edition 2026-06-01) gives the date its current owner took it over, and penalties from before that date are counted apart: they were against an earlier owner, not a penalty against this chain's management. The figure can be off both ways: a change between two companies in the same chain is counted the same way, and a change the file does not hold (it runs to changes effective by 2026-02-01) is not counted at all.
CMS's archive holds 38 fines totalling $487,546 and 1 payment denials against these homes, at 9 of the 10. CMS's current file no longer shows 35 of those penalties.
5 of the 10 homes changed owner since 2016. 22 of those penalties, $333,632 in fines, are dated before the home's current owner took it over, which leaves $153,914 in fines since.
These are counts, not rates. They are not adjusted for how many homes the chain has, how large they are, or which states inspect them.
| Home | State | Fines | Total | Payment denials | Earliest | Current owner since | Before that |
|---|---|---|---|---|---|---|---|
| Cheyenne Medical Lodge | TX | 3 | $28,752 | 0 | 2021 | none in CMS's file | |
| Farmersville Health and Rehabilitation | TX | 1 | $20,192 | 0 | 2020 | none in CMS's file | |
| Lexington Medical Lodge | TX | 0 | 0 | none in CMS's file | |||
| Madison Medical Resort | TX | 5 | $84,708 | 0 | 2018 | 2024-11-01 | 5 ($84,708) |
| Midland Medical Lodge | TX | 11 | $146,039 | 1 | 2018 | 2021-10-01 | 8 ($113,519) |
| Princeton Medical Lodge | TX | 3 | $20,345 | 0 | 2021 | 2024-01-01 | 3 ($20,345) |
| Senior Care Health & Rehabilitation Center - Wichi | TX | 3 | $7,150 | 0 | 2021 | none in CMS's file | |
| Sheridan Medical Lodge | TX | 2 | $13,000 | 0 | 2022 | 2024-02-01 | 2 ($13,000) |
| Traymore Nursing Center | TX | 6 | $65,300 | 0 | 2019 | none in CMS's file | |
| Whitney Nursing and Rehabilitation Center | TX | 4 | $102,060 | 0 | 2017 | 2024-12-30 | 4 ($102,060) |