Why this was flagged
Medicare paid far more per patient than peers
In 2024 this provider was paid $32,287 per patient, against a typical $18,011 for the same kind of provider in TX. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.
Source CMS Skilled Nursing Facility Enrollments · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 02c2f9
Owners and managing parties of record
COLLIN NH REALTY LTD
5% OR GREATER MORTGAGE INTEREST · O · 100% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
NOCONA HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SDL GS 5X5 TRUST
5% OR GREATER MORTGAGE INTEREST · O · 31.67% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ROCKETT, LP
5% OR GREATER MORTGAGE INTEREST · O · 30.67% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
MONTAGUE NH, LP
5% OR GREATER MORTGAGE INTEREST · O · 22.67% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JEC 5X5 TRUST
5% OR GREATER MORTGAGE INTEREST · O · 15.18% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
KJC 5X5 TRUST
5% OR GREATER MORTGAGE INTEREST · O · 15.18% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JEM 5X5 TRUST
5% OR GREATER MORTGAGE INTEREST · O · 9.83% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
FAIRBROOK PARTNERS, LP
5% OR GREATER MORTGAGE INTEREST · O · 8% ownership · since Jan 1, 2024
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
RMM 5X5 TRUST
5% OR GREATER MORTGAGE INTEREST · O · 5.83% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DWM 5X5 TRUST
5% OR GREATER MORTGAGE INTEREST · O · 5.83% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
GREG LANCE MEEKINS
CORPORATE DIRECTOR · I · 0% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DON EDWARD MILLER
5% OR GREATER MORTGAGE INTEREST · I · 0% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
FAIRBROOK PARTNERS, LP
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
FOURSQUARE TEXAS 16 LLC
OPERATIONAL/MANAGERIAL CONTROL · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
FOURSQUARE TEXAS 16 LLC
ADP OF THE SNF · O · since Apr 23, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JEC 5X5 TRUST
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JACEY LARAY BOX
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DAVID W MILLER
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JACEY LARAY BOX
ADP OF THE SNF · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JOHN E MILLER
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SDL GS 5X5 TRUST
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JEM 5X5 TRUST
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DWM 5X5 TRUST
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
TAMARA BARSIK
ADP OF THE SNF · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ROCKETT, LP
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
RMM 5X5 TRUST
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
RICHARD MILLER
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
MONTAGUE NH, LP
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SHANE DELBERT LEWIS
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
KJC 5X5 TRUST
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
COLLIN NH REALTY LTD
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
- Medicare paid far more per patient than peers
Weekly refreshes
- 18 Sept 2026 (in use)14,410 records14,410 added · 0 changed · 0 removedpublisher data as of 17 Aug 2026
Records read from this file
- NOCONA HOSPITAL DISTRICTNPI 1003860388 · certification 676424 · 205 BEECH ST, FARMERSVILLE, TX
CMS Skilled Nursing Facility All Owners
Weekly refreshes
- 18 Sept 2026 (in use)295,083 recordspublisher data as of 17 Aug 2026
Records read from this file
- COLLIN NH REALTY LTD5% OR GREATER MORTGAGE INTEREST · 100% share · since 2017-04-01
- NOCONA HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2017-04-01
- SDL GS 5X5 TRUST5% OR GREATER MORTGAGE INTEREST · 31.67% share · since 2017-04-01
- ROCKETT, LP5% OR GREATER MORTGAGE INTEREST · 30.67% share · since 2017-04-01
- MONTAGUE NH, LP5% OR GREATER MORTGAGE INTEREST · 22.67% share · since 2017-04-01
- JEC 5X5 TRUST5% OR GREATER MORTGAGE INTEREST · 15.18% share · since 2017-04-01
- KJC 5X5 TRUST5% OR GREATER MORTGAGE INTEREST · 15.18% share · since 2017-04-01
- JEM 5X5 TRUST5% OR GREATER MORTGAGE INTEREST · 9.83% share · since 2017-04-01
cms_snf_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Farmersville Health And Rehabilitation — 2024$1,356,033 paid · 42 patients
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | NOCONA HOSPITAL DISTRICT | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Trading name | FARMERSVILLE HEALTH AND REHABILITATION | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| NPI | 1003860388 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Medicare certification number | 676424 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| CMS associate ID | 5395786180 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Organisation type | GOVERNMENT | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Street address | 205 BEECH ST | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| City | FARMERSVILLE | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| State | TX | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| ZIP | 754422703 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
No notes yet. If you have checked this provider, say what you found.