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 Medicare Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5
View the records behind this flag →
An owner name may match the federal exclusion list
The owner name matches an exclusion-list name, but no second identifier confirms identity. Treat this as low-confidence context until a person verifies it.
Source HHS OIG Exclusion List (LEIE) · record as of 9 Nov 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 9e9c16
View the records behind this flag →
Owner is tied to 26 providers
An owner or managing party of this provider (GREG LANCE MEEKINS) is listed on 26 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
View the records behind this flag →
Owners and managing parties of record
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 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
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 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
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 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
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 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
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 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
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 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
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 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
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 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
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 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
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 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
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 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
GREG LANCE MEEKINS
CORPORATE DIRECTOR · I · 0% ownership · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
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 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
JOHN E MILLER
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SDL GS 5X5 TRUST
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
JEM 5X5 TRUST
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
DWM 5X5 TRUST
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
TAMARA BARSIK
ADP OF THE SNF · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
ROCKETT, LP
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
RMM 5X5 TRUST
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
RICHARD MILLER
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
MONTAGUE NH, LP
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SHANE DELBERT LEWIS
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
KJC 5X5 TRUST
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
COLLIN NH REALTY LTD
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
FAIRBROOK PARTNERS, LP
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
FOURSQUARE TEXAS 16 LLC
OPERATIONAL/MANAGERIAL CONTROL · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
FOURSQUARE TEXAS 16 LLC
ADP OF THE SNF · O · since Apr 23, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
JEC 5X5 TRUST
ADP OF THE SNF · O · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
JACEY LARAY BOX
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
JACEY LARAY BOX
ADP OF THE SNF · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
DAVID W MILLER
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 1, 2017
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Source timeline
Corrections and disputes
Providers and researchers can dispute a detail, submit supporting links, and track the review.
Source records
Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | NOCONA HOSPITAL DISTRICT | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Trading name | FARMERSVILLE HEALTH AND REHABILITATION | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| NPI | 1003860388 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Medicare certification number | 676424 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| CMS associate ID | 5395786180 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Organisation type | GOVERNMENT | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Street address | 205 BEECH ST | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| City | FARMERSVILLE | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| State | TX | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| ZIP | 75442-2703 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
What changed
Public research history
Loading the research history…