Federal inspection record · CMS data as of October 1, 2026
Princeton Medical Lodge
1401 W Princeton Dr, Princeton, TX · (972) 734-2100
- Certified beds
- 138
- Residents per day
- 135
- Ownership
- Government
- Chain
- Foursquare Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 11, 2020
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Princeton Medical Lodge carries 52 inspection points. That is fewer than 65% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care5E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Pharmacy Service3E
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning3E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-03-12
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-01-13
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-12-14
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 5 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 5 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 69% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$13,065 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-08-31 | Fine | $13,065 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 1.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts worse | 5.7% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms49.3 pts worse | 51.6% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts worse | 4.1% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10 pts worse | 27.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts better | 8.3% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.3 pts better | 5.6% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.7 pts better | 10.1% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 0.6% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts worse | 1.5% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence16.2 pts worse | 28.7% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 3.1% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better | 95.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.6 pts better | 5.6% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.8 pts better | 94.2% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1 pts better | 24.5% | 25.5% | 23.4% |
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Who owns and runs it
29 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Nocona Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 22 facilities |
| Campbell, John | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Campbell, Kenneth | Operational/Managerial Control · Individual | 0% | 12 facilities |
| David W Miller Gs Trust | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Dwm 5x5 Trust | Adp Of The SNF · Organization | 0% | 7 facilities |
| Fairbrook Partners, LP | Adp Of The SNF · Organization | 0% | 10 facilities |
| Foursquare Texas 16 LLC | Operational/Managerial Control · Organization | 0% | 7 facilities |
| Foursquare Texas 16 LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Jec Gs Trust | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Jem 5x5 Trust | Adp Of The SNF · Organization | 0% | 9 facilities |
| John E Miller Gs Trust | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Katikaneni, Shalini | Adp Of The SNF · Individual | 0% | 3 facilities |
| Kingsbury Capital LLC Series F | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Kjc Gs Trust | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Lewis, Shane | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Lion Plaza LP | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Meekins, Greg | Corporate Director · Individual | 0% | 22 facilities |
| Miller, David | Operational/Managerial Control · Individual | 0% | 16 facilities |
| Miller, John | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Miller, Richard | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Mnh-Inv Series LLC Series D | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Montague Nh, LP | Adp Of The SNF · Organization | 0% | 12 facilities |
| Moon, Jordan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Moon, Jordan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Princeton Nh Realty Ltd | Adp Of The SNF · Organization | 0% | 1 facilities |
| Richard M Miller Gs Trust | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Rmm 5x5 Trust | Adp Of The SNF · Organization | 0% | 7 facilities |
| Rockett, LP | Adp Of The SNF · Organization | 0% | 7 facilities |
| Sdl Gs 5x5 Trust | Adp Of The SNF · Organization | 0% | 12 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness1F
- F
Include a process for Emergency Preparedness collaboration.
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Other homes nearby
-
North Park Health and Rehabilitation Center
Mckinney, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 5 min
- Fines
- $0
-
McKinney Healthcare and Rehabilitation Center
McKinney, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 13 min
- Fines
- $0
-
Park Manor Of Mckinney
Mckinney, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 20 min
- Fines
- $29,426