Princeton Medical Lodge
1401 W. Princeton Dr., Princeton, TX 75407 · Collin County · 138 certified beds · avg 120 residents/day · certified since Jun 11, 2020
Part of chain: FOURSQUARE HEALTHCARE (10 facilities, chain avg rating 3.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (11)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 12, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 12, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jan 13, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jan 13, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jan 13, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Dec 14, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Dec 14, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Dec 14, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2025 | 3 | 0 | E |
| 2026 | 4 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.44 | 3.46 | 3.95 | bottom 2% in Texas; bottom 3% in the U.S. |
| Registered Nurse hours | 0.27 | 0.44 | 0.69 | bottom 20% in Texas; bottom 7% in the U.S. |
| Weekend total nurse staffing | 2.09 | 3.04 | 3.50 | bottom 2% in Texas; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.34 | 0.48 | bottom 43% in Texas; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 51.1 | 55.3 | 45.8 | top 47% in Texas; bottom 34% in the U.S. |
| RN turnover (%) | 55.6 | 54.6 | 42.9 | bottom 48% in Texas; bottom 28% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.06, RN 0.34, weekend 2.62. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Nocona Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2024 |
| Campbell, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Campbell, Kenneth | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| David W Miller GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| DWM 5x5 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Fairbrook Partners, LP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Foursquare Texas 16 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Foursquare Texas 16 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/22/2025 |
| Jec GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Jem 5x5 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| John E Miller GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Katikaneni, Shalini | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Kingsbury Capital LLC Series F | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| KJC GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Lewis, Shane | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Lion Plaza LP | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Meekins, Greg | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Miller, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Miller, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Miller, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| North Park Health and Rehabilitation Center | 5.8 mi | McKinney, TX | ★★★☆☆ | 5/5 | |
| McKinney Healthcare and Rehabilitation Center | 6.2 mi | McKinney, TX | ★★★★☆ | 4/5 | |
| Park Manor of McKinney | 6.5 mi | McKinney, TX | ★★☆☆☆ | 3/5 | |
| Lexington Medical Lodge | 8.4 mi | Farmersville, TX | ★★★★☆ | 5/5 | |
| Belterra Health & Rehab | 9.2 mi | McKinney, TX | ★★★★☆ | 4/5 | |
| Farmersville Health and Rehabilitation | 9.7 mi | Farmersville, TX | ★★★★☆ | 4/5 | |
| Victoria Gardens of Allen | 9.7 mi | Allen, TX | ★★★★☆ | 4/5 | |
| The Belmont at Twin Creeks | 10.1 mi | Allen, TX | ★★★★☆ | 3/5 | |
| Garnet Hill Rehabilitation and Skilled Care | 10.9 mi | Wylie, TX | ★★★☆☆ | 3/5 | |
| Wylie Oaks Healthcare and Rehabilitation | 11.0 mi | Wylie, TX | ★★☆☆☆ | 2/5 | |
| Baybrooke Village Care and Rehab Center | 13.9 mi | McKinney, TX | ★★★☆☆ | 2/5 | |
| Collinwood Nursing and Rehabilitation | 14.3 mi | Plano, TX | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676485.