Settlers Ridge Care Center
1280 Settlers Ridge Rd, Celina, TX 75009 · Collin County · 128 certified beds · avg 106 residents/day · certified since May 29, 2003
Part of chain: STONEGATE SENIOR LIVING (24 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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 (22)
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 |
|---|---|---|
| Apr 2, 2026 | 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. |
| Apr 2, 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. |
| Apr 2, 2026 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 2, 2026 | D · Potential for harm, one-off | 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. |
| Dec 15, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jun 18, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jun 18, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Feb 20, 2025 | E · Potential for harm, repeated | 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 |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint |
| Feb 20, 2025 | 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. · from a complaint |
| Nov 20, 2024 | 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. · from a complaint |
| Nov 20, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Jan 25, 2024 | 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. |
| Jan 25, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 25, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Jan 25, 2024 | 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. |
| Jan 25, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 25, 2024 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Jan 25, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jan 25, 2024 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 10 | 0 | E |
| 2025 | 6 | 0 | E |
| 2026 | 6 | 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) | 3.45 | 3.46 | 3.95 | top 39% in Texas; bottom 34% in the U.S. |
| Registered Nurse hours | 0.20 | 0.44 | 0.69 | bottom 7% in Texas; bottom 2% in the U.S. |
| Weekend total nurse staffing | 3.11 | 3.04 | 3.50 | top 34% in Texas; bottom 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.16 | 0.34 | 0.48 | bottom 11% in Texas; bottom 7% in the U.S. |
| Total nursing staff turnover (%) | 43.2 | 55.3 | 45.8 | top 28% in Texas; top 45% in the U.S. |
| RN turnover (%) | 57.1 | 54.6 | 42.9 | bottom 46% in Texas; bottom 26% 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 3.20, RN 0.19, weekend 2.88. Staffing rating: 2/5.
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: 5/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| South Limestone Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/27/2015 |
| Bhardwaj, Amit | Individual | ADP of the SNF | NOT APPLICABLE | 05/18/2025 |
| Campbell, Scott | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/02/2025 |
| Chance, James | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/02/2025 |
| Coates, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/14/2024 |
| Coates, William | Individual | ADP of the SNF | NOT APPLICABLE | 05/14/2024 |
| Fisher, James | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/04/2025 |
| Langdon, Thomas | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/02/2025 |
| Lifetime Wellness, LTD. | Organization | ADP of the SNF | NOT APPLICABLE | 09/23/2021 |
| Martus Financial Services, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2023 |
| McGehee, William | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/02/2025 |
| PF Settlers Ridge SNF Ops LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/23/2021 |
| PF Settlers Ridge SNF Ops LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/02/2025 |
| Pharmerica Drug Systems LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/27/2017 |
| Preservation Freehold Company | Organization | ADP of the SNF | NOT APPLICABLE | 09/23/2021 |
| Price, Larry | Individual | Corporate Officer | NOT APPLICABLE | 06/01/1982 |
| Rehab Pro LP | Organization | ADP of the SNF | NOT APPLICABLE | 09/23/2021 |
| Reins, Emilee | Individual | ADP of the SNF | NOT APPLICABLE | 04/05/2023 |
| Sanctuary LTC, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/23/2021 |
| Stonegate Senior Living, LP | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/22/2022 |
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 an example care plan, and how are families included when it's created and updated?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "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 |
|---|---|---|---|---|---|
| Belterra Health & Rehab | 10.2 mi | McKinney, TX | ★★★★☆ | 4/5 | |
| Baybrooke Village Care and Rehab Center | 11.1 mi | McKinney, TX | ★★★☆☆ | 2/5 | |
| Cedar Ridge Rehabilitation and Healthcare Center | 11.3 mi | Pilot Point, TX | ★★★☆☆ | 3/5 | |
| Avir at Pilot Point | 11.7 mi | Pilot Point, TX | ★★★★☆ | 4/5 | |
| Park Manor of McKinney | 11.7 mi | McKinney, TX | ★★☆☆☆ | 3/5 | |
| North Park Health and Rehabilitation Center | 12.2 mi | McKinney, TX | ★★★☆☆ | 5/5 | |
| Meadowbrook Care Center | 12.3 mi | Van Alstyne, TX | ★★★☆☆ | 2/5 | |
| Victoria Gardens of Frisco | 13.6 mi | Frisco, TX | ★★★★☆ | 4/5 | |
| Prairie Estates | 14.1 mi | Frisco, TX | ★★★☆☆ | 3/5 | |
| McKinney Healthcare and Rehabilitation Center | 14.5 mi | McKinney, TX | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675969.