Deficiency Index

Princeton Medical Lodge

Princeton, Texas · CCN 676485

12 surveys since 2020, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
39
Surveys
12
Harm or worse
2
Immediate jeopardy
0
The record, 2020–2026
’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file8/12

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
138
Ownership
Government - Hospital district
Chain
FOURSQUARE HEALTHCARE
County
Collin
Medicare-certified since
2020

CMS ratings

Overall
3
Health inspection
4
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 70 government-run facilities with 128 or more beds in Texas.

Last survey on record

Jul 29, 2026

103 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.063.23
Registered-nurse hours per resident day0.34—
Annual nurse turnover51.1%50.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD753.8%E646.2%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 39 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6761×

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6881×

    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.

In the surveyor’s words

From the most serious findings on record at Princeton Medical Lodge, in the surveyor’s own words.

  • Actual harm, isolatedF689Aug 31, 2026

    Based on observation, interview, and record review the facility failed to ensure the resident environment remained as free of accident hazards as possible and failed to ensure each resident received adequate assistance devices to prevent accidents for 1 (Resident #1) of 4 residents reviewed for accidents and hazards. The facility failed to ensure CNA E properly transferred Resident #1 without a gait belt causing significant bruising and pain to her left upper arm. The noncompliance was identified as PNC. The non-compliance began on 08/14/26 and ended on 08/27/26. The facility had corrected the noncompliance before the survey began. […]

  • Actual harm, isolatedF689Aug 31, 2021

    Resident #56 FTag Initiation Based on observation, interview, and record review the facility failed to ensure residents received adequate supervision and assistance devices to prevent accidents for one (Resident #56) of four residents reviewed for falls. The facility failed to ensure adequate supervision on 07/17/21 when Resident #56 was left alone in the bathroom and fell resulting in a fractured foot, Resident fell on [DATE], 07/31/21, 08/03/21, she fell two separate times on 08/03/21 and on 08/17/21 she fell with a likely fracture to her wrist. This failure could place residents at risk for injuries, pain and hospitalization . […]

  • No harm, potential for more than minimal, widespreadF812Oct 20, 2022

    Based on observations, interviews and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for the facility's only kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure grease trap in oven was not full of food debris and grease buildup. 2. The facility failed to ensure the fryer with grease was covered and clean when not in use. 3. Dietary Aides K and L failed to wash hands during lunch preparation of meal trays. These failures could place residents at risk for food contamination and food-borne illness. Findings included: 1. Observation on 10/18/22 at 9:42 AM of grease trap on stove top was difficult to open but Dietary Manager was able to open it after forcing it open. […]

  • No harm, potential for more than minimal, widespreadF814Aug 31, 2021

    Based on observation, interview, and record review the facility failed to dispose garbage and refuse properly for 2 of 2 dumpsters reviewed for proper storage of garbage and refuse, in that; The facility failed to keep the dumpster area clean and the dumpster lids/doors closed. This failure could place residents at risk for diminished quality of life due to the lack of a well-kept environment which could attract flying pests, rodents and other animals. Findings included: Observation on 08/31/21 at 11:20 a.m. of two dumpsters behind the facility revealed the dumpster on the right had both side doors partially open and the dumpster on the left also had both side doors partially open. On the ground on the right side of the right dumpster were 3 vinyl gloves and paper trash. […]

  • No harm, potential for more than minimal, patternF689Jul 29, 2026

    Based on observation, interview and record review the facility failed to ensure that the resident environment remained free of accident hazards and each resident received adequate supervision for 1 of 2 residents (Resident #1) reviewed for accidents and hazards. The facility left Resident #1 in a wheelchair unattended on the night of 7/15/26 and early morning on 7/16/26 and failed to check on her during that time. These failures could put residents at risk of frequent accidents and decline in health. Findings included:Record review of Resident #1's face sheet, dated 7/20/26, reflected a [AGE] year-old female who was admitted to the facility on [DATE]. […]

Read 21 findings in full →The most serious and the most recent: 21 of 39 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 31, 2026Complaint3 findings · 1 harm
  • Jul 29, 2026Complaint2 findings
  • Mar 12, 2026Standard4 findings
  • Jan 13, 2025Standard and complaint3 findings
  • Dec 14, 2023Standard4 findings
  • Oct 20, 2022Standard and complaint8 findings
  • May 16, 2022Complaint3 findings
  • Jan 13, 2022Complaint4 findings
Show the 4 earlier surveys
  • Aug 31, 2021Standard and complaint3 findings · 1 harm
  • Jan 17, 2021Complaint1 finding
  • Oct 27, 2020Infection control1 finding
  • Sep 7, 2020Complaint3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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