SNF
PRINCETON MEDICAL LODGE
CCN: 676485 · PRINCETON, TX 75407 · Collin County
Hospital-based
Overview
- Address
- 1401 W. PRINCETON DR., PRINCETON, TX 75407
- Phone
- 9727342100
- Certified beds
- 138
- Avg daily residents
- 119 (86% of beds filled)
- Ownership
- Government (hospital district)
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2020-06-11
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.28 | 5.04 | 2.51 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.39 | 0.88 | 0.30 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.82 | 1.12 | 0.63 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.07 | 3.04 | 1.58 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.21 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.03 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.77
hrs / resident / day
RN (weekend)
0.30
hrs / resident / day
Total nurse (adjusted, weekend)
2.12
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
45.6%
annual
RN turnover
44.4%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.79
higher acuity than avg
Case-Mix Index Ratio
1.30
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-01-13 | 3 | 3 | 3 | 16 | 1 | 16 |
| Cycle 2/3 (prior) | 2023-12-14 | 4 | 4 | 0 | 24 | 1 | 24 |
Total weighted health score
18.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (15)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
15 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-01-13 | 2025-02-01 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-13 | 2025-02-01 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-01-13 | 2025-02-01 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-12-14 | 2024-01-13 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-12-14 | 2024-01-13 |
| 0688 | 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. | D | 2023-12-14 | 2024-01-13 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-12-14 | 2024-01-13 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2022-10-20 | 2022-10-21 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-10-20 | 2022-10-21 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | E | 2022-10-20 | 2022-10-21 |
| 0761 | 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 | 2022-10-20 | 2022-10-21 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-10-20 | 2022-10-21 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2022-10-20 | 2022-10-21 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-10-20 | 2022-10-21 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2022-10-20 | 2022-11-18 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 13.6% Medicaid 73.9% Other 12.5%
Operating performance
Operating Margin
5.8%
Total Margin
11.3%
Occupancy Rate
88.3%
Cost per Resident Day
$31
Revenue & costs
Net Patient Revenue
$12.7M
Total Costs
$1.4M
Net Income
$1.5M
Balance sheet
Total Assets
$1.3M
Total Liabilities
-$991K
Fund Balance
$2.3M
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: FOURSQUARE HEALTHCARE
- Chain ID
226- Facilities in chain
- 10
- Legal business name
- NOCONA HOSPITAL DISTRICT
Chain-average star ratings (for peer context)
Overall
3.3
Health
4.0
Staffing
1.1
QM
3.9
Owner / manager organizations (10)
| Organization | Role | Association |
|---|---|---|
| NOCONA HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/2024 |
| DAVID W MILLER GS TRUST | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| FOURSQUARE TEXAS 16 LLC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| JEC GS TRUST | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| JOHN E MILLER GS TRUST | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| KINGSBURY CAPITAL LLC SERIES F | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| KJC GS TRUST | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| LION PLAZA LP | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| MNH-INV SERIES LLC SERIES D | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| RICHARD M MILLER GS TRUST | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
Owner / manager individuals (8)
| Name | Role | Association |
|---|---|---|
| CAMPBELL, JOHN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| CAMPBELL, KENNETH | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| LEWIS, SHANE | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| MILLER, DAVID | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| MILLER, JOHN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| MILLER, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| MOON, JORDAN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2024 |
| MEEKINS, GREG | CORPORATE DIRECTOR | since 01/01/2024 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- Yes
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $31 | metrics.cost_per_resident_day |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 73.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 13.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $1,518,681 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $12,723,945 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 88.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 5.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $1,338,925 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,362,687 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $2,330,098 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $-991,173 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 11.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.63201 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.58315 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.29740 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 2.51256 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.12342 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 118.9 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.11834 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 3.03940 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.88150 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 5.03924 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.44156 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 4.0 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.3 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 1.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 226 | Chain ID |
| Provider Information | Chain Name | FOURSQUARE HEALTHCARE | Chain Name |
| Provider Information | City/Town | PRINCETON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 676485 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Collin | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2020-06-11 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 5 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 33.1797 | Latitude |
| Provider Information | Legal Business Name | NOCONA HOSPITAL DISTRICT | Legal Business Name |
| Provider Information | Location | 1401 W. PRINCETON DR.,PRINCETON,TX,75407 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -96.524 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 138 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 10 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.78518 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.29581 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Government - Hospital district | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1401 W. PRINCETON DR. | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | PRINCETON MEDICAL LODGE | Provider Name |
| Provider Information | Provider Resides in Hospital | Y | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 310 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 16 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 3 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-01-13 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 16 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 3 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 4 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-12-14 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 24 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 24 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 4 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.29763 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 44.4 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.21306 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.82489 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.06630 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.02886 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.38816 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.27936 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | TX | State |
| Provider Information | Telephone Number | 9727342100 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.77147 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 45.6 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 18.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 75407 | ZIP Code |