Princeton Medical Lodge
1401 W PRINCETON DR, Princeton, TX, 75407
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Foursquare Healthcare
- Certified beds
- 138 · avg 119 residents/day
- Total nursing staff turnover
- 45.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 44.4% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 311739
- Service type
- Medicare/medicaid
- Licensed capacity
- 138 beds
- Bed type breakdown
- 18 Medicare-only · 120 Medicaid/Medicare
- Current license effective
- January 1, 2024
- Current license expires
- January 1, 2027
- Initial license date
- April 14, 2020
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nocona Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Foursquare Texas 16 Llc
- Administrator
- Jordan Moon
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Foursquare Healthcare chain — 10 facilities. Chain-wide average overall rating 3.3 / 5.
Disclosed owners (27 on record)
- Foursquare Texas 16 Llc
Adp of The Snf · since 2025
- David w Miller
Operational/managerial Control · since 2024
- David w Miller gs Trust
Operational/managerial Control · since 2024
- Dwm 5x5 Trust
Adp of The Snf · since 2024
- Fairbrook Partners, lp
Adp of The Snf · since 2024
- Greg Lance Meekins
Corporate Director · since 2024
+ 21 additional owners on the federal record.
Recent change of ownership
January 2024 (2 years ago) · acquired from Princeton Medical Lodge
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 15)
- D0880·Jan 13, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Jan 13, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E0656·Jan 13, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0812·Dec 14, 2023
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0688·Dec 14, 2023
Quality of Life and Care Deficiencies
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.
- E0677·Dec 14, 2023
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0656·Dec 14, 2023
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0880·Oct 20, 2022
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Jan 13, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Princeton Medical Lodge is a 138-bed nursing home in Princeton, Collin County, accepting Medicare and Medicaid. CMS rates it 4 stars overall, with a 5-star health inspection score and 4-star quality measures — but a 1-star staffing rating. The facility is government-owned through Nocona Hospital District and managed by Foursquare Healthcare. It currently holds 118.9 residents on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest tier, shared by roughly 38% of Texas nursing homes. Each resident receives about 197 minutes of nursing care per day, approximately 44 minutes less than at a 4-star-staffing facility in Texas. Of that, registered nurses account for only 23 minutes per day, compared to 37 minutes at 4-star-staffing facilities in the state. Residents here also require more hands-on care than at a typical facility — more dependent on average — so those 197 minutes stretch thinner than the raw number suggests.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.77 per resident per day here — ask how many nurses and aides are on duty on a Saturday night specifically.
How RN coverage is scheduled
Registered nurses account for only 23 minutes of care per resident per day; ask whether an RN is on-site around the clock or available only by call.
Resident Council meeting frequency
The facility has a Resident Council but no Family Council — ask how often the council meets and how family members can raise concerns without a formal council seat.
Management company's role day to day
Nocona Hospital District holds the license while Foursquare Healthcare manages operations — ask which entity sets staffing budgets and responds to care complaints.
Current waitlist or bed availability
With 118.9 residents against 138 licensed beds, the facility is running at about 86% occupancy — ask whether specific care levels or wing locations have longer waits.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.