The home failed to properly label and securely store medications and biologicals. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Nursing home report
PRINCETON MEDICAL LODGE
PRINCETON, TX · Medicare-certified · 138 beds
In good standing
Government-runChain member
Data as of July 1, 2026
4 of 5 overall
Princeton Medical Lodge in Princeton, TX has a 4-star overall rating, with strong health inspection and quality scores but a very low 1-star staffing rating; reported nurse staffing is 3.06 hours per resident day, below the federal benchmark of 4.1. It had no fines in the last 24 months, though recent inspection citations included medication storage, food handling, and care plan issues.
Facility ratings
Health inspections
Staffing
3.0642 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0642.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 0.86
- Nurse aides
- 1.86
- Weekend nursing
- 2.62
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 56%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.2%8.8%Worsening
Residents with a fall causing major injury
3.8%6.6%Worsening
Residents with pressure ulcers (bedsores)
4.1%2.3%Improving
Residents with a urinary tract infection
1%3%Worsening
Residents who lost too much weight
1.2%6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6%7.2%Worsening
Residents whose ability to walk got worse
19.7%3.8%Improving
Long-stay residents on antianxiety or sleep medication
31.5%28.1%Improving
Short-stay residents newly given an antipsychotic
1.5%1.4%No change
Residents with a long-term catheter
0.7%0%Improving
Residents with new or worsening incontinence
26.2%36.1%Worsening
Residents with depressive symptoms
64%53.9%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—91.1%—
Short-stay residents given the pneumonia vaccine
92.2%93.9%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jan 1, 2024
Now operated by Nocona Hospital District, previously Foursquare Texas 16 LLC.
- Ownership
- Government - Hospital district
- Chain
- Part of FOURSQUARE HEALTHCARE · 10 homes · 3.6 stars avg
- Occupancy
- 120.4 residents on an average day (87% of 138 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 6 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.