Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Princeton Medical Lodge during CMS and state inspections, most recent first.
Medications were found unsecured in the rooms of three residents, including OTC cough syrup, throat spray, inhalers, Bio Freeze, and a sleep aid. One resident with intact cognition was taking OTC cough syrup and throat spray without current bedside orders, while two other residents with cognitive impairment had inhalers and other meds in their rooms despite no assessment for self-administration. An LVN and the DON/RN consultant stated the residents had not been assessed to manage their own meds and that staff were responsible for keeping medications secure.
Food Items Left Uncovered in Kitchen Storage: The facility failed to store food in accordance with professional standards in the kitchen. Observation of the walk-in refrigerator showed open lettuce and boiled eggs left uncovered, and the dry storage area showed thickener, pecans, and cereal left open to air. The Dietary Manager, a cook, and a dietary aide all stated that food items should be covered at all times, and the facility policy required food to be stored in air-tight closed containers.
A resident with COPD, dementia, and an acute URI was ordered continuous oxygen at 3 L/min via NC, but was observed using oxygen at 2 L/min on an E-tank instead of the ordered rate. Staff later confirmed the resident should have been back on the concentrator and verified the oxygen was supposed to be set at 3 L/min. Interviews showed nurses were responsible for ensuring oxygen was delivered at the prescribed rate and monitoring residents receiving oxygen.
Medication error rate exceeded the allowed threshold when an MA failed to administer two ordered meds to a resident with CAD, DM, and GERD during a morning med pass. The MA signed both meds off as given even though they were not administered, and the MAR reflected them as administered despite the meds not being found in the cart.
The facility failed to include necessary dental and dermatological needs in the care plans of three residents, leading to delays in addressing their health issues. One resident required dental extractions and dentures, another needed a new partial denture, and a third had untreated eczema. The lack of documentation and communication among staff contributed to these deficiencies.
A facility failed to maintain accurate medical records for a resident diagnosed with moderate eczema during a dermatology visit. The physician examination record was not uploaded into the electronic health chart, and the diagnosis was not updated. The record was later found in a drawer at the nurse's station, indicating a breakdown in the process. Interviews confirmed that the process for handling physician examination records was not followed, potentially delaying care or treatment.
A facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with a dialysis central venous access device and a peritoneal catheter. The resident, who was moderately cognitively impaired, was not placed under EBP, and there was no signage or supplies indicating such precautions. A CNA did not perform proper hand hygiene during incontinence care, leading to potential cross-contamination. Facility staff admitted to a lack of understanding and implementation of EBP for residents with indwelling medical devices.
Medications Left Unsecured at Bedside and in Resident Rooms
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored in locked compartments for three residents who had medications kept at bedside or in their rooms without authorization. Resident #74, who had a BIMS of 13 and diagnoses including CAD, diabetes, and GERD, was observed with an over-the-counter cough and congestion syrup and Vapor Cool throat spray on his over-bed table. He stated he had been taking the cough syrup several times a day and using the throat spray daily after telling a nurse about his sore throat and cough, but there were no orders for bedside medications at that time. Resident #62, who had a BIMS of 2 and diagnoses including Alzheimer’s disease, osteoarthritis, and COPD, was observed with a ProAir HFA inhaler on her bedside table and a bottle of Bio Freeze with a prescription label from a previous facility. She stated she had not used the inhaler in a while. Her physician order summary reflected an albuterol sulfate HFA inhaler as needed for shortness of breath, but there were no orders for any medication at bedside. Resident #69, who had a BIMS of 9 and diagnoses including anxiety and COPD, was observed with an albuterol sulfate inhaler in his chest of drawers along with his nebulizer mask, and an over-the-counter sleep aid was also found on his bedside table. He stated he used the inhaler in emergencies and a couple of times a day for COPD, and he had not told the nurse when he used it. During interviews, LVN E removed the medications from the residents’ rooms and stated the residents had not been assessed to manage their own medications. She stated that having additional medication at bedside could pose a serious risk of overmedicating or drug reactions, and that staff were responsible for keeping medications secure and properly stored. The Regional Nurse Consultant stated that residents must be assessed before being allowed to keep medications at bedside and that none of these residents had been assessed to manage their own medications. The facility policy stated that self-administration medications would be kept in a locked cabinet in the resident’s room and that the facility was responsible for medication security and compliance.
Food Items Left Uncovered in Kitchen Storage
Penalty
Summary
The facility failed to store food in accordance with professional standards for food service safety in its only kitchen. On 03/10/2026 at 9:17 AM, observation of the walk-in refrigerator showed 6 heads of lettuce left open in a storage bin and 2 boiled eggs left open in a plastic bag. On 03/10/2026 at 9:22 AM, observation of the dry storage area showed a bulk container of thickener with the lid not fully closed, 1/2 bag of pecans in a Ziplock bag left open to air, and about 3/4 bag of cereal left in a plastic bag left open to air. During interviews on 03/11/2026, the Dietary Manager stated her expectation was that all foods in the kitchen should be covered at all times and that cooks, dietary aides, and she were responsible for covering food items. She stated that not appropriately covering food items could lead to cross contamination, decreased freshness, and residents becoming sick, and that she provided frequent in-services to kitchen staff on appropriate food storage. A cook and a dietary aide also stated that all food items in the kitchen should be covered appropriately and that if food was not covered, it needed to be discarded because it posed a risk of cross contamination and food borne illness. Record review of the facility policy stated that food is stored, prepared, distributed and served in accordance with professional standards for food service safety and that non-perishable foods must be maintained in air-tight closed containers for freshness and pest control.
Oxygen Therapy Not Set at Ordered Rate
Penalty
Summary
The facility failed to ensure a resident who required respiratory care received supplemental oxygen at the physician-ordered rate. Resident #10 was a severely cognitively impaired female with diagnoses including COPD, dementia, and an acute upper respiratory infection. Her care plan addressed continuous oxygen therapy, and the physician order required oxygen at 3 liters per minute via nasal cannula continuously, with the order reflected on the MAR and signed off by staff on day and night shifts. During observation, Resident #10 was found in her wheelchair using oxygen via nasal cannula at 2 liters per minute instead of the ordered 3 liters per minute. She had an E-tank attached to the wheelchair, and the oxygen concentrator in her room was not running. Later the same day, she was again observed with the E-tank set to deliver 2 liters per minute, and the tank dial indicated it needed to be refilled. An LVN observed the setup, stated it was not good, and verified that the resident should have been back on the oxygen concentrator after returning from lunch. The LVN checked the computer and confirmed the resident was supposed to be on 3 liters per minute. She then placed the resident back on the concentrator and verified it was set to deliver 3 liters per minute. In interviews, the LVN stated nurses were responsible for checking that residents receiving oxygen were getting the prescribed amount, while CNAs could switch residents between the concentrator and portable tank but could not set the oxygen delivery rate. The Regional Nurse Consultant also stated oxygen should be set at the physician-ordered delivery rate and that nurses were responsible for monitoring residents receiving oxygen each shift and as needed.
Medication Error Rate Exceeded Allowed Threshold
Penalty
Summary
The facility failed to ensure the medication error rate remained below 5 percent. Surveyors found a 6.25% medication error rate based on 2 errors out of 32 opportunities, involving one of five residents reviewed for medication errors and one of five staff reviewed. The deficiency centered on Resident #74, a cognitively intact male with diagnoses including coronary artery disease, diabetes, and gastroesophageal reflux disease, who had physician orders for Alpha-Lipoic Acid 600 mg daily and Protonix oral packet 40 mg twice daily. During a medication pass observation, MA D administered multiple scheduled morning medications to the resident but did not administer Alpha-Lipoic Acid or Protonix. Later review of the MAR showed both medications were signed out as given at 7:00 a.m. by MA D. In interview, MA D stated she had not given any additional medications since the morning pass, could not find the Alpha-Lipoic Acid or Protonix in the cart, and acknowledged she had signed both off as administered. The Regional Nurse Consultant stated the expectation was that staff follow the 5 rights of medication administration, and review with pharmacy showed the Protonix order had been entered as a packet instead of a tablet, clarification had been requested, and the facility had not responded, so the medication was not sent to the facility.
Deficiencies in Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to ensure that the comprehensive care plans for three residents adequately described the services needed to attain or maintain their highest practicable physical, mental, and psychosocial well-being. For Resident #94, the care plan did not include her dental needs and interventions, despite her moderate cognitive impairment and the family's request for dental services. The resident had a tooth extraction and required additional dental work for dentures, but financial issues delayed the process. The social worker and dental provider were aware of the situation, but the care plan lacked documentation of these needs and interventions. Resident #13 also had deficiencies in her care plan regarding dental needs. She had been without a partial denture due to Medicaid approval delays and had communicated her needs to the social worker. Despite being seen by a dentist and having Medicaid coverage, the process for obtaining a new partial denture was prolonged, and the care plan did not reflect her dental needs or the interventions required. The facility's administrator acknowledged the lack of a tracking system for dental procedures and the need for better documentation and communication among staff. Resident #18's care plan failed to address her eczema diagnosis and the interventions required to manage her condition. Despite ongoing symptoms of itchy skin and a rash, the care plan did not include this chronic condition until much later. The resident had been treated with topical creams and antihistamines, but the lack of documentation and communication about her dermatology visits and diagnosis led to a delay in care planning. The facility's staff, including the MDS nurse and director of nursing, recognized the importance of care planning for chronic conditions to ensure timely interventions and symptom management.
Failure to Maintain Accurate Medical Records for Resident
Penalty
Summary
The facility failed to maintain accurate medical records for a resident, specifically regarding a dermatology visit that occurred on 04/23/2024. The resident, who had a history of hypertension, dementia, osteoarthritis, and allergic rhinitis, was diagnosed with moderate eczema during this visit. However, the physician examination record from this visit was not uploaded into the resident's electronic health chart, and the diagnosis of eczema was not updated in her medical records. The deficiency was identified through observation, interview, and record review, revealing that the resident's face sheet did not list a dermatologist as a care provider, nor did it include a diagnosis of eczema. The resident's care plan indicated she was at risk for skin breakdown, but the necessary updates to her medical records were not made following the dermatology appointment. The transportation CNA responsible for handling the physician examination record was unsure of its location, and it was later found in a drawer at the nurse's station, indicating a breakdown in the process of updating medical records. Interviews with the Director of Nursing, Assistant Director of Nursing, and Medical Records staff confirmed that the process for handling physician examination records was not followed. The transportation aide was supposed to make copies of the records for nursing and medical records, but this did not occur, leading to the omission of the eczema diagnosis in the resident's medical records. This failure to update the resident's records could potentially delay care or treatment and appropriate interventions for the resident.
Failure to Implement Enhanced Barrier Precautions for Resident with Indwelling Devices
Penalty
Summary
The facility failed to maintain an effective Infection Prevention and Control Program, which resulted in a deficiency concerning a resident with a dialysis central venous access device and a peritoneal catheter. The resident, who was moderately cognitively impaired and had diagnoses including type 2 diabetes mellitus, end-stage renal disease, and a cerebral vascular accident, was not placed under Enhanced Barrier Precautions (EBP) as required. The comprehensive care plan and physician orders did not reflect the need for EBP, and there was no signage or supplies indicating such precautions in the resident's room. During an observation, a CNA did not perform proper hand hygiene while providing incontinence care to the resident. The CNA, who was uncertain about the resident's precautionary status, touched the peritoneal catheter with soiled gloves, which could lead to cross-contamination. The CNA admitted to not realizing the mistake and acknowledged the lack of signage and supplies for EBP in the room. The Director of Nursing (DON) and the Corporate Nurse confirmed that residents with indwelling medical devices, such as the peritoneal catheter and central venous catheter, should be under EBP, but this was not implemented for the resident. Interviews with facility staff revealed a lack of understanding and implementation of EBP for residents with indwelling medical devices. The Assistant Director of Nursing (ADON) admitted that the facility was still learning about EBP and had not initially considered the resident's need for such precautions. The facility's policy and communication from the Director of Corporate Compliance indicated that EBP should be in place for residents with indwelling devices, but this was not followed, leading to the deficiency.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Princeton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| North Park Health And Rehabilitation Center | 5.8 mi | ★★★★★ | 0 | 0 |
| Mckinney Healthcare And Rehabilitation Center | 6.1 mi | ★★★★★ | 1 | 0 |
| Park Manor Of Mckinney | 6.5 mi | ★★★★★ | 0 | 0 |
| Lexington Medical Lodge | 8.4 mi | ★★★★★ | 2 | 0 |
| Belterra Health & Rehab | 9.2 mi | ★★★★★ | 10 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.