Inspection Reports for Princeton Medical Lodge
1401 W Princeton Dr, Princeton, TX 75407, TX, 75407
Back to Facility ProfileInspection Report Summary
The most recent inspection on January 13, 2025, identified deficiencies related to comprehensive care planning, medical record accuracy, and infection prevention and control. Earlier inspections showed a mixed pattern, with prior reports noting issues in care planning, resident assistance, food safety, medication administration, and infection control. The main themes across deficiencies included incomplete care plans addressing dental and dermatological needs, lapses in medical record documentation, and failures in infection control practices such as hand hygiene and barrier precautions. Complaint investigations were not listed in the available reports. The facility’s inspection history indicates recurring challenges in care planning and infection control, with some periods of no deficiencies but recent findings suggesting ongoing areas for improvement.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
71% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jan 13, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with regulatory requirements related to comprehensive care planning, medical record accuracy, and infection prevention and control.
Findings
The facility failed to ensure comprehensive care plans addressed residents' dental and dermatological needs for 3 residents, failed to maintain accurate medical records for 1 resident, and failed to maintain an effective infection prevention and control program for 1 resident with indwelling medical devices.
Deficiencies (3)
Failed to include dental needs and interventions in comprehensive care plans for Residents #94 and #13, and failed to include eczema diagnosis and interventions for Resident #18.
Failed to ensure Resident #18's physician examination record from a dermatologist visit was uploaded into the electronic health record and diagnosis updated.
Failed to maintain an infection prevention and control program by not placing Resident #2 in enhanced barrier precautions and failure of CNA to perform hand hygiene during incontinence care.
Report Facts
Residents reviewed for comprehensive care plans: 22
Residents affected by deficiencies: 3
Residents affected by infection control deficiency: 1
Residents reviewed for medical record accuracy: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Worker | Interviewed regarding dental care coordination for Residents #94 and #13 | |
| Dental Provider Representative | Interviewed regarding dental care for Residents #94 and #13 | |
| Administrator | Interviewed regarding care planning and documentation processes | |
| MDS Nurse B | Interviewed regarding care planning and medical record documentation for Resident #18 | |
| Charge Nurse F | Provided progress notes and interviewed regarding Resident #18's skin condition | |
| CNA D | Interviewed regarding Resident #18's skin condition | |
| CNA E | Interviewed regarding Resident #18's skin condition | |
| ADON C | Interviewed regarding Resident #18's care plan and skin condition | |
| Transportation CNA G | Interviewed regarding handling of Resident #18's physician examination record | |
| Medical Records Staff | Interviewed regarding handling of Resident #18's physician examination record | |
| Director of Nursing | Interviewed regarding care planning and medical record documentation for Resident #18 | |
| CNA A | Observed and interviewed regarding infection control practices for Resident #2 | |
| DON | Interviewed regarding infection control practices and enhanced barrier precautions | |
| Corporate Nurse | Interviewed regarding infection control policies and enhanced barrier precautions |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jan 13, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to comprehensive care planning, medical record accuracy, and infection prevention and control at Princeton Medical Lodge.
Findings
The facility failed to ensure comprehensive care plans addressed residents' dental needs and eczema diagnosis for 3 residents, failed to maintain accurate medical records for one resident by not uploading a dermatologist's report, and failed to implement proper infection control precautions for a resident with indwelling medical devices.
Deficiencies (3)
Failed to include dental needs and interventions in comprehensive care plans for Residents #94 and #13, and failed to include eczema diagnosis and interventions for Resident #18.
Failed to ensure Resident #18's physician examination record from a dermatologist visit was uploaded into the electronic health record and diagnosis updated.
Failed to place Resident #2 in enhanced barrier precautions despite having a dialysis central venous access device and peritoneal catheter, and failed to ensure proper hand hygiene during incontinence care.
Report Facts
Residents reviewed for comprehensive care plans: 22
Residents affected by deficiencies: 3
Residents reviewed for medical record accuracy: 8
Residents affected by medical record deficiency: 1
Residents observed for infection control: 22
Residents affected by infection control deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charge Nurse F | Charge Nurse | Documented Resident #18's eczema treatment and progress notes |
| Social Worker | Interviewed regarding dental care coordination for Residents #94 and #13 | |
| Dental Provider Representative | Interviewed regarding dental care for Residents #94 and #13 | |
| MDS B | MDS Nurse | Responsible for long-term care plans and updating care plans for residents |
| Administrator | Administrator | Interviewed regarding care planning and documentation processes |
| Director of Nurses | Director of Nurses | Interviewed regarding care planning and medical record documentation |
| CNA A | Certified Nursing Assistant | Observed failing to perform hand hygiene and infection control for Resident #2 |
| DON | Director of Nursing | Interviewed regarding infection control policies and practices |
| Corporate Nurse | Interviewed regarding infection control policies and enhanced barrier precautions | |
| ADON C | Assistant Director of Nursing | Interviewed regarding care planning and infection control for Residents #18 and #2 |
| Transportation CNA G | Transportation CNA | Interviewed regarding handling of Resident #18's physician examination record |
| Medical Records | Interviewed regarding handling and uploading of Resident #18's dermatology records |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Dec 14, 2023
Visit Reason
The inspection was conducted as an annual survey to assess the facility's compliance with regulatory requirements related to resident care, activities of daily living, range of motion, and food safety.
Findings
The facility was found deficient in developing and implementing comprehensive care plans that meet all resident needs, providing adequate assistance with activities of daily living including grooming and nail care, ensuring appropriate care to maintain or improve range of motion for residents with contractures, and maintaining food safety standards in the kitchen including proper labeling, dating, and discarding of expired food items.
Deficiencies (4)
Failure to develop and implement a complete care plan that meets all the resident's needs, including person-centered interventions to prevent further decline of contractures for Resident #59.
Failure to provide necessary services for residents unable to perform activities of daily living, resulting in poor grooming and hygiene for Residents #90 and #92.
Failure to provide appropriate care to maintain or improve range of motion for Resident #59, including lack of passive or active range of motion interventions and splinting.
Failure to store, prepare, distribute, and serve food in accordance with professional standards, including uncovered and undated food items and failure to discard expired food in the kitchen.
Report Facts
Residents reviewed for comprehensive care plans: 25
Residents affected by care plan deficiency: 1
Residents affected by ADL care deficiency: 2
Residents affected by range of motion deficiency: 1
Residents affected by food safety deficiency: Some
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA E | Interviewed regarding lack of instruction to perform range of motion and nail care for residents | |
| DOR | Director of Rehabilitation | Interviewed about Resident #59's therapy services and occupational therapy assessment |
| MDS G | Responsible for updating care plans and interviewed about care plan accuracy | |
| DON | Director of Nursing | Interviewed about therapy screening, care plan expectations, and responsibilities for nail care and range of motion |
| CNA I | Interviewed about nail care practices for Resident #92 | |
| RN H | Interviewed about nail care responsibilities and infection risks | |
| Dietary Manager | Interviewed about food safety practices and labeling/dating responsibilities | |
| Dietitian | Interviewed about food safety, labeling, and in-service training | |
| [NAME] | Cook | Interviewed about food safety training and labeling/dating practices |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: May 24, 2023
Visit Reason
The inspection was conducted as a standard annual survey to assess the facility's compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Mar 15, 2023
Visit Reason
The inspection was conducted as a standard annual survey of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection, indicating the facility met all required standards at the time of the survey.
Inspection Report
Routine
Deficiencies: 8
Date: Oct 20, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication administration, infection control, food service, and facility safety.
Findings
The facility was found deficient in multiple areas including failure to accommodate resident needs for call light accessibility, improper medication administration via G-tube, medication errors exceeding 5%, unsecured medications in resident rooms, food quality and portion issues, kitchen sanitation deficiencies, and lapses in infection prevention and control practices.
Deficiencies (8)
Facility failed to ensure Resident #36 had call button within reach, risking delay in assistance.
RN failed to flush Resident #209's G-tube properly before, between, and after medication administration and did not adequately dissolve Vitamin D3.
Facility had a medication error rate of 11%, with staff administering incorrect dosages and missing medications for Residents #76 and #16.
Resident #87 had unsecured prescription pills in his room, contrary to policy requiring locked storage and supervised administration.
Facility served lunch bread that was extremely hard and difficult to chew, risking choking and decreased quality of life.
Resident #27 did not consistently receive double portions as ordered, limiting dietary preferences and nutritional intake.
Kitchen sanitation deficiencies included a grease trap with heavy buildup, uncovered dirty fryer, and dietary aides failing to wash hands properly during meal preparation.
Facility failed to place Resident #59 in isolation after diagnosis of parainfluenza virus and staff failed to prevent cross contamination during medication administration to Resident #76.
Report Facts
Medication error rate: 11
Medication flush volume: 30
Medication flush volume: 15
Residents reviewed for call lights: 14
Residents affected by call light deficiency: 1
Residents reviewed for feeding tubes: 1
Residents affected by feeding tube medication deficiency: 1
Residents observed for infection control: 6
Residents affected by infection control deficiencies: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Failed to properly flush G-tube and dissolve medications for Resident #209. | |
| MA C | Made medication errors for Residents #76 and #16; failed to prevent cross contamination during medication administration. | |
| MA B | Made medication errors for Resident #16. | |
| LVN H | Administered medication to Resident #87 and described medication administration practices. | |
| RN F | Administered medication to Resident #87 and discussed medication administration and isolation practices. | |
| ADON D | Provided information on call light training, isolation practices, and medication administration expectations. | |
| Dietary Manager | Discussed food preparation, kitchen sanitation, and hand hygiene deficiencies. | |
| Dietary Aide K | Observed failing to wash hands properly during meal preparation. | |
| Dietary Aide L | Observed failing to wash hands properly during meal preparation. |
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