Settlers Ridge Care Center
1280 Settlers Ridge Rd, Celina, TX 75009 · Collin County
Non-profit · 128 certified beds · 83% occupancy · (972) 382-8600
Settlers Ridge Care Center reviews: what the government record shows
The U.S. government (CMS) rates Settlers Ridge Care Center 4 out of 5 stars overall, above average. Its nurse staffing is 2% below the Texas median.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 4 of 5 stars
- Nurse staffing
- 3.20 hrs/resident/day (-2% vs TX median)
- Antipsychotic drug use
- 20.1% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 9.9% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- None on record
- Inspection findings
- 22 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A strong option on the record. Still worth a visit to confirm it fits your parent.
Strengths
- ✓Earns 4 of 5 stars overall from CMS.
- ✓No federal fines on record in roughly the last three years.
Concerns
- !Nurse staffing of 3.20 hrs/resident/day is below the Texas median of 3.27.
- !Serious-fall rate of 9.9% is well above the Texas median of 3%.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·What is your fall-prevention program, and how is it staffed overnight?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Settlers Ridge Care Center
Is Settlers Ridge Care Center a good nursing home?
Settlers Ridge Care Center in Celina, Texas holds a 4 of 5 star CMS overall rating. A strong option on the record. Still worth a visit to confirm it fits your parent.
How is Settlers Ridge Care Center staffed?
Settlers Ridge Care Center reports 3.20 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Settlers Ridge Care Center been fined or flagged for abuse?
Settlers Ridge Care Center has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.20 nurse hours per resident per day. 2% below the Texas median of 3.27.
Nursing staff turnover: 43.2% · RN turnover: 57.1%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0656 · Apr 2, 2026Corrected Apr 3, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0812 · Apr 2, 2026Corrected Apr 3, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0908 · Apr 2, 2026Corrected Apr 3, 2026
Keep all essential equipment working safely.
Environmental Deficiencies
- Potential for harmTag F0584 · Dec 15, 2025ComplaintCorrected Dec 16, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
- Potential for harmTag F0692 · Apr 2, 2026Corrected Apr 3, 2026
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
- Potential for harmTag F0755 · Apr 2, 2026Corrected Apr 3, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0761 · Apr 2, 2026Corrected Apr 3, 2026
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.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · Feb 20, 2025ComplaintCorrected Feb 21, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0677 · Nov 20, 2024ComplaintCorrected Nov 21, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0580 · Jun 18, 2025ComplaintCorrected Jun 20, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Showing the 10 most recent and serious of 22 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at least double the Texas median. Ask the staff directly about their fall-prevention program: how they assess risk, how often they check on residents, and whether staffing at night is enough to respond quickly.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is non-profit (non profit - corporation). It is part of the Stonegate Senior Living chain, which operates 24 facilities, with a chain-average CMS rating of 2.4 stars.