Texas › Denton County › Denton
Cottonwood Nursing & Rehabilitation
2224 N Carroll Blvd, Denton, TX 76201
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Cottonwood Nursing & Rehabilitation, in Denton, Texas, is certified for 60 beds under for-profit, corporation ownership and belongs to the Creative Solutions In Healthcare chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 2.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (15, 8, 6 by cycle, most recent first), none at the actual-harm level. That is 48.3 per 100 beds, more than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.2 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 98.0%.
Compared with county, state and nation
| Measure | This facility | Denton Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 32 | 25 | 28.7 |
| Citations per 100 beds | 48.3 | 29.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.5 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 98.0% | 61.4% | 52.1% | 45.8% |
| Fines listed | $0 | $14,433 | $16,801 | — |
County and state figures are medians across facilities (18 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Aug 2025, 11 Jul 2024.
Severity mix: D ×14 E ×13 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 2 Jul 2026 |
| 29 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 30 Jan 2026 |
| 29 Jan 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 30 Jan 2026 |
| 29 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 30 Jan 2026 |
| 14 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Aug 2025 |
| 14 Aug 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 15 Aug 2025 |
| 14 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 15 Aug 2025 |
| 14 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 15 Aug 2025 |
| 14 Aug 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | Standard survey | 15 Aug 2025 |
| 14 Aug 2025 | F0761 | 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. | E | Standard survey | 15 Aug 2025 |
| 14 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Aug 2025 |
| 14 Aug 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 15 Aug 2025 |
| 14 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 15 Aug 2025 |
| 14 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Aug 2025 |
| 14 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 15 Aug 2025 |
| 5 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 6 Dec 2024 |
| 11 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 21 Aug 2024 |
| 11 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 21 Aug 2024 |
| 11 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Aug 2024 |
| 11 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 21 Aug 2024 |
| 11 Jul 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 21 Aug 2024 |
| 11 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Aug 2024 |
| 11 Jul 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 21 Aug 2024 |
| 18 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 May 2023 |
| 18 May 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 19 May 2023 |
| 18 May 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 19 May 2023 |
| 18 May 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 19 May 2023 |
| 18 May 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 19 May 2023 |
| 18 May 2023 | F0680 | Ensure the activities program is directed by a qualified professional. | C | Standard survey | 19 May 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 98.0%, RNs 100.0%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 27.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 8.6% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.4% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Denton I Enterprises, Llc. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Creative Solutions In Healthcare Inc | Operational/managerial control | NOT APPLICABLE | 12/01/2020 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Denton County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Pilot Point | Pilot Point | 63 | 4 | 4 | 2 | 14 | 22.2 | — | 3 Mar 2026 |
| Denton Rehabilitation and Nursing Center | Denton | 94 | 4 | 3 | 4 | 29 | 30.9 | — | 2 Apr 2026 |
| Lake Forest Village By Purehealth | Denton | 60 | 4 | 3 | 4 | 12 | 20.0 | — | 11 Feb 2026 |
| Prestonwood Rehabilitation & Nursing Centerabuse icon | Plano | 132 | 4 | 2 | 5 | 16 | 12.1 | $14K | 17 Apr 2025 |
| Vista Ridge Nursing & Rehabilitation Center | Lewisville | 132 | 4 | 3 | 2 | 27 | 20.5 | $10K | 9 Jun 2026 |
| Cedar Ridge Rehabilitation and Healthcare Center | Pilot Point | 108 | 3 | 3 | 2 | 34 | 31.5 | — | 1 Apr 2026 |
| Cross Timbers Rehabilitation and Healthcare Center | Flower Mound | 120 | 3 | 3 | 3 | 24 | 20.0 | $8K | 16 Apr 2026 |
| Denton Village By Purehealthabuse icon | Denton | 88 | 3 | 2 | 3 | 26 | 29.5 | $55K | 18 Nov 2025 |
All 18 facilities in Denton County
Questions and answers
How many deficiencies has Cottonwood Nursing & Rehabilitation been cited for?
29 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Cottonwood Nursing & Rehabilitation been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Cottonwood Nursing & Rehabilitation compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Cottonwood Nursing & Rehabilitation?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Creative Solutions In Healthcare Inc. Individual owners and managers are not listed on this site.
When was Cottonwood Nursing & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 14 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.