Texas › Denton County › Denton
University Rehabilitation Center
2244 Brinker Road, Denton, TX 76208
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.
University Rehabilitation Center is a For-profit, limited liability company nursing home in Denton, Texas, certified for 146 beds and caring for about 116 residents a day.
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 3.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (11, 13, 14 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 26.0 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $33K.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 88.2%.
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 | 38 | 32 | 25 | 28.7 |
| Citations per 100 beds | 26.0 | 29.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.5 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 88.2% | 61.4% | 52.1% | 45.8% |
| Fines listed | $33,117 | $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: 17 Apr 2025, 28 Feb 2024.
Severity mix: J ×5 D ×22 E ×11
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 |
|---|---|---|---|---|---|
| 23 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Apr 2026 |
| 23 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 24 Apr 2026 |
| 23 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 24 Apr 2026 |
| 11 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 12 Dec 2025 |
| 11 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 13 Jul 2025 |
| 11 Sep 2025 | 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 | 12 Sep 2025 |
| 11 Sep 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 12 Sep 2025 |
| 17 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 18 Apr 2025 |
| 17 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Apr 2025 |
| 17 Apr 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 18 Apr 2025 |
| 17 Apr 2025 | F0584 | 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. | D | Standard survey | 18 Apr 2025 |
| 26 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 28 Feb 2025 |
| 26 Feb 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 18 Dec 2024 |
| 26 Feb 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. | D | Complaint investigation | 28 Feb 2025 |
| 2 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 31 Oct 2024 |
| 28 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 29 Feb 2024 |
| 28 Feb 2024 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | J | Complaint investigation | 29 Feb 2024 |
| 28 Feb 2024 | 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 | 29 Feb 2024 |
| 28 Feb 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | 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 | 29 Feb 2024 |
| 28 Feb 2024 | 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 | 29 Feb 2024 |
| 28 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 29 Feb 2024 |
| 15 Nov 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 16 Nov 2023 |
| 15 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 16 Nov 2023 |
| 15 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 16 Nov 2023 |
| 2 Dec 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Standard survey | 23 Dec 2022 |
| 2 Dec 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard survey | 23 Dec 2022 |
| 2 Dec 2022 | F0584 | 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. | E | Standard survey | 23 Dec 2022 |
| 2 Dec 2022 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Standard survey | 23 Dec 2022 |
| 2 Dec 2022 | 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 | 23 Dec 2022 |
| 2 Dec 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Dec 2022 |
| 2 Dec 2022 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 23 Dec 2022 |
| 2 Dec 2022 | F0687 | Provide appropriate foot care. | D | Standard survey | 23 Dec 2022 |
| 2 Dec 2022 | 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 | 23 Dec 2022 |
| 2 Dec 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 23 Dec 2022 |
| 2 Dec 2022 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 23 Dec 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 11 Sep 2025 | Fine | $14,316 | |
| 28 Feb 2024 | Fine | $18,801 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 88.2%, RNs 80.0%; 4 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 | 47.2% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 32.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.5% | 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, limited liability company. Legal business name: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).
No organisations are listed in the CMS ownership record for this facility.
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 University Rehabilitation Center been cited for?
38 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has University Rehabilitation Center been fined?
Yes. CMS lists fines totalling $33K in the period covered.
How does staffing at University Rehabilitation Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates University Rehabilitation Center?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was University Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 23 Apr 2026; the most recent standard health survey was 17 Apr 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.