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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasCottonwood Nursing and Rehabilitation

Cottonwood Nursing and Rehabilitation

2224 N Carroll Blvd, Denton, TX 762019403876656
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
1/5
Quality
2/5
Beds
60
certified

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 60 certified beds with an average of 43.4 residents per day (72% occupancy)

• Last health inspection found 11 deficiencies (inspected Aug 14, 2025)

• No fines on record

• Total nursing staff: 3.27 hours per resident per day

• Staff turnover rate: 59.1% (high)

• Part of the Creative Solutions in Healthcare chain (149 facilities)

Cottonwood Nursing and Rehabilitation is a 2-star Medicare and Medicaid certified nursing home in Denton, Texas with 60 certified beds. It has been operating since 1994. The facility scored below average compared to Texas facilities.

Beds
60
Avg Residents/Day
43.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 31, 1994
Sprinklers
Yes
Council
Resident
County
Denton
Last Inspection
Aug 14, 2025
Deficiencies (Cycle 1)
11
Weighted Score
73.0
Infection Citations
0

Deficiency Citations (25)

F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0693Potential for Harm

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.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 14, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 5, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0693Potential for Harm

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.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: May 18, 2023Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: May 18, 2023Corrected: NoCycle: 3
F0680Minimal Harm

Ensure the activities program is directed by a qualified professional.

Survey: May 18, 2023Corrected: NoCycle: 3
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: May 18, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 18, 2023Corrected: NoCycle: 3
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: May 18, 2023Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.74 hrs
National avg: 2.35 hrs
LPN1.28 hrs
National avg: 0.86 hrs
RN0.25 hrs
National avg: 0.68 hrs
Total Nursing3.27 hrs
National avg: 3.89 hrs
Weekend Total2.88 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
59.1%
RN Turnover
100.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
HONOR X ENTERPRISES, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Dec 1, 2020
BLAKE, GARY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Dec 1, 2020
BLAKE, MALISA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Dec 1, 2020
CREATIVE SOLUTIONS IN HEALTHCARE INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 1, 2020
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 1, 2021
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 1, 2021
HUGGINS, LINDAW-2 MANAGING EMPLOYEEIndividualN/ADec 1, 2020

Nearby Nursing Homes

All Texas facilities

Denton Village by PureHealth

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Vintage Health Care Center

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University Rehabilitation Center

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For profit$40,446 in fines
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Lake Forest Village by Purehealth

Denton, TX · 60 beds

For profit
Health
Staffing
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Denton Rehabilitation and Nursing Center

Denton, TX · 94 beds

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6.7 mi

Frequently Asked Questions

What is the CMS rating for Cottonwood Nursing and Rehabilitation?▾
Cottonwood Nursing and Rehabilitation has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
Has Cottonwood Nursing and Rehabilitation had any health inspection violations?▾
Cottonwood Nursing and Rehabilitation had 11 deficiency citations in its most recent health inspection (Aug 14, 2025). The facility has no fines on record.
What are the staffing levels at Cottonwood Nursing and Rehabilitation?▾
Cottonwood Nursing and Rehabilitation provides 3.27 total nursing staff hours per resident per day, including 0.25 RN hours, 1.28 LPN hours, and 1.74 nurse aide hours. The total staff turnover rate is 59.1%.
How many beds does Cottonwood Nursing and Rehabilitation have?▾
Cottonwood Nursing and Rehabilitation has 60 certified beds with an average of 43.4 residents per day, resulting in approximately 72% occupancy. The facility is For profit - Corporation owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near Cottonwood Nursing and Rehabilitation?▾
Yes, there are 5 other nursing homes in Denton, Texas with an average rating of 2.2/5. You can compare all facilities on the Denton nursing homes page.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →