• 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.
Reasonably accommodate the needs and preferences of each resident.
Keep residents' personal and medical records private and confidential.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
Provide safe and appropriate respiratory care for a resident when needed.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Provide and implement an infection prevention and control program.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Reasonably accommodate the needs and preferences of each resident.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Provide safe and appropriate respiratory care for a resident when needed.
Provide and implement an infection prevention and control program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure the activities program is directed by a qualified professional.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| HONOR X ENTERPRISES, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Dec 1, 2020 |
| BLAKE, GARY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | Dec 1, 2020 |
| BLAKE, MALISA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | Dec 1, 2020 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 1, 2020 |
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 1, 2021 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 1, 2021 |
| HUGGINS, LINDA | W-2 MANAGING EMPLOYEE | Individual | N/A | Dec 1, 2020 |
Denton, TX · 88 beds
Denton, TX · 106 beds
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