Cottonwood Nursing & Rehabilitation

Nursing Home · Denton, TX

CMS overall rating 1/5 For profit - Corporation

CMS certification number675292

Contact & location

2224 N Carroll Blvd
Denton, TX 76201
Denton County
Phone
(940) 387-6656
ZIP code
76201 – all care providers

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Facility details

Certified beds
60
Residents per day
40.5 (68% occupied)
Ownership
For profit - Corporation
Legal name
Denton I Enterprises, LLC
Chain
Creative Solutions in Healthcare (149 facilities, avg 2.1★)
Medicare certified since
March 31, 1994
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 2/5
State avg 3.7
Long-stay quality★★★★★ 2/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.24 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.24 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.30 (state 0.95 · U.S. 0.86)
Nurse aides
1.70 (state 2.00 · U.S. 2.32)
Weekend total
3.11 (state 2.98 · U.S. 3.42)
Nursing staff turnover
98.0 (state 55.3 · U.S. 45.8)%
RN turnover
100.0 (state 54.6 · U.S. 42.9)%

Inspections

Last standard inspection
August 14, 2025
Health deficiencies (last cycle)
15.0 (state 9.3 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
29 health · 16 fire safety
DateCitationSeverityStatus
2026-07-01 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-01-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-30
2026-01-29 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-30
2026-01-29 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-30
2025-08-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2025-08-14 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2025-08-14 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2025-08-14 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2025-08-14 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.
F0693 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2025-08-14 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2025-08-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2025-08-14 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2025-08-14 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2025-08-14 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2025-08-14 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2024-12-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-06
2024-07-11 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-21
2024-07-11 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-21
2024-07-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-21
2024-07-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-21
2024-07-11 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-21
2024-07-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-21
2024-07-11 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.
F0693 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-21
2023-05-18 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-19
2023-05-18 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-19
2023-05-18 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-19
2023-05-18 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-19
2023-05-18 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-19
2023-05-18 Ensure the activities program is directed by a qualified professional.
F0680 · Quality of Life and Care Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2023-05-19

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Blake, Gary (individual)Operational/managerial Control · NOT APPLICABLE
Blake, Malisa (individual)Operational/managerial Control · NOT APPLICABLE
Creative Solutions in Healthcare INC (organization)Operational/managerial Control · NOT APPLICABLE
Huggins, Linda (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Cottonwood Nursing & Rehabilitation?

Cottonwood Nursing & Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Cottonwood Nursing & Rehabilitation have?

It has 60 certified beds and cares for about 41 residents per day.

Has Cottonwood Nursing & Rehabilitation been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Cottonwood Nursing & Rehabilitation?

It is part of Creative Solutions in Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Cottonwood Nursing & Rehabilitation?

(940) 387-6656. The facility is located at 2224 N Carroll Blvd, Denton, TX 76201.

Other nursing homes in Denton

Compare all nursing homes in Denton, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.