Nursing homes › Texas › Denton › Cottonwood Nursing & Rehabilitation
2224 N Carroll Blvd, Denton, TX 76201 · (940) 387-6656 · 60 certified beds
Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 state. Group record: average rating 2.1/5, 22 abuse citation icons, 6 facilities on the Special Focus list, $8,191,964 in federal fines. This facility rates below its group average (2.1/5).
Total nurse staffing: 3.24 (Texas median: 3.27). RN hours: 0.24. Weekend total: 3.11. Nursing staff turnover: 98%.
All-time on record: 29 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-07-01 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | 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. | E | complaint | corrected 2026-01-30 |
| 2026-01-29 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2026-01-30 |
| 2026-01-29 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | 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. | F | Health | corrected 2025-08-15 |
| 2025-08-14 | Reasonably accommodate the needs and preferences of each resident. | E | Health | 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. | E | Health | corrected 2025-08-15 |
| 2025-08-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | 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. | E | Health | 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. | E | Health | corrected 2025-08-15 |
| 2025-08-14 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-08-15 |
| 2025-08-14 | Keep residents' personal and medical records private and confidential. | D | Health | 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. | D | Health | corrected 2025-08-15 |
| 2025-08-14 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | 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. | D | Health | corrected 2025-08-15 |
| 2024-12-05 | Provide and implement an infection prevention and control program. | D | complaint | 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. | E | complaint | corrected 2024-08-21 |
| 2024-07-11 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | 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. | E | Health | corrected 2024-08-21 |
| 2024-07-11 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-08-21 |
| 2024-07-11 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2024-08-21 |
| 2024-07-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | 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. | D | complaint | 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. | E | Health | 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 | D | Health | 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. | D | Health | corrected 2023-05-19 |
| 2023-05-18 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-05-19 |
| 2023-05-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-05-19 |
| 2023-05-18 | Ensure the activities program is directed by a qualified professional. | C | Health | corrected 2023-05-19 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2020 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2021 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2021 |
How to cite this page: CareRecords, “Cottonwood Nursing & Rehabilitation — compliance, penalty and ownership record” (CCN 675292), compiled from the CMS Provider Data Catalog, July 2026 release. https://carerecords.org/nursing-home/cottonwood-nursing-rehabilitation-denton-tx/
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675292. Corrections: data@carerecords.org.