The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
COTTONWOOD NURSING AND REHABILITATION
DENTON, TX · Medicare-certified · 60 beds
In good standing
For-profitChain member
2 of 5 overall
Cottonwood Nursing and Rehabilitation in Denton, TX has a 2-star overall rating, with a 1-star staffing rating and reported nurse staffing of 3.32 hours per resident per day, below the federal benchmark of 4.1. Its health inspection rating is 3 stars, quality measures are 2 stars, and it had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.319 hrs/resident/day
Quality measures
Last inspection: January 29, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.319.
Staffing detail
- Registered nurses
- 0.20
- Licensed practical nurses
- 1.39
- Nurse aides
- 1.73
- Weekend nursing
- 2.95
Hours per resident per day.
Total staff turnover: 93%
Registered nurse turnover: 100%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%4.8%Worsening
Residents with a fall causing major injury
4.4%2.4%Improving
Residents with pressure ulcers (bedsores)
7.1%7.5%No change
Residents with a urinary tract infection
2.4%7.3%Worsening
Residents who lost too much weight
18.9%17.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
30.6%22.6%Improving
Residents whose ability to walk got worse
—25.9%—
Long-stay residents on antianxiety or sleep medication
17.5%11.4%Improving
Short-stay residents newly given an antipsychotic
—9.1%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.1%18.2%Worsening
Residents with depressive symptoms
0%2.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.7%—
Long-stay residents given the pneumonia vaccine
97.8%85.7%Worsening
Short-stay residents given the pneumonia vaccine
—60%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 40.3 residents on an average day (67% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.