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 & Rehabilitation
DENTON, TX · Medicare-certified · 60 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
1 of 5 overall
Cottonwood Nursing & Rehabilitation in Denton, TX has a 1-star overall rating, with 1-star staffing and 2-star health inspection and quality ratings. It is flagged for the lowest overall rating, reported nurse staffing is below the federal benchmark (3.24 vs 4.1 hours/resident/day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2384 hrs/resident/day
Quality measures
Last inspection: July 21, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2384.
Staffing detail
- Registered nurses
- 0.24
- Licensed practical nurses
- 1.30
- Nurse aides
- 1.70
- Weekend nursing
- 3.11
Hours per resident per day.
Total staff turnover: 98%
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%8.3%Worsening
Residents with a fall causing major injury
5%2.6%Improving
Residents with pressure ulcers (bedsores)
3.9%7.1%Worsening
Residents with a urinary tract infection
2.6%2.6%No change
Residents who lost too much weight
9.1%18.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
46.7%10%Improving
Residents whose ability to walk got worse
—23.7%—
Long-stay residents on antianxiety or sleep medication
23.5%15.2%Improving
Short-stay residents newly given an antipsychotic
—8.6%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.5%10.2%Improving
Residents with depressive symptoms
0%3%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
97.5%79.5%Worsening
Short-stay residents given the pneumonia vaccine
60%19%Worsening
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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- 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
Recent ownership change · Dec 1, 2020
Now operated by Denton I Enterprises, LLC, previously Cottonwood Nursing and Rehabilitation LP.
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.1 stars avg
- Occupancy
- 40.5 residents on an average day (68% 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.