Cottonwood Nursing & Rehabilitation
2224 N Carroll Blvd, Denton, TX 76201 · Denton County
For-profit · 60 certified beds · 68% occupancy · (940) 387-6656
Cottonwood Nursing & Rehabilitation reviews: what the government record shows
The U.S. government (CMS) rates Cottonwood Nursing & Rehabilitation 1 out of 5 stars overall, much below average. Its nurse staffing is 1% below the Texas median.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.24 hrs/resident/day (-1% vs TX median)
- Antipsychotic drug use
- 3.4% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- None on record
- Inspection findings
- 29 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓No federal fines on record in roughly the last three years.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 3.24 hrs/resident/day is below the Texas median of 3.27.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Cottonwood Nursing & Rehabilitation
Is Cottonwood Nursing & Rehabilitation a good nursing home?
Cottonwood Nursing & Rehabilitation in Denton, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Cottonwood Nursing & Rehabilitation staffed?
Cottonwood Nursing & Rehabilitation reports 3.24 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Cottonwood Nursing & Rehabilitation been fined or flagged for abuse?
Cottonwood Nursing & Rehabilitation has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.24 nurse hours per resident per day. 1% below the Texas median of 3.27.
Nursing staff turnover: 98% · RN turnover: 100%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0812 · Aug 14, 2025Corrected Aug 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0689 · Jan 29, 2026ComplaintCorrected Jan 30, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0804 · Jan 29, 2026ComplaintCorrected Jan 30, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0558 · Aug 14, 2025Corrected Aug 15, 2025
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0657 · Aug 14, 2025Corrected Aug 15, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0684 · Aug 14, 2025Corrected Aug 15, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Potential for harmTag F0693 · Aug 14, 2025Corrected Aug 15, 2025
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.
Quality of Life and Care Deficiencies
- Potential for harmTag F0761 · Aug 14, 2025Corrected Aug 15, 2025
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.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · Aug 14, 2025Corrected Aug 15, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0600 · Jul 1, 2026ComplaintCorrected Jul 2, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Showing the 10 most recent and serious of 29 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is for-profit (for profit - corporation). It is part of the Creative Solutions In Healthcare chain, which operates 149 facilities, with a chain-average CMS rating of 2.1 stars.