Cottonwood Nursing & Rehabilitation — nursing home in Denton, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 60 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 43.5 CMS, MDS-derived
CMS Certification Number: 675292
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 31, 1994
Ownership type: For profit - Corporation
Operator (legal business name): Denton I Enterprises, LLC
CMS chain: Creative Solutions in Healthcare 150 facilities
Phone: (940) 387-6656
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

11

latest Jul 21, 2026

Citations

47

31 health · 16 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E21	F5
Minimal	A·	B·	C4

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 675292
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 60
First approved: Mar 31, 1994
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 21, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jul 7, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jul 1, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jan 29, 2026	Health	Health Complaint	3	Potential harm	—	Open →
Aug 14, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Aug 14, 2025	Health	Health Standard	11	Potential harm	—	Open →
Dec 5, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jul 11, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jul 11, 2024	Health	Health Complaint, Health Standard	7	Potential harm	—	Open →
May 18, 2023	Fire safety	Fire Safety Standard	9	Potential harm	—	Open →
May 18, 2023	Health	Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E21	F5
Minimal	A·	B·	C4

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 21, 2026	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 22, 2026	Complaint
Jul 7, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 8, 2026	Complaint
Jul 1, 2026	F-0600	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 2, 2026	Complaint
Jan 29, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 30, 2026	Complaint
Jan 29, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 30, 2026	Complaint
Jan 29, 2026	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 30, 2026	Complaint
Aug 14, 2025	K-0344	Have an alternate power supply for its alarm system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 15, 2025
Aug 14, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 15, 2025
Aug 14, 2025	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Aug 15, 2025
Aug 14, 2025	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 15, 2025
Aug 14, 2025	F-0657	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 · Clinical care	E · Potential harm Pattern	Corrected Aug 15, 2025
Aug 14, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 15, 2025
Aug 14, 2025	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 15, 2025
Aug 14, 2025	F-0693	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 · Clinical care	E · Potential harm Pattern	Corrected Aug 15, 2025
Aug 14, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 15, 2025
Aug 14, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 15, 2025
Aug 14, 2025	F-0761	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 · Medication management	E · Potential harm Pattern	Corrected Aug 15, 2025
Aug 14, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Aug 15, 2025
Aug 14, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Aug 15, 2025
Aug 14, 2025	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Aug 15, 2025
Dec 5, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 6, 2024	Complaint
Jul 11, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 21, 2024
Jul 11, 2024	K-0352	Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 21, 2024
Jul 11, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 21, 2024
Jul 11, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 21, 2024	Complaint
Jul 11, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 21, 2024	Complaint
Jul 11, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 21, 2024
Jul 11, 2024	F-0693	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 · Clinical care	D · Potential harm Isolated	Corrected Aug 21, 2024	Complaint
Jul 11, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 21, 2024	Complaint
Jul 11, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 21, 2024
Jul 11, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Aug 21, 2024	Complaint
Jul 11, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Aug 21, 2024
May 18, 2023	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 30, 2023
May 18, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 30, 2023
May 18, 2023	K-0331	Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 30, 2023
May 18, 2023	K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 30, 2023
May 18, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 30, 2023
May 18, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 30, 2023
May 18, 2023	K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Electrical Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 30, 2023
May 18, 2023	K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 30, 2023
May 18, 2023	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 19, 2023
May 18, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 19, 2023
May 18, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 19, 2023
May 18, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 19, 2023
May 18, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 19, 2023
May 18, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jun 30, 2023
May 18, 2023	F-0680	Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care	C · Minimal Widespread	Corrected May 19, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.10

State avg 3.42US avg 3.90

Registered nurse (RN)0.40

State avg 0.44US avg 0.69

Licensed practical nurse1.13

State avg 0.94US avg 0.86

Nurse aide1.57

State avg 2.03US avg 2.35

Weekend total nurse2.94

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.01 (case-mix index 1.44).

Staff turnover

Total nursing staff turnover63.8%

State avg 50.8%US avg 45.3%

Registered nurse turnoverNot reported

State avg 49.8%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 14, 2025
Cycle 1 health score: 112
Total weighted score: 96

Operating entity

Denton I Enterprises, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Creative Solutions in Healthcare

150 facilities in 1 states. CMS chain ID 169.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

4

Organizations

1

Individuals

3

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Creative Solutions in Healthcare Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2020
Gary Blake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2021
Malisa Blake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2021
Linda Huggins	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Dec 1, 2020

Same chain in Texas

All 149 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Buena Vida Nursing and Rehab-San Antonio 5027 Pecan Grove, San Antonio, TX 78222 CCN 455390SFF CandidateAbuse icon	222	Jul 24, 2026	595 IJ1 harm	$198k
Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444	144	Jul 2, 2026	531 IJ	$8,160
Mountain View Health & Rehabilitation 1600 Muchison Rd, El Paso, TX 79902 CCN 455471	187	Jul 2, 2026	836 IJ	$123k
Vista Hills Health Care Center 1599 Lomaland Drive, El Paso, TX 79935 CCN 455493	120	Aug 24, 2026	832 IJ	$40k
Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon	90	Aug 7, 2026	774 IJ2 harm	$66k
Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536	200	Aug 7, 2026	44	—
Heritage at Longview Healthcare Center 112 Ruthlynn Dr, Longview, TX 75605 CCN 455569	140	Apr 28, 2026	401 IJ1 harm1 open	$82k
Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570	109	Jun 24, 2026	19	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2224 N Carroll Blvd, Denton, TX 76201
ZIP: 76201
County: Denton County FIPS 48121
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Denton Village By Purehealth 2500 Hinkle Drive, Denton, TX 76201 CCN 455627Abuse icon	0.7 km	88	Aug 19, 2026	361 IJ2 open	$55k
Vintage Health Care Center 205 N Bonnie Brae St, Denton, TX 76201 CCN 675939	3 km	106	May 28, 2026	705 IJ	$244k
University Rehabilitation Center 2244 Brinker Road, Denton, TX 76208 CCN 675995	6.6 km	146	Aug 26, 2026	555 IJ1 open	$33k
Lake Forest Village By Purehealth 3901 Montecito Drive, Denton, TX 76210 CCN 455685	8.5 km	60	Feb 11, 2026	22	—
Denton Rehabilitation and Nursing Center 3345 Medpark Dr., Denton, TX 76210 CCN 675136	10.8 km	94	Jul 16, 2026	32	—
Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway, Corinth, TX 76208 CCN 676319	11.7 km	134	Jul 29, 2026	57	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675292	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675292	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 675292

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction