Cross Timbers Rehabilitation and Healthcare Center — nursing home in Flower Mound, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 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: 92.9 CMS, MDS-derived
CMS Certification Number: 675703
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 28, 1997
Ownership type: For profit - Corporation
Operator (legal business name): Eastland Memorial Hospital District
CMS chain: Nexion Health 51 facilities
Phone: (972) 724-0996
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

11

latest Apr 16, 2026

Citations

36

23 health · 13 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E7	F11
Minimal	A·	B·	C·

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

1

$8,281

Payment denials

0

Latest

Sep 11, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 675703
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jul 28, 1997
Located in a hospital: Yes
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
Apr 16, 2026	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Apr 16, 2026	Health	Health Standard	6	Potential harm	—	Open →
Feb 26, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Nov 21, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Sep 11, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Jan 24, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jan 24, 2025	Health	Health Standard	9	Potential harm	—	Open →
Feb 28, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Nov 29, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Nov 29, 2023	Health	Health Complaint, Health Standard	4	Potential harm	—	Open →
Oct 5, 2023	Health	Infection Control	0	No citations	—	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.

Date	Type	Amount	Payment denial	Record
Sep 11, 2025	Civil money penalty (fine)	$8,281	—	675703\|Fine\|135890

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E7	F11
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 16, 2026	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected May 7, 2026
Apr 16, 2026	E-0009	Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected May 7, 2026
Apr 16, 2026	E-0024	Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected May 7, 2026
Apr 16, 2026	E-0026	Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected May 7, 2026
Apr 16, 2026	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	D · Potential harm Isolated	Corrected May 7, 2026
Apr 16, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 7, 2026
Apr 16, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 7, 2026
Apr 16, 2026	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 May 7, 2026
Apr 16, 2026	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 30, 2026
Apr 16, 2026	F-0687	Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 30, 2026
Apr 16, 2026	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 Apr 30, 2026
Apr 16, 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 Apr 30, 2026
Apr 16, 2026	F-0770	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Apr 30, 2026
Apr 16, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 30, 2026
Feb 26, 2026	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 Mar 13, 2026	Complaint
Nov 21, 2025	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 24, 2025	Complaint
Sep 11, 2025	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	J · Immediate jeopardy Isolated	Past non-compliance	Complaint
Jan 24, 2025	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 17, 2025
Jan 24, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 17, 2025
Jan 24, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 17, 2025
Jan 24, 2025	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 Feb 17, 2025
Jan 24, 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 Feb 17, 2025
Jan 24, 2025	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 17, 2025
Jan 24, 2025	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 17, 2025
Jan 24, 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	E · Potential harm Pattern	Corrected Feb 17, 2025
Jan 24, 2025	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Feb 23, 2025
Jan 24, 2025	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 26, 2025
Jan 24, 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 Feb 17, 2025
Jan 24, 2025	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 Feb 17, 2025
Jan 24, 2025	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 17, 2025
Feb 28, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 20, 2024	Complaint
Nov 29, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Past non-compliance Nov 29, 2023
Nov 29, 2023	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Dec 18, 2023	Complaint
Nov 29, 2023	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	D · Potential harm Isolated	Corrected Dec 18, 2023
Nov 29, 2023	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	D · Potential harm Isolated	Corrected Dec 18, 2023	Complaint
Nov 29, 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	F · Potential harm Widespread	Corrected Dec 18, 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 QM

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 staffing3.72

State avg 3.42US avg 3.90

Registered nurse (RN)0.57

State avg 0.44US avg 0.69

Licensed practical nurse0.78

State avg 0.94US avg 0.86

Nurse aide2.37

State avg 2.03US avg 2.35

Weekend total nurse3.49

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.78 (case-mix index 1.38).

Staff turnover

Total nursing staff turnover52.6%

State avg 50.8%US avg 45.3%

Registered nurse turnover27.3%

State avg 49.8%US avg 42.5%

Administrators who left2

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Apr 16, 2026
Cycle 1 health score: 32
Total weighted score: 47
Infection-control citations: 0

Operating entity

Eastland Memorial Hospital District

CMS legal business name of the certified provider. Operates 34 facilities.

VerifiedLinked by exact legal name

CMS chain

Nexion Health

51 facilities in 3 states. CMS chain ID 370.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

10

Organizations

2

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Eastland Memorial Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2017

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
Eastland Memorial Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2017
Nexion Health at Flower Mound, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
John Fallon	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
Francis Kirley	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
Brian Lee	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
John Oswald	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 22, 2022
Daniel Pierce	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 16, 2021
Meera Riner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
Laban Wright	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 10, 2021
Laban Wright	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Nov 10, 2021

Other facilities operated by Eastland Memorial Hospital District

All 33 →

Facility	Beds	Last inspection	Citations (window)	Fines
Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576	92	May 28, 2026	401 harm	$8,190
Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637	124	Aug 6, 2026	404 IJ	$32k
Ridgecrest Retirement and Healthcare Community 1900 W. State Hwy 6, Waco, TX 76712 CCN 455670	90	Jun 15, 2025	341 IJ	$14k
Rowlett Health and Rehabilitation Center 9300 Lakeview Pkwy, Rowlett, TX 75088 CCN 455904	163	Jul 24, 2025	20	—
Northern Oaks Living & Rehabilitation Center 2722 Old Anson Rd, Abilene, TX 79603 CCN 455934	96	Jul 2, 2026	43	—
Avir at Woodlands 125 Inspiration Blvd, Eastland, TX 76448 CCN 675001	76	Aug 13, 2025	443 IJ	$86k
Mckinney Healthcare and Rehabilitation Center 253 Enterprise Drive, Mckinney, TX 75069 CCN 675004	125	Jul 16, 2026	23	—
Golden Acres Living and Rehabilitation Center 2525 Centerville Rd, Dallas, TX 75228 CCN 675081	264	Aug 27, 2026	631 open	$13k

Same chain in Texas

All 50 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Sterling Hills Rehabilitation and Healthcare Cente 705 NE Georgia Ave, Sweetwater, TX 79556 CCN 455509	96	Mar 26, 2026	17	—
Lily Springs Rehabilitation and Healthcare Center 901 Central Texas Exp, Lampasas, TX 76550 CCN 455889	116	Jun 24, 2026	594 IJ2 harm	$86k
Cedar Ridge Rehabilitation and Healthcare Center 1700 N Washington St, Pilot Point, TX 76258 CCN 455930	108	Apr 1, 2026	36	—
Pecan Creek Healthcare Center 910 E Pierson St, Hamilton, TX 76531 CCN 455954	76	Jun 11, 2026	192 open	—
Coleman Healthcare Center 2713 S. Commercial Ave, Coleman, TX 76834 CCN 675009	54	Mar 6, 2026	27	—
Lakeview Rehabilitation and Healthcare Center 502 E Coke Rd, Winnsboro, TX 75494 CCN 675051	60	Apr 23, 2026	372 harm	$34k
Bay Ridge Healthcare Center 208 South Utah, La Porte, TX 77571 CCN 675052	58	Jun 26, 2026	395 IJ1 harm	$55k
Renaissance Rehabilitation and Healthcare Center 220 Davenport, Italy, TX 76651 CCN 675103	74	Sep 10, 2025	18	—

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: 3315 Cross Timbers Rd, Flower Mound, TX 75028
ZIP: 75028
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
Hollymead 4101 Long Prairie Road, Flower Mound, TX 75028 CCN 676369	1 km	112	Aug 19, 2026	451 harm1 open	$9,110
Rambling Oaks Courtyard Extensive Care Community 112 Barnett Blvd, Highland Village, TX 75077 CCN 676168	4.1 km	70	Aug 9, 2026	471 IJ1 harm	$31k
Lake Village Nursing and Rehabilitation Center 169 Lake Park Rd, Lewisville, TX 75057 CCN 675560	7.1 km	112	May 5, 2026	401 IJ	$25k
Avir at Grapevine 1500 Autumn Drive, Grapevine, TX 76051 CCN 675905	10.7 km	126	Nov 20, 2025	504 IJ	$30k
Vista Ridge Nursing & Rehabilitation Center 700 E Vista Ridge Mall Dr, Lewisville, TX 75067 CCN 676036	11.5 km	132	Aug 11, 2026	341 IJ	$10k
Denton Rehabilitation and Nursing Center 3345 Medpark Dr., Denton, TX 76210 CCN 675136	11.7 km	94	Jul 16, 2026	32	—
Grapevine Medical Lodge 1005 Ira E. Woods Parkway, Grapevine, TX 76051 CCN 676104	12.1 km	132	Jun 18, 2026	23	—
Corinth Rehabilitation Suites on the Parkway 3511 Corinth Parkway, Corinth, TX 76208 CCN 676319	12.7 km	134	Jul 29, 2026	57	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675703	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675703	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 675703

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