Cottonwood Nursing & Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 20 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (14 vs median 8.0)
- High staff turnover (59%)
- High RN turnover (100%)
Below average in Texas · Critically understaffed (RN) · Below chain average · No penalties on record
What this means for your family
While many families find the nursing staff to be exceptionally compassionate and kind, recent reviews highlight alarming regulatory violations regarding infection control and staffing. If you choose this facility, we strongly recommend conducting an unannounced visit to personally verify cleanliness and the quality of wound care.
Google Reviews
Google Reviews
20 reviews on Google“Families should approach this facility with caution due to serious reports of infection control violations, staffing shortages, and instances of emotional distress caused by administration. While many reviewers praise the compassionate nature of the nursing staff and the friendly environment, there are significant, documented concerns regarding cleanliness and resident safety.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and kind nursing staff
- Friendly and welcoming community atmosphere
- Clean and well-maintained environment (noted in several positive reviews)
- Smooth transition process for new residents
Concerns
- Serious safety and infection control violations
- Inadequate staffing levels
- Unprofessional behavior by administration
Rating Trends
Tap a year to see what changed
Distribution · 21 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard wonderful things about how kind and compassionate the nursing staff is here; how do you ensure that this level of care remains consistent for every resident?
- 2What specific steps is the facility taking to improve staffing levels to ensure residents always have plenty of attention?
- 3Could you walk us through your current protocols for infection control and maintaining a sterile environment for the residents?
- 4How does the administration handle feedback or concerns from families to ensure a professional and collaborative relationship?
- 5What does a typical daily schedule look like, and what kind of social activities are available to keep the residents engaged?
- 6In the event of a medical emergency during the night, what is the immediate process for getting a nurse or doctor to a resident's side?
Personalized based on this facility's data
Key Review Excerpts
“The staff here is amazing and very kind. Made this transition so much easier for my sister and for the family!”
“Cottonwood Nursing and Rehabilitation in Denton, Texas, has had several violations, including issues with infection control, quality of life, and pharmacy services.”
“The staff there goes above and beyond for its patients with all kinds of fun inclusive events for its residents. The staff treats its patients like family and it shows.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
5
measures
9
measures
2
measures
Residents needing more daily help over time
Residents on antipsychotic medication
Residents who lost too much weight
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has recent unresolved deficiencies from a January 2026 complaint inspection, including safety hazards and food temperature issues that remain uncorrected. The most recurring problems involve care quality, infection control, and food safety, with families filing complaints about respiratory care, feeding tubes, and care planning. While most past issues were corrected, the pattern of repeated deficiencies in core care areas and the latest uncorrected violations raise concerns about consistent quality.
Jan 29, 2026Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Aug 14, 2025Routine14
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Quality of Life and Care Deficiencies
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
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Dec 5, 2024Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 11, 2024Routine6
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jul 11, 2024Complaint5
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
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.
May 18, 2023Routine14
Electrical Deficiencies
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Construct fire resistant interior walls.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Ownership & Operations
Who Operates This Facility
Denton I Enterprises, LLC
for profit
CREATIVE SOLUTIONS IN HEALTHCARE, INC
STACY SMITH
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 76 of 148
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
20 reviews from families & visitors
Official Website
Visit cottonwoodnursing.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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Sage Oak Holdings of Denton, LLC
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Sage Oak Holdings of Denton, LLC
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Sage Oak Holdings of Denton, LLC
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