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Cottonwood Nursing & Rehabilitation

Nursing Home Facility

2224 N Carroll Blvd, Denton, TX 76201

Nursing Home Care Senior Living
Cottonwood Nursing & Rehabilitation
On our watch list. This nursing home has been flagged for serious inspection violations. Please review its state inspection record carefully before deciding. About our watch list.

Cottonwood Nursing & Rehabilitation is a senior care community located in Denton, TX. It provides nursing home care and senior living for older adults in the Denton area. To learn more or schedule a tour, call (940) 387-6656.

Operated by Creative Solutions in Healthcare, which runs 121 communities in our directory.

Employer rating 2.8 out of 5 254 reviews from their own employees on Indeed. See what they say.

With 60 beds, Cottonwood Nursing & Rehabilitation is smaller than most nearby options, senior care communities in Denton average about 91 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.

Federal reporting puts occupancy at about 68% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Denton average about 2.3 stars. Its most recent standard health inspection was in August 2025 and recorded 15 deficiencies.

Residents receive about 3.2 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 98%, which is high and can affect continuity of care.

The community is located in Denton County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 29 problems at Cottonwood Nursing & Rehabilitation. None of them caused harm to a resident. 10 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected July 2026, after a complaint. Corrected by July 2, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected January 2026, after a complaint. Corrected by January 30, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Inspected January 2026, after a complaint. Corrected by January 30, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected January 2026, after a complaint. Corrected by January 30, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected August 2025. Corrected by August 15, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected August 2025. Corrected by August 15, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected August 2025. Corrected by August 15, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected August 2025. Corrected by August 15, 2025.

Show 7 more
  • Could cause more than minimal harm, a pattern Quality of Life and Care

    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.

    Inspected August 2025. Corrected by August 15, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected August 2025. Corrected by August 15, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected August 2025. Corrected by August 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected August 2025. Corrected by August 15, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected August 2025. Corrected by August 15, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected August 2025. Corrected by August 15, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected August 2025. Corrected by August 15, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Cottonwood Nursing & Rehabilitation offers nursing home care and senior living.

Facility details

  • Organization type For profit - Partnership
  • Beds / units 60
  • Occupancy 68%
  • Nursing hours per resident/day 3.2
  • Annual staff turnover 98%
  • Last health inspection August 2025

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