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Nursing homeFAID #14037

Cottonwood Nursing & Rehabilitation

2224 N CARROLL BLVD, DENTON, TX, 76201

(940) 387-6656

60 licensed beds

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

2224 N Carroll Blvd

Denton, TX 76201

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

675292

Care type

Nursing home

County

Denton

Facility name

Cottonwood Nursing & Rehabilitation

Street address

2224 N CARROLL BLVD

City / state / ZIP

Denton, TX 76201

Phone

(940) 387-6656

About this facility — Cottonwood Nursing & Rehabilitation

Cottonwood Nursing & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Denton, Texas. It is licensed for 60 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 22 senior care facilities in Denton and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Cottonwood Nursing & Rehabilitation 45 times across 11 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Creative Solutions In Healthcare

Ownership type

For profit - Corporation

Registered owners & officers

Blake, Gary

Operational control — since 2021

Blake, Malisa

Operational control — since 2021

Creative Solutions In Healthcare Inc

Operational control — since 2020

Huggins, Linda

Managing employee — since 2020

Regulatory standing

Federal court records

4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1994-03-31

CMS overall rating

1 of 5 stars

Health deficiencies

15 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-08-14

Nurse staffing

3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$215 per day (≈ $6,540/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

78% Medicaid · 5% Medicare · 17% private/other

Occupancy

65% (fiscal year 2023)

Vs. state median

22% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-01Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

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

Corrected 2026-07-02

2026-01-29Health inspectionComplaint-triggered3 citations

F-0689

E · No harm foundFrom a complaint

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

Corrected 2026-01-30

F-0695

D · No harm foundFrom a complaint

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

Corrected 2026-01-30

F-0804

E · No harm foundFood safetyFrom a complaint

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

Corrected 2026-01-30

7 earlier / fire-safety inspections (41 citations)

2025-08-14Health inspection11 citations

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-08-15

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2025-08-15

F-0657

E · No harm found

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

Corrected 2025-08-15

F-0684

E · No harm found

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

Corrected 2025-08-15

F-0690

D · No harm found

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

Corrected 2025-08-15

F-0693

E · No harm found

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.

Corrected 2025-08-15

F-0695

D · No harm found

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

Corrected 2025-08-15

F-0755

D · No harm found

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

Corrected 2025-08-15

F-0761

E · No harm found

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.

Corrected 2025-08-15

F-0812

F · No harm foundFood safety

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

Corrected 2025-08-15

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-08-15

2024-12-05Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-12-06

2024-07-11Health inspectionComplaint-triggered7 citations

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-08-21

F-0656

E · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-21

F-0684

D · No harm found

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

Corrected 2024-08-21

F-0693

D · No harm foundFrom a complaint

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.

Corrected 2024-08-21

F-0695

E · No harm foundFrom a complaint

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

Corrected 2024-08-21

F-0812

E · No harm foundFood safety

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

Corrected 2024-08-21

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-08-21

2023-05-18Health inspection6 citations

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-05-19

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-05-19

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-05-19

F-0680

C · No harm found

Ensure the activities program is directed by a qualified professional.

Corrected 2023-05-19

F-0684

D · No harm found

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

Corrected 2023-05-19

F-0812

E · No harm foundFood safety

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

Corrected 2023-05-19

2025-08-14Fire-safety inspection3 citations

K-0344

F · No harm found

Have an alternate power supply for its alarm system.

Corrected 2025-08-15

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-15

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-08-15

2024-07-11Fire-safety inspection4 citations

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-08-21

K-0352

D · No harm found

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2024-08-21

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-08-21

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-21

2023-05-18Fire-safety inspection9 citations

K-0222

E · No harm found

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.

Corrected 2023-06-30

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-06-30

K-0331

E · No harm found

Construct fire resistant interior walls.

Corrected 2023-06-30

K-0362

E · No harm found

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-06-30

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-30

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-06-30

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-06-30

K-0901

F · No harm found

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2023-06-30

K-0929

E · No harm found

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2023-06-30

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675292.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 45 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered