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Cottonwood Nursing & Rehabilitation

Denton, TX · Medicare and Medicaid-certified nursing home (CCN 675292) · 60 certified beds

CMS overall rating: 1★ (state average 2.65★ — below state average)
Health inspection: 2 · Quality measures: 2 · Staffing: 1
Federal fines: none on current record
Phone: (940) 387-6656 · Verify on Medicare Care Compare ↗

Cottonwood Nursing & Rehabilitation has a CMS overall star rating of 1 out of 5, below the Texas state average of 2.65 stars. Its health inspection rating is 2 stars and its staffing rating is 1 star.

Cottonwood Nursing & Rehabilitation reports total nurse staffing of 3.24 hours per resident per day, including 0.24 RN hours per resident per day, with a staffing star rating of 1 out of 5. Nursing staff turnover is reported at 98.0%, which is very high.

Cottonwood Nursing & Rehabilitation has no federal fines on record, with 0 fines totaling $0.00 and 0 payment denials reported by CMS. CMS does not list an abuse icon or Special Focus status for this facility based on the data provided.

Overall rating vs. benchmarks
Cottonwood Nursing & … Cottonwood Nursing & …: 1★ 1★ TX average TX average: 2.65★ 2.65★ Creative Solutions chain avg Creative Solutions chain avg: 2.1★ 2.1★

About this facility

Cottonwood Nursing & Rehabilitation is a for-profit corporation-owned skilled nursing facility in Denton, Texas, certified for 60 beds with an average of 40.5 residents. The facility has been Medicare and Medicaid certified since March 1994.

According to CMS Care Compare, Cottonwood holds an overall star rating of 1 out of 5, which is below the Texas state average of 2.65. Its health inspection rating is 2 stars, its quality measure (QM) rating is 2 stars, and its staffing rating is 1 star.

Nurse staffing data reported to CMS shows total nurse hours per resident per day of 3.24, with registered nurse (RN) hours per resident per day of 0.24. Nursing staff turnover is reported at 98.0%.

On penalties, CMS records show 0 federal fines totaling $0.00 for this facility — no federal fines on record — and 0 payment denials.

Cottonwood Nursing & Rehabilitation is part of the Creative Solutions In Healthcare chain, which operates 149 facilities nationally with an average CMS rating of 2.1 stars. There has been no change of ownership reported in the last 12 months, so current ratings reflect the operator of record.

Families evaluating this facility should review the full inspection record, staffing details, and quality measures directly on CMS Care Compare, which is the source of this data.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Cottonwood Nursing & Rehabilitation has an overall CMS rating of 1 out of 5 stars, below the Texas state average of 2.65 stars.

Does this facility accept Medicare, Medicaid, or both?

Yes, it is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is 3.24 hours per resident per day, including 0.24 RN hours, with a staffing rating of 1 star and a turnover rate of 98.0%.

Does this facility have federal fines or penalties on record?

No, CMS records show 0 fines totaling $0.00 and 0 payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

The data provided does not indicate an abuse icon or Special Focus status for this facility.

How large is this facility and how many residents live there?

Cottonwood is certified for 60 beds and has an average of 40.5 residents.

Who owns this facility — and is it part of a chain?

It is owned by a for-profit corporation and is part of the Creative Solutions In Healthcare chain, which operates 149 facilities nationally with an average rating of 2.1 stars.

How long has this facility been Medicare/Medicaid certified?

It has been certified since March 31, 1994.

What do the four different CMS star ratings mean?

CMS rates facilities on overall quality, health inspections, staffing, and quality measures (QM); Cottonwood scores 1, 2, 1, and 2 stars respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

The provided data does not specify service types; contact the facility at 940-387-6656 or verify on Medicare Care Compare.

What should I look for when touring this facility?

The data provided does not cover tour details; contact the facility at 940-387-6656 to arrange a visit and verify current conditions on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

Visit https://www.medicare.gov/care-compare/details/nursing-home/675292?state=TX for the most current CMS data on this facility.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.