COTTONWOOD NURSING AND REHABILITATION – DENTON, TX

CMS Verified | 2026-03-01

Cottonwood Nursing And Rehabilitation

2224 N CARROLL BLVD, Denton, TX 76201
(940) 387-6656
60 beds
All Denton facilities
2.0*
Overall
3.0*
Health Inspection
2.0*
Quality Care
1.0*
Staffing
56.76
Score /100
#12913
National Rank

#12913
of 14703 facilities
National
12.2% position
#1032
of 1177 in TX
State Rank
#15
of 18 in Denton
County Rank
#4
of 6 in Denton
City Rank
#2
of 3 in ZIP 76201
ZIP Rank






About Cottonwood Nursing And RehabilitationCottonwood Nursing And Rehabilitation is located at 2224 N Carroll Blvd, Denton, TX, reachable at (940) 387-6656. This For profit – Corporation facility operates 60.0 certified beds and serves an average of 43 residents per day. It is part of the Creative Solutions In Healthcare network (149 facilities nationwide). Medicare and Medicaid services have been provided since 1994-03-31. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Cottonwood Nursing And Rehabilitation

Address

2224 N Carroll Blvd, Denton, TX 76201

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 60 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: CREATIVE SOLUTIONS IN HEALTHCARE

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 5 fine(s) over 5 years
5-Year Trend
Declining over 5 years
56.76
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#12913 of 14703 nationally – #1032 of 1177 in Texas

Who Is This Facility Best For?

Cottonwood Nursing And Rehabilitation may be considered for families with limited options in Denton, TX, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

3 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

2 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightCottonwood Nursing And Rehabilitation currently provides 3 hours 16 minutes of total nurse staffing per resident per day, including 15 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 59.1%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 16 minutes
Nurse Aide Hours1 hour 44 minutes
Licensed Practical Nurse (LPN) Hours1 hour 17 minutes
Registered Nurse (RN) Hours15 minutes
Physical Therapist Hours3 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 53 minutes
Weekend Registered Nurse (RN) Hours14 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 5 fine(s) over the 5-year period, totaling $26,927. No substantiated complaints have been recorded in the available data.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 88.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,913
of 14,703
National
Bottom 12%
#1,032
TX State
Bottom 12% in TX
#15
of 18
️ Denton County
#15 of 18
#4
of 6
️ Denton
#4 of 6
#2
of 3
ZIP 76201
#2 of 3

Nationally, Cottonwood Nursing And Rehabilitation ranks 12913th out of 14,703 facilities (composite score: 56.8/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1032nd out of 1,177 nursing homes. In Denton, it ranks 4th out of 6 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #11,391 nationally and RN hours rank #13,410 nationally (#928 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.69 #13,143 / 14,703 #994 / 1,177 ⚠️ Bottom 25%
2023 3.17 #10,709 / 14,703 #633 / 1,177 Below average
2024 3.17 #11,278 / 14,703 #585 / 1,177 ⚠️ Bottom 25%
2025 2.84 #13,559 / 14,703 #1,006 / 1,177 ⚠️ Bottom 10%
2026 3.27 #11,391 / 14,703 #574 / 1,177 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.21 #13,507 / 14,703 #948 / 1,177 ⚠️ Bottom 10%
2023 0.26 #12,730 / 14,703 #736 / 1,177 ⚠️ Bottom 25%
2024 0.31 #12,183 / 14,703 #628 / 1,177 ⚠️ Bottom 25%
2025 0.43 #10,102 / 14,703 #377 / 1,177 Below average
2026 0.25 #13,410 / 14,703 #928 / 1,177 ⚠️ Bottom 10%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Cottonwood Nursing And Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-03-31. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (940) 387-6656 or your local Medicaid office to verify current eligibility.

Cottonwood Nursing And Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (1★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 56.8/100, placing it #12913 of 14703 facilities nationally and #1032 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Cottonwood Nursing And Rehabilitation receives a reported average of 3 hours 16 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 15 minutes; Licensed Practical Nurse (LPN) — 1 hour 17 minutes; Nurse Aide — 1 hour 44 minutes. On weekends, total nurse staffing is 2 hours 53 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 59.1%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 5 fine(s) over the 5-year period, totaling $26,927. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 88.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Cottonwood Nursing And Rehabilitation ranks 12913th out of 14,703 facilities (composite score: 56.8/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1032nd out of 1,177 nursing homes. In Denton, it ranks 4th out of 6 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #11,391 nationally and RN hours rank #13,410 nationally (#928 in TX). Our composite quality score of 56.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Denton, visit: https://nursinghomesnearme.org/texas/denton/

Contact and Location

ADR
Address

2224 N CARROLL BLVD, Denton, TX 76201
Get directions on Google Maps

TEL
LLC
Legal Name

DENTON I ENTERPRISES, LLC

MAP
Browse by Location

All Texas ·
Denton County ·
Denton ·
ZIP 76201

Facility Details

Number of Certified Beds 60
Average Residents / Day 43 (72% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Denton County, TX
City Denton, TX
ZIP Code 76201
Approved Since March 31, 1994
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675292
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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