Skilled nursing facility · CMS certification number 675292
Cottonwood Nursing & Rehabilitation
DENTON, Texas · Medicare and Medicaid · 60 certified beds in Care Compare
Cottonwood Nursing & Rehabilitation: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
- Net patient revenue rose from $3.2M in fiscal year 2023 to $3.9M in fiscal year 2024.
- Its result from service to patients: −$439K (2022), −$606K (2023), −$128K (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on August 28, 2025, 2 changes are listed on this record: 2 deficiencies.
- Its net patient revenue of $3.9M ranks 542nd of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
Cottonwood Nursing & Rehabilitation: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1435964 | 2023 · report 1391119 | 2022 · report 1361634 | 2021 · report 1328340 | 2020 · report 1302244 | 2019 · report 1257926 | 2018 · report 1224066 | 2017 · report 1201790 | 2016 · report 1169656 | 2015 · report 1136521 | 2014 · report 1121485 | 2013 · report 1063088 | 2012 · report 1048114 | 2011 · report 1014119 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | November 30, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Processed by CMS | August 28, 2025 | August 5, 2024 | August 9, 2023 | July 28, 2022 | October 20, 2021 | June 15, 2020 | May 9, 2019 | July 20, 2018 | July 18, 2017 | July 25, 2016 | March 30, 2016 | June 10, 2014 | September 16, 2013 | October 26, 2012 |
| Total patient revenue | $4,522,833 | $3,527,719 | $3,627,863 | $3,174,909 | $1,334,645 | $3,710,365 | $3,392,450 | $3,395,270 | $3,125,969 | $3,250,404 | $2,801,555 | $2,860,960 | $3,060,488 | $2,948,834 |
| Contractual allowances and discounts | $574,734 | $357,459 | $530,490 | $321,394 | $205,728 | $269,047 | $10,956 | $66,828 | $87,841 | $33,840 | $33,655 | $75,591 | $450,094 | $370,319 |
| Net patient revenue | $3,948,099 | $3,170,260 | $3,097,373 | $2,853,515 | $1,128,917 | $3,441,318 | $3,381,494 | $3,328,442 | $3,038,128 | $3,216,564 | $2,767,900 | $2,785,369 | $2,610,394 | $2,578,515 |
| Total operating expenses | $4,075,664 | $3,776,449 | $3,536,234 | $3,358,433 | $2,735,101 | $3,248,912 | $3,165,923 | $2,977,352 | $2,736,384 | $2,816,387 | $2,695,479 | $2,615,420 | $2,601,956 | $2,477,207 |
| Net income from service to patients | −$127,565 | −$606,189 | −$438,861 | −$504,918 | −$1,606,184 | $192,406 | $215,571 | $351,090 | $301,744 | $400,177 | $72,421 | $169,949 | $8,438 | $101,308 |
| Total other income | $199,738 | $507,164 | $535,698 | $484,689 | −$386,368 | $26,575 | $3,982 | $3,553 | $4,001 | $2,805 | $884 | $405 | $112 | $3 |
| Net income after other income | $72,173 | −$99,025 | $96,837 | −$20,229 | −$1,992,552 | $218,981 | $219,553 | $354,643 | $305,745 | $402,982 | $73,305 | $170,354 | $8,550 | $101,311 |
| Net income | $72,173 | −$99,025 | $96,837 | −$20,229 | −$185,438 | $218,981 | $219,555 | $354,643 | $305,745 | $402,982 | $73,305 | $170,354 | $8,550 | $101,311 |
| Total facility beds, all components | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 |
| Bed days available, all components | 21,960 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,933 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 19,091 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 5,980 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 27,004 | 14,287 | 14,241 | 12,733 | 13,074 | 17,975 | 16,630 | 16,409 | 16,653 | 17,211 | 16,319 | 17,422 | 17,104 | 17,406 |
| Medicare discharges | 31 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 111 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 97 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 239 | 93 | 100 | 66 | 23 | 64 | 56 | 77 | 37 | 50 | 36 | 61 | 81 | 35 |
| Average length of stay, Medicare, in days | 62.35 | 53.36 | 97.82 | 52.56 | 98.5 | 77.86 | 62.07 | 89.33 | 173.8 | 135.55 | 130.38 | 119.6 | 61.8 | 70.9 |
| Average length of stay, Medicaid, in days | 171.99 | 186.1 | 193.45 | 385.96 | 845.5 | 536.43 | 559.28 | 391.77 | 1,325.55 | 626.27 | 1,087.42 | 704.32 | 410.73 | 947.71 |
| Average length of stay, all patients, in days | 112.99 | 153.62 | 142.41 | 192.92 | 568.43 | 280.86 | 296.96 | 213.1 | 450.08 | 344.22 | 453.31 | 285.61 | 211.16 | 497.31 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2010 · report 418038 | 2009 · report 378233 | 2008 · report 350922 | 2007 · report 322574 | 2006 · report 291145 | 2005 · report 259913 | 2004 · report 227919 | 2003 · report 184170 | 2002 · report 172147 | 2001 · report 167570 | 2000 · report 99825 | 1999 · report 99823 | 1998 · report 99821 | 1997 · report 99819 | 1996 · report 99818 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | January 1, 2003 | July 1, 2002 | January 1, 2001 | January 1, 2000 | January 1, 1999 | January 1, 1998 | January 1, 1997 | January 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 | December 31, 2000 | December 31, 1999 | December 31, 1998 | December 31, 1997 | December 31, 1996 |
| Days, where not a full year | — | — | — | — | — | — | — | — | 183 | — | — | — | — | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled | settled | settled | settled | settled | as submitted |
| Processed by CMS | September 19, 2011 | June 25, 2010 | July 16, 2009 | August 1, 2008 | August 6, 2007 | July 27, 2006 | July 15, 2005 | June 23, 2004 | March 26, 2004 | January 22, 2004 | February 14, 2002 | November 1, 2001 | July 3, 2000 | March 18, 1999 | March 24, 1998 |
| Net patient revenue | $2,748,981 | $2,681,899 | $2,348,061 | $2,390,910 | $1,999,839 | $1,889,438 | $2,049,885 | $2,159,806 | $1,198,159 | $1,925,251 | $1,749,535 | $1,461,912 | $1,563,840 | $1,409,835 | $1,439,652 |
| Total operating expenses | $2,478,629 | $2,451,580 | $2,209,403 | $2,062,397 | $1,989,781 | $2,054,567 | $2,024,144 | $2,073,643 | $1,050,531 | $1,673,356 | $1,771,244 | $1,515,248 | $1,707,379 | $1,444,804 | $1,585,643 |
| Net income from service to patients | $270,352 | $230,319 | $138,658 | $328,513 | $10,058 | −$165,129 | $25,741 | $86,163 | $147,628 | $251,895 | −$21,709 | −$53,336 | −$143,539 | −$34,969 | −$145,991 |
| Total other income | $34 | $186 | $437 | $1,198 | $805 | $1,988 | $2,659 | $9,447 | $231 | −$27,590 | −$114,197 | $165,664 | $322 | $66,973 | $1,523 |
| Net income | $270,386 | $230,505 | $139,095 | $329,711 | $10,863 | −$163,141 | $28,400 | $95,610 | $147,859 | $224,305 | −$135,906 | $112,328 | −$143,217 | $32,004 | −$144,468 |
| Total facility beds, all components | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 |
| Total patient days, all components | 18,805 | 18,312 | 17,089 | 17,156 | 16,534 | 17,370 | 18,232 | 19,618 | 9,543 | 18,936 | 19,161 | 17,918 | 17,733 | 17,385 | 16,314 |
| Total discharges, all components | 78 | 80 | 79 | 90 | 118 | 67 | 81 | 83 | 54 | 97 | 66 | 19 | 21 | 14 | 30 |
| Average length of stay, Medicare, in days | 195.44 | 171.64 | 62.5 | 102.1 | 74.89 | 68.33 | 95.13 | 56.92 | 71.79 | 61.09 | 59.56 | 75.3 | 83.91 | 106.4 | 43.38 |
| Average length of stay, Medicaid, in days | 992.33 | 548.37 | 620.7 | 358.29 | 201.39 | 352.59 | 431.06 | 452.38 | 288.92 | 360.11 | 519.34 | 1,645.67 | 1,319.3 | 3,427.5 | 3,178.5 |
| Average length of stay, all patients, in days | 241.09 | 228.9 | 216.32 | 190.62 | 140.12 | 259.25 | 225.09 | 236.36 | 176.72 | 195.22 | 290.32 | 943.05 | 844.43 | 1,241.79 | 543.8 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
Cottonwood Nursing & Rehabilitation: nurse staffing hours by quarter →
Who owns Cottonwood Nursing & Rehabilitation, as filed with CMS
Care Compare
- OPERATIONAL/MANAGERIAL CONTROL: BLAKE, GARY (individual), since 12/01/2021; BLAKE, MALISA (individual), since 12/01/2021; CREATIVE SOLUTIONS IN HEALTHCARE INC (organization), since 12/01/2020
- W-2 MANAGING EMPLOYEE: HUGGINS, LINDA (individual), since 12/01/2020
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of DENTON I ENTERPRISES, LLC (enrollment ID O20201123003195).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: HONOR X ENTERPRISES, LLC (organization), 100.00%, since 12/01/2020
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: GARY R BLAKE (individual), 50.00%, since 12/01/2020; MALISA A BLAKE (individual), 50.00%, since 12/01/2020
- OPERATIONAL/MANAGERIAL CONTROL: CREATIVE SOLUTIONS IN HEALTHCARE INC (organization), 100.00%, since 12/01/2020; GARY R BLAKE (individual), 50.00%, since 12/01/2021; MALISA A BLAKE (individual), 50.00%, since 12/01/2021
- W-2 MANAGING EMPLOYEE: LINDA F HUGGINS (individual), 0.00%, since 12/01/2020
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: HONOR X ENTERPRISES, LLC; CREATIVE SOLUTIONS IN HEALTHCARE INC.
Private equity company, real estate investment trust and holding company: Paused by CMS: GARY R BLAKE; MALISA A BLAKE; GARY R BLAKE; MALISA A BLAKE; LINDA F HUGGINS.
Recent changes on this record
- July 21, 2026: A deficiency was cited under tag F 0644, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 7, 2026: A deficiency was cited under tag F 0842, scope and severity D. NH_HealthCitations_Sep2026_2.csv
Inspections of Cottonwood Nursing & Rehabilitation
- Cycle 1: health August 14, 2025 (17 deficiencies), fire safety August 14, 2025 (3)
- Cycle 2: health July 11, 2024 (8 deficiencies), fire safety July 11, 2024 (4)
- Cycle 3: health May 18, 2023 (6 deficiencies), fire safety May 18, 2023 (9)
Deficiencies cited at Cottonwood Nursing & Rehabilitation
31 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 12 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0644, resident assessment and care planning: July 21, 2026 (D, from a complaint, corrected July 22, 2026).
- F 0842, resident assessment and care planning: July 7, 2026 (D, from a complaint, corrected July 8, 2026).
- F 0600, freedom from abuse, neglect, and exploitation: July 1, 2026 (D, from a complaint, corrected July 2, 2026).
- F 0689, quality of life and care: January 29, 2026 (E, from a complaint, corrected January 30, 2026).
- F 0695, quality of life and care: January 29, 2026 (D, from a complaint, corrected January 30, 2026); August 14, 2025 (D, corrected August 15, 2025); July 11, 2024 (E, from a complaint, corrected August 21, 2024).
- F 0804, nutrition and dietary: January 29, 2026 (E, from a complaint, corrected January 30, 2026).
- F 0558, resident rights: August 14, 2025 (E, corrected August 15, 2025); July 11, 2024 (D, from a complaint, corrected August 21, 2024).
- F 0583, resident rights: August 14, 2025 (D, corrected August 15, 2025).
- F 0657, resident assessment and care planning: August 14, 2025 (E, corrected August 15, 2025).
- F 0684, quality of life and care: August 14, 2025 (E, corrected August 15, 2025); July 11, 2024 (D, corrected August 21, 2024); May 18, 2023 (D, corrected May 19, 2023).
- F 0690, quality of life and care: August 14, 2025 (D, corrected August 15, 2025).
- F 0693, quality of life and care: August 14, 2025 (E, corrected August 15, 2025); July 11, 2024 (D, from a complaint, corrected August 21, 2024).
- F 0755, pharmacy service: August 14, 2025 (D, corrected August 15, 2025).
- F 0761, pharmacy service: August 14, 2025 (E, corrected August 15, 2025).
- F 0812, nutrition and dietary: August 14, 2025 (F, corrected August 15, 2025); July 11, 2024 (E, corrected August 21, 2024); May 18, 2023 (E, corrected May 19, 2023).
- F 0880, infection control: August 14, 2025 (E, corrected August 15, 2025); December 5, 2024 (D, from a complaint, corrected December 6, 2024); July 11, 2024 (E, from a complaint, corrected August 21, 2024).
- F 0656, resident assessment and care planning: July 11, 2024 (E, from a complaint, corrected August 21, 2024); May 18, 2023 (D, corrected May 19, 2023).
- F 0655, resident assessment and care planning: May 18, 2023 (D, corrected May 19, 2023).
- F 0677, quality of life and care: May 18, 2023 (D, corrected May 19, 2023).
- F 0680, quality of life and care: May 18, 2023 (C, corrected May 19, 2023).
Cottonwood Nursing & Rehabilitation in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: DENTON I ENTERPRISES, LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1994-03-31
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Denton
- Telephone Number: 9403876656
- Chain Name: CREATIVE SOLUTIONS IN HEALTHCARE
- Chain ID: 169
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 43.5
- Overall Rating: 1
- Health Inspection Rating: 2
- QM Rating: 3
- Long-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for Cottonwood Nursing & Rehabilitation: no penalty in Care Compare; no change in ownership since September 20, 2022.
Other nursing facilities in DENTON and Texas
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