Denton Rehabilitation and Nursing Center
Denton, Texas · CCN 675136
20 surveys since 2010, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 63
- Surveys
- 20
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 94
- Ownership
- Government - Hospital district
- Chain
- DALLAS COUNTY HOSPITAL DISTRICT
- County
- Denton
- Medicare-certified since
- 1993
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 49 government-run facilities of 66–99 beds in Texas.
Last survey on record
Jul 16, 2026
116 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.29 | 3.24 |
| Registered-nurse hours per resident day | 0.58 | — |
| Annual nurse turnover | 41.8% | 54.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1961.3% | E1135.5% | F— |
| No harm, potential for minimal | A— | B13.2% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6564×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6953×
Provide safe and appropriate respiratory care for a resident when needed.
- F7613×
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.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8803×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Denton Rehabilitation and Nursing Center, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF583May 29, 2025
Based on observations, interviews, and record review, the facility failed to treat each resident with respect, dignity, and care in a manner and environment that promoted maintenance or enhancement of his or her quality of life for seven (Resident #195, Resident #200, Resident #193, Resident#202, Resident#65, Resident#16, and Resident #204) of sixteen residents reviewed for Privacy and Confidentiality. 1. The facility failed to ensure LVN C closed the door while flushing Resident #195's IV and disconnecting his IV bag on 05/27/2025. 2. […]
- No harm, potential for more than minimal, patternF584May 29, 2025
Based on observation, interview and record review the facility failed to ensure residents had the right to a safe, clean, comfortable, and homelike environment including but not limited to receiving treatment and supports for daily living safely for 7 of 15 resident rooms on the 100 hall (Resident rooms #1, #2, #3, #4, #5, #6, and #7), and all the hand rails on the 500 hall, reviewed for environment. 1. The facility failed to ensure Resident rooms #1, #2, #3, #4, #5, #6, and #7 were thoroughly cleaned and sanitized. 2. The facility failed to ensure the handrails on the 500 hall were thoroughly cleaned and sanitized. These deficient practices could place residents at risk of living in an unclean and unsanitary environment which could lead to a decreased quality of life. […]
- No harm, potential for more than minimal, patternF641May 29, 2025
Based on interviews, and record review, the facility failed to ensure assessments accurately reflected the resident's status for three (Residents #196, #197, and #198) of sixteen residents reviewed for Accuracy of Assessments. 1. The facility failed to ensure Resident #196's Comprehensive MDS assessment dated [DATE] accurately reflected that the resident was on CPAP (continuous positive airway pressure: machine used to deliver pressurized air through a mask to keep airways open). 2. The facility failed to ensure Resident #197's Comprehensive MDS assessment dated [DATE] accurately reflected that the resident was on oxygen therapy. 3. […]
- No harm, potential for more than minimal, patternF656May 29, 2025
Based on observations, interviews, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for a resident for six (Residents #29 #88, #193, #194, #197, and #198) of sixteen residents reviewed for Care Plans. 1. The facility failed to ensure Resident #29 was care planned for the resident's bed being placed in a low position and a fall placed alongside their beds for fall risk. 2. The facility failed to ensure Resident #88 was care planned for oxygen therapy on 05/09/2025. 3. […]
- No harm, potential for more than minimal, patternF695May 29, 2025
Based on observations, interviews, and record review the facility failed to ensure that residents, who needed respiratory care, were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for six (Residents #88, #193, #196, #197, #198, and #244) of twelve residents reviewed for respiratory care. 1. The facility failed to ensure that Resident #88 had an order for continuous oxygen use. 2. […]
Read 20 findings in full →The most serious and the most recent: 20 of 63 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 16, 2026Standard2 findings
- Apr 2, 2026Complaint2 findings
- Nov 25, 2025Complaint2 findings
- May 29, 2025Standard11 findings
- Apr 4, 2024Standard and complaint6 findings
- Dec 15, 2023Complaint1 finding
- Jun 16, 2023Complaint2 findings
- Feb 16, 2023Standard and complaint7 findings
Show the 12 earlier surveys
- Feb 16, 2022Infection control1 finding
- Sep 17, 2020Standard and complaint2 findings
- Feb 8, 2019Standard4 findings
- Dec 14, 2017Standard3 findings
- Feb 24, 2017Standard1 finding
- Jan 14, 2016Standard2 findings
- Feb 12, 2015Standard2 findings
- Feb 13, 2014—1 finding
- Feb 28, 2013—3 findings
- Feb 10, 2012—7 findings
- Jan 28, 2011—3 findings
- Dec 30, 2010—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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