Starfile

Starfile / Texas

University Rehabilitation Center

2244 Brinker Rd, Denton, TX 76208 · CCN 675995

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★★☆☆☆ 2
Quality measures
★☆☆☆☆ 1
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Limited Liability company
Certified beds
146
Avg residents/day
104.3
Phone
9403206300

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-04-1789.19.5-1.1 better
22024-02-28139.49.8+3.6 worse
32022-12-02158.19.3+6.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care3
Resident assessment and care planning1
Resident rights2
Nutrition and dietary1
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.3151.6%
RN staffing (reported)0.5560.0%
Total nurse staffing (adjusted)3.92

Fines & penalties

Total fines
$40,446
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
CREATIVE SOLUTIONS IN HEALTHCARE
Facilities in chain
149
Chain avg overall
2.70 / 5

Inspection citations (36)5 immediate jeopardy

  1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-11 · Health

    Potential for more than minimal harm

  2. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-09-11 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  3. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-11 · Health · corrected 2025-07-13

    Immediate jeopardy

  4. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-09-11 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  5. DF0583Keep residents' personal and medical records private and confidential.2025-04-17 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  6. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-04-17 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  7. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-17 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  8. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-17 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  9. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-02-26 · Health · corrected 2024-12-18

    Potential for more than minimal harm

  10. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-26 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  11. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-26 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  12. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-02 · Health · corrected 2024-10-31

    Potential for more than minimal harm

  13. DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-28 · Health · corrected 2024-02-29

    Potential for more than minimal harm

  14. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-28 · Health · corrected 2024-02-29

    Potential for more than minimal harm

  15. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-02-28 · Health · corrected 2024-02-29

    Potential for more than minimal harm

  16. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-28 · Health · corrected 2024-02-29

    Potential for more than minimal harm

  17. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-28 · Health · corrected 2024-02-29

    Immediate jeopardy

  18. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-28 · Health · corrected 2024-02-29

    Potential for more than minimal harm

  19. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-28 · Health · corrected 2024-02-29

    Potential for more than minimal harm

  20. EF0761Ensure 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.2024-02-28 · Health · corrected 2024-02-29

    Potential for more than minimal harm

  21. JF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2024-02-28 · Health · corrected 2024-02-29

    Immediate jeopardy

  22. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  23. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  24. EF0880Provide and implement an infection prevention and control program.2023-11-15 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  25. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-18 · Health · corrected 2023-05-20

    Potential for more than minimal harm

  26. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-12-02 · Health · corrected 2022-12-23

    Immediate jeopardy

  27. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2022-12-02 · Health · corrected 2022-12-23

    Potential for more than minimal harm

  28. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-12-02 · Health · corrected 2022-12-23

    Potential for more than minimal harm

  29. EF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2022-12-02 · Health · corrected 2022-12-23

    Potential for more than minimal harm

  30. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-02 · Health · corrected 2022-12-23

    Immediate jeopardy

  31. DF0687Provide appropriate foot care.2022-12-02 · Health · corrected 2022-12-23

    Potential for more than minimal harm

  32. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-12-02 · Health · corrected 2022-12-23

    Potential for more than minimal harm

  33. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-12-02 · Health · corrected 2022-12-23

    Potential for more than minimal harm

  34. EF0761Ensure 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.2022-12-02 · Health · corrected 2022-12-23

    Potential for more than minimal harm

  35. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2022-12-02 · Health · corrected 2022-12-23

    Potential for more than minimal harm

  36. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-02 · Health · corrected 2022-12-23

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
WEST WHARTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-12-01
DENTON II ENTERPRISES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2023-12-01
BLAKE, GARYIndividualOPERATIONAL/MANAGERIAL CONTROL2023-12-01
BLAKE, MALISAIndividualOPERATIONAL/MANAGERIAL CONTROL2023-12-01
HUGGINS, LINDAIndividualCORPORATE DIRECTOR2023-12-01
MAK, DAVIDIndividualCORPORATE OFFICER2021-05-17

Other facilities in Denton

NameOverallBeds
Vintage Health Care Center★☆☆☆☆106

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.