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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-17 | 8 | 9.1 | 9.5 | -1.1 better |
| 2 | 2024-02-28 | 13 | 9.4 | 9.8 | +3.6 worse |
| 3 | 2022-12-02 | 15 | 8.1 | 9.3 | +6.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.31 | 51.6% |
| RN staffing (reported) | 0.55 | 60.0% |
| 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
- 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
- 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
- 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
- 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
- DF0583Keep residents' personal and medical records private and confidential.2025-04-17 · Health · corrected 2025-04-18
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-28 · Health · corrected 2024-02-29
Potential for more than minimal harm
- 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
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-02-28 · Health · corrected 2024-02-29
Potential for more than minimal harm
- 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
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-28 · Health · corrected 2024-02-29
Immediate jeopardy
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2023-11-15 · Health · corrected 2023-11-16
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-02 · Health · corrected 2022-12-23
Immediate jeopardy
- DF0687Provide appropriate foot care.2022-12-02 · Health · corrected 2022-12-23
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-12-01 |
| DENTON II ENTERPRISES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-01 |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — | 2023-12-01 |
| MAK, DAVID | Individual | CORPORATE OFFICER | — | 2021-05-17 |
Other facilities in Denton
| Name | Overall | Beds |
|---|---|---|
| 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.