nursing home in Flower Mound, TX
Cross Timbers Rehabilitation and Healthcare Center
3315 Cross Timbers Rd, Flower Mound, TX 75028 · (972) 724-0996
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Cross Timbers Rehabilitation and Healthcare Center at a glance
Cross Timbers Rehabilitation and Healthcare Center is a 120-bed for-profit nursing home in Flower Mound, Texas (Denton County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3.7 hours of nursing care per day (0.5 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (April 16, 2026) found 9 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $8,281.
Nursing staff turnover is 49.5% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Nexion Health
- Medicare-certified since
- July 28, 1997
- Resident/family council
- Resident
- County
- Denton County
- CMS Certification Number
- 675703
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.71 hrs | 3.39 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.55 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.39 hrs | 2.01 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.45 hrs | 2.98 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 49.5% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 9 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 57 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,281 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 91 | 76 | 86 | |
| Occupancy | 75.8% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 12% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11.9% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 14.7% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 3.9% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.7% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 22.1% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 12.3% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 87.4% | 98% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.9% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 70.6% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 79.2% | 88.9% | 82% | Average |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 16, 2026 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | F Potential harm, widespread | Corrected May 7, 2026 |
| April 16, 2026 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected May 7, 2026 |
| April 16, 2026 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected May 7, 2026 |
| April 16, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 7, 2026 |
| April 16, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 7, 2026 |
| April 16, 2026 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected May 7, 2026 |
| April 16, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected May 7, 2026 |
| April 16, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected May 7, 2026 |
| April 16, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 30, 2026 |
| April 16, 2026 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected April 30, 2026 |
| April 16, 2026 Standard | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected April 30, 2026 |
| April 16, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 30, 2026 |
| April 16, 2026 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected April 30, 2026 |
| April 16, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 30, 2026 |
| February 26, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 13, 2026 |
| November 21, 2025 Complaint | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected November 24, 2025 |
| September 11, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Past Non-Compliance |
| January 24, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected February 17, 2025 |
| January 24, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected February 17, 2025 |
| January 24, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected February 17, 2025 |
| January 24, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected February 17, 2025 |
| January 24, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected February 17, 2025 |
| January 24, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected February 23, 2025 |
| January 24, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected February 17, 2025 |
| January 24, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected February 17, 2025 |
| January 24, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | E Potential harm, pattern | Corrected February 17, 2025 |
| January 24, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected February 17, 2025 |
| January 24, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected February 17, 2025 |
| January 24, 2025 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected February 26, 2025 |
| January 24, 2025 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected February 17, 2025 |
| February 28, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 20, 2024 |
| November 29, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected November 29, 2023 |
| November 29, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected December 18, 2023 |
| November 29, 2023 Complaint | Honor 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected December 18, 2023 |
| November 29, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 18, 2023 |
| November 29, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 18, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,281 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 11, 2025 | Fine | $8,281 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| WRIGHT, LABAN Individual | corporate officer | NOT APPLICABLE | 11/10/2021 |
| FALLON, JOHN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| KIRLEY, FRANCIS Individual | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| LEE, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| NEXION HEALTH AT FLOWER MOUND, INC. Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| OSWALD, JOHN Individual | operational/managerial control | NOT APPLICABLE | 03/22/2022 |
| PIERCE, DANIEL Individual | operational/managerial control | NOT APPLICABLE | 03/16/2021 |
| RINER, MEERA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| WRIGHT, LABAN Individual | w-2 managing employee | NOT APPLICABLE | 11/10/2021 |
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★★★★★4Above averageDenton Rehabilitation and Nursing Center
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Frequently asked questions
What is Cross Timbers Rehabilitation and Healthcare Center's rating?
Cross Timbers Rehabilitation and Healthcare Center has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Cross Timbers Rehabilitation and Healthcare Center receive?
Its most recent standard health inspection found 9 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Cross Timbers Rehabilitation and Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Cross Timbers Rehabilitation and Healthcare Center?
It is for profit - corporation and part of Nexion Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Cross Timbers Rehabilitation and Healthcare Center and how do I contact it?
Cross Timbers Rehabilitation and Healthcare Center is at 3315 Cross Timbers Rd, Flower Mound, TX 75028. Phone: (972) 724-0996.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.