For profit - Corporation · 120 certified beds · CMS number 675703
Cross Timbers Rehabilitation and Healthcare Center, Flower Mound, TX
CMS records 23 health deficiencies at Cross Timbers Rehabilitation and Healthcare Center in Flower Mound, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 16, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $8,281 in the last three years.
- 23deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $8,281fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Cross Timbers Rehabilitation and Healthcare Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Cross Timbers Rehabilitation and Healthcare Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection Apr 16, 2026. CMS counts 9 health deficiencies and 8 fire safety deficiencies in this cycle.
Apr 16, 2026 · Standard inspection
6 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2026
F770 · Timely laboratory services
Requirement cited (CMS): Provide timely, quality laboratory services/tests to meet the needs of residents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2026
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2026
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2026
F687 · Foot care
Requirement cited (CMS): Provide appropriate foot care.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2026
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2026
Feb 26, 2026 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 13, 2026
Nov 21, 2025 · Complaint inspection
1 deficiency, highest D
F554 · Taking one's own medications
Requirement cited (CMS): Allow residents to self-administer drugs if determined clinically appropriate.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 24, 2025
Sep 11, 2025 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection)
Previous cycle: 9 deficiencies (standard inspection Jan 24, 2025)
Standard inspection Jan 24, 2025. CMS counts 9 health deficiencies and 4 fire safety deficiencies in this cycle.
Jan 24, 2025 · Standard inspection
9 deficiencies, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 17, 2025
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 17, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 17, 2025
F758 · Psychotropic drug safeguards
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 26, 2025
F756 · Monthly pharmacist medication review
Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 23, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 17, 2025
F698 · Dialysis care
Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 17, 2025
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 17, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 17, 2025
Earlier cycle: 5 deficiencies (standard inspection Nov 29, 2023)
Standard inspection Nov 29, 2023. CMS counts 5 health deficiencies and 1 fire safety deficiency in this cycle.
Feb 28, 2024 · Complaint inspection
1 deficiency, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 20, 2024
Nov 29, 2023 · Standard + complaint inspection
4 deficiencies, highest F
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Dec 18, 2023
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2023
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2023
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 18, 2023
Tags cited in more than one inspection
2 tags cited on more than one inspection date at Cross Timbers Rehabilitation and Healthcare Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 2 | Sep 11, 2025 (PNC); Nov 29, 2023 |
| F690 Bladder, bowel, and catheter care | 2 | Apr 16, 2026; Jan 24, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Sep 11, 2025 | Fine | $8,281 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.71 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.55 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.45 h
- Nursing staff turnover
- 49.5% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 4 of 5
CMS figures for Cross Timbers Rehabilitation and Healthcare Center, copied as published; Texas medians are ours.
Facility details
- Address
- 3315 Cross Timbers Rd, Flower Mound, TX 75028
- Phone
- (972) 724-0996
- County
- Denton
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Nexion Health
- Certified beds
- 120
- Average residents per day
- 90.9
- In Medicare/Medicaid since
- Jul 28, 1997
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
- How does the home support residents who need help with toileting or incontinence? (F690, cited 2 times)
- How does the care team decide whether a resident can keep and take their own medications? (F554, cited 1 time)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 1 time)
Other nursing homes in Flower Mound and the same chain
- Hollymead
Flower Mound · 34 deficiencies - Terrell Healthcare Center
Terrell · 93 deficiencies - North Star Ranch Rehabilitation and Healthcare Cen
Bonham · 61 deficiencies - Duncanville Healthcare and Rehabilitation Center
Duncanville · 58 deficiencies - Lily Springs Rehabilitation and Healthcare Center
Lampasas · 52 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.