University Rehabilitation Center
University Rehabilitation Center is a 146-bed nursing home in Denton, Texas. CMS has certified it for Medicare and Medicaid since 2003-12-04. It averages 116.2 residents a day.
What harm was found in the violations cited at University Rehabilitation Center?
CMS lists 38 health-inspection deficiencies for University Rehabilitation Center since 2022-12-02, 27 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-23.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-23 | F0609, F0656, F0695 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2025-12-11 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-09-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-09-11 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2025-09-11 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2025-04-17 | F0689, F0812 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-04-17 | F0583, F0584 | Keep residents' personal and medical records private and confidential. / 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. | D |
| 2025-02-26 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2025-02-26 | F0561, F0657 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-12-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-02-28 | F0684, F0776 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | J |
| 2024-02-28 | F0761 | 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. | E |
| 2024-02-28 | F0558, F0580, F0645, F0656, F0690, F0755 | Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-11-15 | F0842, F0880 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | E |
| 2023-11-15 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2022-12-02 | F0580, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2022-12-02 | F0584, F0678, F0761, F0812 | 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. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2022-12-02 | F0644, F0687, F0690, F0695, F0800 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide appropriate foot care. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D |
Why was University Rehabilitation Center fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-09-11 | Fine | $14,316 |
| 2024-02-28 | Fine | $18,801 |
How is University Rehabilitation Center staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.35828 | 3.38539 |
| Total nursing staff turnover (%) | 88.2 | 55.3 |
| Average number of residents per day | 116.2 | 75.8 |
Who owns University Rehabilitation Center, and what chain is it in?
University Rehabilitation Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name WEST WHARTON COUNTY HOSPITAL DISTRICT and belongs to the CREATIVE SOLUTIONS IN HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE DIRECTOR | HUGGINS, LINDA | since 12/01/2023 |
| CORPORATE OFFICER | MAK, DAVID | since 05/17/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | DENTON II ENTERPRISES LLC, BLAKE, GARY, BLAKE, MALISA | since 12/01/2023 |
Were you or a family member harmed at University Rehabilitation Center?