Cedar Ridge Rehabilitation and Healthcare Center

Name: Cedar Ridge Rehabilitation and Healthcare Center
Address: 1700 N Washington St, Pilot Point, TX, 76258, US
Telephone: 9406865556

1700 N Washington St, Pilot Point, TX 76258 · Denton County · 108 certified beds · avg 82 residents/day · certified since Jul 18, 1991

Part of chain: NEXION HEALTH (51 facilities, chain avg rating 2.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.71

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (34)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 1, 2026	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Apr 1, 2026	E · Potential for harm, repeated	The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials.
Apr 1, 2026	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 1, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 1, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 1, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 1, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 1, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 1, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Jun 20, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Apr 30, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jan 16, 2025	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Jan 16, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 16, 2025	E · Potential for harm, repeated	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Jan 16, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jan 16, 2025	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Jan 16, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 16, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Dec 17, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Dec 17, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Dec 17, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 30, 2023	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Nov 30, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Nov 30, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 30, 2023	E · Potential for harm, repeated	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint
Nov 30, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 30, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Nov 30, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Sep 14, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Sep 14, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Sep 14, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 9).

Year	Citations	Worst severity that year
2023	11	F
2024	3	D
2025	11	E
2026	9	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.71	3.46	3.95	top 24% in Texas; bottom 47% in the U.S.
Registered Nurse hours	0.31	0.44	0.69	bottom 31% in Texas; bottom 10% in the U.S.
Weekend total nurse staffing	3.52	3.04	3.50	top 16% in Texas; top 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.34	0.48	bottom 14% in Texas; bottom 8% in the U.S.
Total nursing staff turnover (%)	49.5	55.3	45.8	top 43% in Texas; bottom 38% in the U.S.
RN turnover (%)	71.4	54.6	42.9	bottom 28% in Texas; bottom 11% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.57, RN 0.30, weekend 3.39. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bolt, Bretton	Individual	5% or Greater Indirect Ownership Interest	—	10/08/2020
Kirley, Francis	Individual	5% or Greater Indirect Ownership Interest	—	10/08/2020
Nexion Health Leasing, INC.	Organization	5% or Greater Indirect Ownership Interest	—	10/08/2020
Nexion Health of Ohi INC	Organization	5% or Greater Direct Ownership Interest	100%	10/08/2020
Nexion Health, INC.	Organization	5% or Greater Indirect Ownership Interest	—	10/08/2020
Fallon, John	Individual	Corporate Officer	NOT APPLICABLE	10/08/2020
Herdrich, William	Individual	Corporate Director	NOT APPLICABLE	10/08/2020
Kirley, Francis	Individual	Corporate Director	NOT APPLICABLE	10/08/2020
Kirley, Francis	Individual	Corporate Officer	NOT APPLICABLE	10/08/2020
Kirley, Francis	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Lee, Brian	Individual	Corporate Officer	NOT APPLICABLE	10/08/2020
Nexion Health Leasing, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Nexion Health of Ohi INC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Nexion Health, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Reid, John	Individual	Corporate Director	NOT APPLICABLE	10/08/2020
Riner, Meera	Individual	Corporate Director	NOT APPLICABLE	10/08/2020
Riner, Meera	Individual	Corporate Officer	NOT APPLICABLE	10/08/2020
Riner, Meera	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2020
Rowan, Terry	Individual	W-2 Managing Employee	NOT APPLICABLE	12/01/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Avir at Pilot Point	1.3 mi	Pilot Point, TX	★★★★☆	4/5
Settlers Ridge Care Center	11.3 mi	Celina, TX	★★★★☆	4/5
Whitesboro Health and Rehabilitation Center	16.6 mi	Whitesboro, TX	★★☆☆☆	3/5
Cottonwood Nursing & Rehabilitation	16.7 mi	Denton, TX	★☆☆☆☆	2/5
Denton Village by Purehealth	16.8 mi	Denton, TX	★★★☆☆	2/5	abuse
Renaissance Care Center	17.8 mi	Gainesville, TX	★★★☆☆	3/5
Pecan Tree Rehab and Healthcare Center	18.0 mi	Gainesville, TX	★☆☆☆☆	1/5
University Rehabilitation Center	18.1 mi	Denton, TX	★☆☆☆☆	2/5
Prairie Estates	18.3 mi	Frisco, TX	★★★☆☆	3/5
Vintage Health Care Center	18.6 mi	Denton, TX	★☆☆☆☆	1/5
Avir at Gainesville	18.6 mi	Gainesville, TX	★☆☆☆☆	1/5
Corinth Rehabilitation Suites on the Parkway	19.1 mi	Corinth, TX	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Pilot Point →

Facility data as of CMS processing date 2026-08-01. CCN 455930.

The Care File

Visit checklist — Cedar Ridge Rehabilitation and Healthcare Center

1700 N Washington St, Pilot Point, TX 76258 · 9406865556

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455930 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)