Cross Timbers Rehabilitation and Healthcare Center

Name: Cross Timbers Rehabilitation and Healthcare Center
Address: 3315 Cross Timbers Rd, Flower Mound, TX, 75028, US
Telephone: 9727240996

3315 Cross Timbers Rd, Flower Mound, TX 75028 · Denton County · 120 certified beds · avg 91 residents/day · certified since Jul 28, 1997

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

3/5

Health inspection rating (on-site)

Serious findings on record

$8,281

Fines, last 3 years

3.78

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Sep 11, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

All citations in the current public record (24)

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 16, 2026	D · Potential for harm, one-off	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.
Apr 16, 2026	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Apr 16, 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 16, 2026	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.
Apr 16, 2026	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Apr 16, 2026	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.
Feb 26, 2026	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
Nov 21, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint
Sep 11, 2025	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 24, 2025	E · Potential for harm, repeated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jan 24, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 24, 2025	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 24, 2025	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.
Jan 24, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jan 24, 2025	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.
Jan 24, 2025	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.
Jan 24, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jan 24, 2025	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Feb 28, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Nov 29, 2023	F · Potential for harm, facility-wide	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 29, 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 29, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Nov 29, 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. · from a complaint
Aug 15, 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. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	5	0	F
2024	1	0	D
2025	11	1	J ▲
2026	7	0	D

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)

1 fine totaling $8,281.

Date	Type	Amount / length
Sep 11, 2025	Fine	$8,281

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)	3.78	3.46	3.95	top 21% in Texas; top 50% in the U.S.
Registered Nurse hours	0.56	0.44	0.69	top 19% in Texas; bottom 46% in the U.S.
Weekend total nurse staffing	3.51	3.04	3.50	top 16% in Texas; top 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.68	0.34	0.48	top 5% in Texas; top 17% 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 (%)	50.0	54.6	42.9	top 41% in Texas; bottom 39% 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 3.71, RN 0.55, weekend 3.45. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Eastland Memorial Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2017
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
Wright, Laban	Individual	Corporate Officer	NOT APPLICABLE	11/10/2021

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"How is routine foot care handled here, and does a podiatrist visit regularly?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How quickly are lab tests done and results acted on when a resident's doctor orders them?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"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
Hollymead	0.6 mi	Flower Mound, TX	★★★☆☆	3/5
Rambling Oaks Courtyard Extensive Care Community	2.5 mi	Highland Village, TX	★★★☆☆	3/5
Lake Village Nursing and Rehabilitation Center	4.4 mi	Lewisville, TX	★☆☆☆☆	2/5
Avir at Grapevine	6.6 mi	Grapevine, TX	★★☆☆☆	2/5
Vista Ridge Nursing & Rehabilitation Center	7.1 mi	Lewisville, TX	★★★★☆	3/5
Denton Rehabilitation and Nursing Center	7.3 mi	Denton, TX	★★★★☆	3/5
Grapevine Medical Lodge	7.5 mi	Grapevine, TX	★★★★★	4/5
Corinth Rehabilitation Suites on the Parkway	7.9 mi	Corinth, TX	★☆☆☆☆	2/5
Lake Forest Village by Purehealth	8.5 mi	Denton, TX	★★★★☆	3/5
Sandy Lake Rehabilitation and Care Center	9.1 mi	Coppell, TX	★★☆☆☆	2/5
Bear Creek Nursing and Rehabilitation	9.1 mi	Grapevine, TX	★☆☆☆☆	1/5
The Carlyle at Stonebridge Park	9.5 mi	Southlake, TX	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 675703.

The Care File

Visit checklist — Cross Timbers Rehabilitation and Healthcare Center

3315 Cross Timbers Rd, Flower Mound, TX 75028 · 9727240996

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $8,281

Most serious findings on record:

▲ Sep 11, 2025 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "How is routine foot care handled here, and does a podiatrist visit regularly?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "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 675703 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)