Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

DENTON REHABILITATION AND NURSING CENTER

DENTON, TX · 94 certified beds · Last Life Safety survey July 16, 2026

CMS Certification Number 675136 · first certified April 1993

Ownership

Operated by DALLAS COUNTY HOSPITAL DISTRICT · Government - Hospital district

No change of ownership on CMS record since January 1, 2016, when the records begin.

8
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within TX

8 citations — more than 50% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 1 citation; the earlier surveys on file averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 9 months from now. This facility’s last Life Safety survey was July 2026. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,923 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

Emergency preparedness

2 of the 8 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations in CMS's current file

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility8TX median7National median11
Citations in CMS's current file, compared
MeasureCitations
This facility8
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
42024-0432025-0512026-07
Citations at each Life Safety survey
Survey dateCitations
April 4, 20244
May 29, 20253
July 16, 20261

Most-cited tags

Most-cited tags at this facility
K-09111E-00261K-05211K-03531E-00061K-05111K-02111K-03511
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0911Meet requirements for the installation and maintenance of electrical systems.12025-05-29
E-0026Establish roles under a Waiver declared by secretary.12025-05-29
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12024-04-04
K-0353Inspect, test, and maintain automatic sprinkler systems.12026-07-16
E-0006Conduct risk assessment and an All-Hazards approach.12025-05-29
K-0511Have properly installed electrical wiring and gas equipment.12024-04-04
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-04-04
K-0351Install an approved automatic sprinkler system.12024-04-04

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Emergency Preparedness Deficiencies 2
  • Services Deficiencies 2
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Emergency Preparedness Deficiencies2
Services Deficiencies2
Egress Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 16, 2026 — 1 citation

Citations issued on July 16, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 17, 2026)

May 29, 2025 — 3 citations

Citations issued on May 29, 2025
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (June 20, 2025)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (June 20, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (June 20, 2025)

April 4, 2024 — 4 citations

Citations issued on April 4, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 6, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 26, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 5, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (April 6, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.