Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cottonwood Creek Healthcare Community during CMS and state inspections, most recent first.
Surveyors identified multiple deficiencies in food storage and labeling practices, including unlabeled and improperly sealed food items in both the refrigerator and freezer, as well as the absence of garbage receptacles at handwashing sinks. Dietary staff confirmed responsibility for labeling and acknowledged that improperly stored food would not be used due to safety concerns.
A deficiency was identified due to the absence of a pest control program to prevent or manage mice, insects, or other pests within the facility.
The facility did not keep an area free from accident hazards and failed to provide adequate supervision to prevent accidents, as observed by surveyors. Staff did not implement sufficient monitoring or protective measures to address environmental risks.
A resident with schizophrenia and Alzheimer's disease was allowed to possess cigarettes unsupervised inside the facility, despite a care plan and facility policy requiring smoking materials to be secured and only provided under direct supervision. Staff knowingly permitted the resident to hold cigarettes to manage her behaviors, and the care plan did not initially reflect this practice.
A housekeeper left soiled linens inappropriately on the floor and on top of a trash barrel after cleaning a room, due to the laundry room being locked and lack of available containers. Despite prior in-service training and facility policy requiring soiled linens to be placed in covered hampers and not left on the floor, these procedures were not followed, as confirmed by interviews and record review.
Two residents requiring respiratory care did not have their respiratory equipment, including nasal cannulas, breathing masks, and CPAP masks, properly stored when not in use. Equipment was found unbagged and in contact with surfaces, contrary to infection control expectations. Staff and leadership confirmed the need for bagging such items, but no specific policy was in place and proper procedures were not followed.
The facility's kitchen failed to meet professional standards for food safety, with issues in labeling, dating, and sealing food items, as well as inadequate sanitation of the ice machine and kitchen floor. Dietary staff acknowledged these issues, and the administrator was unaware of the concerns until the survey, indicating a lack of oversight.
The facility failed to develop and implement comprehensive person-centered care plans for three residents, lacking measurable objectives and timeframes to meet their needs. One resident's care plan did not reflect PASRR recommendations, another lacked hospice services, and a third did not have consistent fall prevention measures in place. The absence of a dedicated MDS nurse contributed to these deficiencies.
The facility failed to ensure the secure storage of controlled medications in two medication carts, with compromised seals found on blister packaging cards of Tramadol, Hydrocodone-Acetaminophen, and Lorazepam. Despite correct narcotic counts, the compromised seals posed risks of drug diversion and contamination. LVNs were unsure of protocols, and the facility's policy requires altered medications to be discarded with a second nurse present.
The facility failed to maintain a clean and sanitary environment, with several resident rooms and high-traffic areas found to be unclean and unsanitary. Observations included dirt and stains in rooms and on hallway handrails. Interviews with housekeeping staff revealed a lack of clarity in cleaning procedures, and the administrator was unaware of these issues until the survey. The facility's cleaning policy was not effectively implemented.
Deficient Food Storage and Labeling Practices in Kitchen
Penalty
Summary
Surveyors observed multiple failures in the facility's kitchen regarding food storage, preparation, and labeling practices. During inspection, it was found that both handwashing sinks in the kitchen lacked garbage receptacles. In the refrigerator, several food items were not properly labeled or sealed, including three bags of meat patties that were undated and exposed to air, a box of diced tomatoes with visible mold growth, and a large container labeled as dry milk containing an unidentified red liquid that was not dated and exposed to air. In the freezer, a box of pork sausage patties was found with the inner bag exposed to air, and several bags of food items such as steak fries, shredded potatoes, and breaded items were either unlabeled, undated, or only had manufacturer dates, with some packaging exposed to air. Interviews with dietary staff confirmed that all staff were responsible for labeling and dating food items, and that food not properly labeled or sealed would not be used due to safety concerns. The facility's own policy, as well as the U.S. FDA Food Code, require that all foods stored in refrigerators or freezers be covered, labeled, and dated. The observed failures to follow these standards were documented during the survey, with staff acknowledging the potential for food safety issues if these practices were not followed.
Lack of Pest Control Program
Penalty
Summary
The facility did not have a pest control program in place to prevent or address the presence of mice, insects, or other pests. This deficiency was identified based on the lack of measures or systems to manage and control pests within the facility environment.
Failure to Maintain Safe Environment and Supervision
Penalty
Summary
The facility failed to ensure that an area was free from accident hazards and did not provide adequate supervision to prevent accidents. Surveyors observed that the environment contained hazards that could lead to resident accidents, and staff did not implement sufficient measures to monitor or protect residents from these risks. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Secure Smoking Materials and Provide Supervision
Penalty
Summary
The facility failed to ensure that a resident received adequate supervision and assistance devices to prevent accidents, specifically regarding the management of smoking materials. Observation revealed that a female resident with diagnoses of unspecified schizophrenia and Alzheimer's disease, and a BIMS score indicating intact cognition, was found holding a pack of cigarettes while sitting near the nurse's station. Staff were aware of the resident's possession of cigarettes but did not retrieve them, citing concerns that doing so would upset her. The resident was later observed still holding the cigarettes and requesting to be taken outside to smoke, although she did not have a lighter in her possession. Review of the resident's care plan and smoking assessment indicated that she required staff supervision while smoking due to her cognitive status. The care plan did not initially document the practice of allowing the resident to hold her cigarette pack, and facility policy required that smoking materials be kept secured at the nurse's station, with residents without independent smoking privileges not permitted to have smoking articles except under direct supervision. The administrator acknowledged that staff provided the resident with cigarettes to calm her, despite the policy and care plan interventions, and recognized the potential danger if the resident obtained a lighter.
Improper Handling and Storage of Soiled Linens
Penalty
Summary
The facility failed to ensure proper handling, storage, processing, and transportation of soiled linens to prevent the spread of infection on Hall D. Observations revealed that a large transparent plastic bag containing soiled bed linens and a pillow was left on the floor in front of the laundry room door, and another bag containing a soiled hospital gown was placed on top of a trash barrel. The housekeeper responsible, HK A, stated she left the linen on the floor because the laundry room door was locked and she did not have a key, and placed the bag of gowns on the trash can lid due to the lack of another available barrel. Both the DON and the HK Supervisor confirmed that these actions were not in accordance with facility policy and created an infection control issue. Record review showed that HK A had previously received in-service training on proper linen handling, which directed that all soiled linen must be placed in a plastic bag before removal from a room and stored only in the laundry room, never on the floor. The facility's policy also required soiled linen to be placed directly into a covered laundry hamper. Despite this training, the observed actions did not comply with established protocols, as confirmed by staff interviews and documentation.
Improper Storage of Respiratory Equipment for Residents Requiring Respiratory Care
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for two residents who required such care, as evidenced by improper storage of respiratory equipment. For one resident with chronic obstructive pulmonary disease, the nasal cannula attached to a portable oxygen tank was observed hanging on the back of her wheelchair, unbagged, with the prongs touching the wheelchair brake. The resident confirmed that she used this nasal cannula whenever she left her room. A licensed vocational nurse (LVN) acknowledged that the nasal cannula should have been bagged when not in use to prevent infection and disposed of the improperly stored cannula upon discovery. For another resident diagnosed with respiratory failure and obstructive sleep apnea, both the breathing mask for nebulizer treatments and the CPAP mask were found unbagged—one on top of a side table and the other inside a drawer. The resident was unaware of where staff stored these items after use. Upon observation, an LVN confirmed that both masks should have been bagged when not in use and took steps to replace and clean the equipment. Interviews with the Director of Nursing (DON) and the Administrator confirmed that the expectation was for all respiratory equipment, including nasal cannulas, breathing masks, and CPAP masks, to be bagged when not in use to prevent cross-contamination and infection. However, the facility did not have a specific policy in place for bagging these items, and staff failed to consistently follow infection control practices as required by professional standards and the residents' care plans.
Food Safety and Sanitation Deficiencies in Facility Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed in their only kitchen. The deficiencies included improper labeling and dating of food items in both the refrigerator and freezer, which did not comply with U.S. Food and Drug Administration guidelines. Additionally, several food items were found unsealed and exposed to air-borne contaminants, and expired foods were not discarded as per guidelines. These lapses in food storage practices were identified during a survey, highlighting a lack of compliance with established food safety protocols. The kitchen's sanitation was also found to be inadequate. The ice machine in the kitchen area was not thoroughly cleaned, with dust and dirt particles observed on the outside and light dirt stains on the inside panel. The kitchen floor and the drain cover in the dry food storage area were also noted to have dirt and stains, indicating a failure to maintain cleanliness. These observations were corroborated by interviews with dietary staff, who acknowledged the issues and the potential risk of making residents sick due to these unsanitary conditions. Interviews with the dietary staff and the administrator revealed a lack of awareness and oversight regarding these deficiencies. The dietary manager, who had been at the facility for six months, stated that the entire kitchen staff was responsible for food storage and cleanliness, but admitted that a deep cleaning had not been conducted for two months. The administrator was unaware of the concerns until informed during the survey, emphasizing a gap in communication and monitoring of food safety practices within the facility.
Deficiencies in Comprehensive Care Planning
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for three residents, which included measurable objectives and timeframes to meet their medical, nursing, mental, and psychosocial needs. For one resident, the care plan did not reflect or identify the needs or services provided as per the PASRR recommendations, despite the resident having a mental illness diagnosis. Another resident's care plan did not include hospice needs or services, even though the resident was admitted to hospice care. These omissions indicate a lack of comprehensive planning to address the specific needs of these residents. Additionally, the facility did not implement care plan interventions consistently across all shifts for a resident at risk for falls. Observations revealed that the fall prevention measures, such as the placement of a fall mat, were not consistently in place, leading to an incident where the resident sustained an injury from a fall. This inconsistency in implementing care plan interventions highlights a gap in ensuring the safety and well-being of the resident. Interviews with facility staff, including the DON and ADON, revealed that the absence of a dedicated MDS nurse contributed to the deficiencies in care planning. The interdisciplinary team was responsible for reviewing and updating care plans, but the lack of a specific individual to oversee this process led to gaps in care plan implementation. The facility's policy on comprehensive person-centered care plans emphasizes the need for measurable objectives and timeframes, which were not adequately met in these cases.
Inadequate Pharmaceutical Services and Medication Security
Penalty
Summary
The facility failed to provide adequate pharmaceutical services by not ensuring the secure storage of controlled medications in two medication carts. During an observation and interview, it was found that medication cart #1 contained a blister packaging card of Tramadol with two seals not intact, and a card of Hydrocodone-Acetaminophen with one seal not intact. Despite the narcotic log count sheet reflecting the correct count, the seals' integrity was compromised, posing a risk of drug diversion and contamination. LVN B, a new hire, was unsure of the facility's protocol for handling such situations but acknowledged the best practice would be to discard the compromised pills with a second nurse. Similarly, medication cart #2 was found to have a blister packaging card of Lorazepam with one seal not intact. LVN C was unaware of the broken seal and stated that the nurses were responsible for checking the medication blister packs during narcotic counts at shift changes. The count was correct, but the broken seal was not noticed during the count. The facility's policy requires that any drug containers with missing or incorrect labels be returned to the pharmacy, and any altered medications should be discarded with a second nurse present, as confirmed by the DON.
Facility Fails to Maintain Clean and Sanitary Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents, as evidenced by observations of unclean and unsanitary conditions in several resident rooms and high-traffic areas. Specifically, rooms #202, #204, #205, #206, #286, #288, #290, and #291 were found to have various cleanliness issues, including dirt particles and stains in the corners of floors, dirty air vents, and stained shower fixtures. Additionally, the handrails in the hallways were observed to have long streaks of dark brownish stains, indicating a lack of thorough cleaning and sanitization. Interviews with housekeeping staff revealed a lack of clarity and communication regarding cleaning responsibilities and procedures. Housekeeping staff, including a housekeeper and the housekeeping supervisor, acknowledged the cleanliness issues and the potential risk of residents getting sick due to these conditions. The housekeeping supervisor mentioned that high-touch areas like handrails were supposed to be cleaned frequently, but there was uncertainty about the frequency of deep cleaning in resident rooms and the maintenance of air filters. The facility's administrator was unaware of the cleanliness concerns until they were brought to her attention during the survey. She expressed that her expectation was for housekeeping to ensure thorough cleaning of both resident rooms and common areas. The facility's policy on cleaning and disinfecting environmental surfaces, which references CDC recommendations and OSHA standards, was not being effectively implemented, leading to the observed deficiencies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Richardson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Richardson Nursing And Rehabilitation | 0.6 mi | ★★★★★ | 7 | 0 |
| The Plaza At Richardson | 1.2 mi | ★★★★★ | 3 | 0 |
| The Reserve At Richardson | 1.3 mi | ★★★★★ | 19 | 0 |
| Continuing Care At Highland Springs | 2.5 mi | ★★★★★ | 6 | 2 |
| Lindan Park Care Center Lp | 2.8 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.