University Rehabilitation Center
2244 BRINKER ROAD, Denton, TX, 76208
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 146 · avg 104 residents/day
- Total nursing staff turnover
- 51.6% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $40,446 total
- Infection control citations
- 3
State licensing & capacity
- License number
- 311734
- Service type
- Medicare/medicaid
- Licensed capacity
- 146 beds
- Bed type breakdown
- 22 Medicare-only · 124 Medicaid/Medicare
- Current license effective
- December 1, 2023
- Current license expires
- December 1, 2026
- Initial license date
- December 4, 2003
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Denton Ii Enterprises, Llc
- Administrator
- Amy Lefco Heaney
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (7 on record)
- Denton ii Enterprises Llc
Operational/managerial Control · 100% · since 2023
- Gary r Blake
Operational/managerial Control · 50% · since 2023
- Honor x Enterprises, LlcHolding
Other · 100% · since 2023
- Linda f Huggins
Corporate Director · since 2023
- Malisa a Blake
Operational/managerial Control · 50% · since 2023
- West Wharton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
+ 1 additional owner on the federal record.
Recent change of ownership
December 2023 (2 years ago) · acquired from Senior Care at Denton Post Acute Care
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 36)
- D0755·Dec 11, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0695·Sep 11, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- J0689·Sep 11, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0656·Sep 11, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0689·Apr 17, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0812·Apr 17, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0584·Apr 17, 2025
Resident Rights Deficiencies
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.
- D0583·Apr 17, 2025
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Federal penalties
By year
- 20251 fine · $22K
- 20241 fine · $19K
Most recent events
- Sep 11, 2025Fine · $22K
- Feb 28, 2024Fine · $19K
Largest single fine on record: $22K.
Fire-safety citations
15 Life-Safety-Code citations on file. Most recent: Apr 17, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
University Rehabilitation Center is a 146-bed nursing home in Denton, TX, operated by Denton II Enterprises, LLC under a hospital district license. CMS rates it 1 star overall — its quality-measure rating is also 1 star. Two CMS fines totaling $40,446 have been assessed, and the facility is running at roughly 71% of licensed capacity. Staffing earns 3 stars, with residents receiving about 198 minutes of nursing care per day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — placing this facility among roughly the top 19% of Texas nursing homes at that tier. Each resident receives about 198 minutes of nursing care per day, which is approximately 43 minutes less than at a 4-star-staffing facility in Texas. RN coverage specifically runs at about 33 minutes per resident per day, compared to 37 minutes at the 4-star threshold.
The facility's quality-measure rating is 1 star — the lowest tier CMS assigns. This rating reflects how residents at this facility fare on tracked health outcomes, such as rates of falls, pressure wounds, and decline in daily functioning, compared to peers statewide.
One administrator has changed in the past year. A single transition in twelve months sits at an elevated level — not the high-churn pattern of two or more departures, but enough that leadership continuity is an open question.
CMS recorded two fines totaling $40,446 since the most recent processing date. The state median fine total among facilities that receive any fine is $20,699 — this facility's total runs roughly double that figure. About 30% of Texas nursing homes received no fines at all in the same period.
The facility is operating at approximately 71% of its 146 licensed beds, with about 104 residents on an average day. Paired with the 1-star overall and quality-measure ratings and the fine history, low occupancy here reflects a pattern that extends beyond a typical dip in demand.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Quality-measure rating of 1 star
Ask which specific health outcomes drove the 1-star quality-measure rating and what changes have been made to address them since the last inspection.
Two CMS fines totaling $40,446
Ask what the two fines were issued for, and what policies or staffing changes were put in place after each citation was resolved.
Current administrator tenure
With one administrator change recorded in the past year, ask how long the current administrator has been in the role and who oversees day-to-day operations under them.
Nursing coverage on weekends
CMS data shows weekend nursing hours at about 173 minutes per resident — below the already-below-threshold weekday figure; ask how staffing levels are maintained on Saturdays and Sundays.
Occupancy at 71% of licensed beds
Ask what accounts for the lower-than-typical census and whether any wings or units are currently closed or operating with reduced staff.
Resident Council activity
A Resident Council exists here but no Family Council; ask how often the Resident Council meets and how family members can raise concerns outside of that channel.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.