Cross Timbers Rehabilitation And Healthcare Center
3315 CROSS TIMBERS RD, Flower Mound, TX, 75028
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 - Corporation · Chain: Nexion Health
- Certified beds
- 120 · avg 94 residents/day
- Total nursing staff turnover
- 50.6% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 45.5% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,281 total
State licensing & capacity
- License number
- 147508
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 13 Medicare-only · 107 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- June 18, 1997
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nexion Health At Flower Mound, Inc
- Administrator
- Kendra L King
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (9 on record)
- John Oswald
Operational/managerial Control · since 2022
- Laban Wright
Corporate Officer · since 2021
- Daniel Pierce
Operational/managerial Control · since 2021
- Brian Lee
Operational/managerial Control · since 2017
- Eastland Memorial Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2017
- Francis Kirley
Operational/managerial Control · since 2017
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 28)
- D0554·Nov 21, 2025Complaint
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
- 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.
- D0919·Jan 24, 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0804·Jan 24, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0761·Jan 24, 2025
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D0758·Jan 24, 2025
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is li…
- E0756·Jan 24, 2025
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E0755·Jan 24, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20251 fine · $8,281
Most recent events
- Sep 11, 2025Fine · $8,281
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Jan 24, 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
Cross Timbers Rehabilitation And Healthcare Center is a 120-bed nursing home in Flower Mound, Denton County, managed by Nexion Health. CMS rates it 3 stars overall, with a 4-star quality-of-care rating for long-stay residents but only 2 stars for short-stay residents. Two administrators left in the past year. The facility holds an active Texas license through April 2029 and accepts both Medicare and Medicaid.
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 — shared by about 19% of Texas nursing homes at that level. Each resident receives roughly 217 minutes of nursing care per day, about 24 minutes less than at a 4-star-staffing facility in Texas. Of that, approximately 32 minutes comes from a registered nurse, compared to 37 minutes at the 4-star threshold.
Two administrators left in the past year. Leadership transitions at that pace can disrupt care coordination, staff continuity, and how quickly family concerns get addressed.
One CMS fine totaling $8,281 was issued. That figure sits well below the Texas median of $20,699 among facilities that received any fine at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator and tenure
With two administrators departing in the past year, ask how long the current administrator Kendra L King has been in the role and whether she is expected to stay.
Short-stay care outcomes
CMS rates short-stay quality of care at 2 stars here — ask what conditions or therapies most short-stay residents come in for and what the typical discharge process looks like.
Daily nursing coverage on nights and weekends
Reported weekend nursing hours run at 3.35 hours per resident — ask how staffing levels on weekends and overnight shifts compare to weekday coverage.
Registered nurse presence each day
Reported RN hours average about 32 minutes per resident per day; ask whether a registered nurse is on-site around the clock or only during day shifts.
Resident Council participation and access
The facility has a Resident Council but no Family Council — ask how family members currently raise concerns and whether they can attend or submit issues to the Resident Council.
Nexion Health oversight structure
Cross Timbers is managed by Nexion Health — ask how often corporate clinical staff visit this location and who families contact when the on-site administrator is unavailable.
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.