Federal inspection record · CMS data as of October 1, 2026
Cross Timbers Rehabilitation and Healthcare Center
3315 Cross Timbers Rd, Flower Mound, TX · (972) 724-0996
- Certified beds
- 120
- Residents per day
- 93
- Ownership
- For-Profit
- Chain
- Nexion Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 28, 1997
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Cross Timbers Rehabilitation and Healthcare Center carries 47 inspection points. That is fewer than 70% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care7E
- D
Provide appropriate foot care.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service4E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- D
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 limited.
Resident Rights3E
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
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.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary2F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-04-16
8 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-01-24
10 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
2023-11-29
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 43 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 43 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 27% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,281 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-11 | Fine | $8,281 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts better | 96.7% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine29.9 pts worse | 67.1% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 1.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.6 pts better | 0.7% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 2.3% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.3 pts worse | 21.1% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.7 pts worse | 13.5% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.5 pts better | 10.4% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.5 pts better | 11.3% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts better | 10.7% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 2.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.5 pts worse | 80.2% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.4 pts better | 5.8% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.9 pts worse | 64.5% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts worse | 27.5% | 25.5% | 23.4% |
·
Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Eastland Memorial Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 34 facilities |
| Fallon, John | Operational/Managerial Control · Individual | 0% | 20 facilities |
| Kirley, Francis | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Lee, Brian | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Nexion Health At Flower Mound, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Oswald, John | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Pierce, Daniel | Operational/Managerial Control · Individual | 0% | 16 facilities |
| Riner, Meera | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Wright, Laban | W-2 Managing Employee · Individual | 0% | 12 facilities |
| Wright, Laban | Corporate Officer · Individual | 0% | 12 facilities |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness4F
- F
Establish policies and procedures for volunteers.
- F
Establish roles under a Waiver declared by secretary.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Include a process for Emergency Preparedness collaboration.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- F
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress2F
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Have properly located and lighted "Exit" signs.
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Hollymead
Flower Mound, TX · Cantex Continuing Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 43 min
- Fines
- $9,110
-
Rambling Oaks Courtyard Extensive Care Community
Highland Village, TX
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 59 min
- Fines
- $31,265
-
Lake Village Nursing And Rehabilitation Center
Lewisville, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 59 min
- Fines
- $24,585