For profit - Limited Liability company · 140 certified beds · CMS number 675212
The Homestead of Denison, Denison, TX
CMS records 28 health deficiencies at The Homestead of Denison in Denison, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 26, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $29,991 in the last three years.
- 28deficiencies, 3 cycles (TX median 25)
- 7in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $29,991fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Homestead of Denison as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Homestead of Denison may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (7 deficiencies)
Standard inspection Mar 26, 2026. CMS counts 7 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 19, 2026 · Complaint inspection
1 deficiency, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 24, 2026
Mar 26, 2026 · Standard inspection
6 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 27, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 27, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 27, 2026
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 27, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 27, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 27, 2026
Previous cycle: 9 deficiencies (standard inspection Jan 3, 2025)
Standard inspection Jan 3, 2025. CMS counts 9 health deficiencies and 1 fire safety deficiency in this cycle.
Jul 16, 2025 · Complaint inspection
1 deficiency, highest J
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection)
Jan 3, 2025 · Standard + complaint inspection
7 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 4, 2025
F867 · Quality monitoring and improvement projects
Requirement cited (CMS): Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 4, 2025
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), May 27, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jan 4, 2025
F770 · Timely laboratory services
Requirement cited (CMS): Provide timely, quality laboratory services/tests to meet the needs of residents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 4, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 4, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 4, 2025
Nov 6, 2024 · Complaint inspection
1 deficiency, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 22, 2024
Earlier cycle: 12 deficiencies (standard inspection Nov 10, 2023)
Standard inspection Nov 10, 2023. CMS counts 12 health deficiencies and 4 fire safety deficiencies in this cycle.
Jan 4, 2024 · Complaint inspection
3 deficiencies, highest D
F635 · Doctor's orders at admission
Requirement cited (CMS): Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 19, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 19, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 19, 2024
Nov 10, 2023 · Standard + complaint inspection
8 deficiencies, highest K
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 14, 2023
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 14, 2023
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 11, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 14, 2023
F805 · Food prepared for individual needs
Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 14, 2023
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 14, 2023
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Nov 11, 2023
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Past non-compliance (fixed before the inspection), Jul 26, 2023
Oct 14, 2023 · Complaint inspection
1 deficiency, highest D
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 15, 2023
Tags cited in more than one inspection
4 tags cited on more than one inspection date at The Homestead of Denison; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 4 | Jul 19, 2026; Mar 26, 2026; Jan 3, 2025; Nov 6, 2024 |
| F812 Food safety and sanitation | 3 | Mar 26, 2026; Jan 3, 2025; Nov 10, 2023 |
| F677 Help with daily care | 2 | Mar 26, 2026; Jan 3, 2025 |
| F761 Drug labeling and secure storage | 2 | Mar 26, 2026; Nov 10, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jul 16, 2025 | Fine | $14,271 |
| Nov 10, 2023 | Fine | $15,720 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.31 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.30 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.96 h
- Nursing staff turnover
- 58.3% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 5 of 5
CMS figures for The Homestead of Denison, copied as published; Texas medians are ours.
Facility details
- Address
- 1101 Reba McEntire Lane, Denison, TX 75020
- Phone
- (903) 463-4663
- County
- Grayson
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Priority Management
- Certified beds
- 140
- Average residents per day
- 69.9
- In Medicare/Medicaid since
- Nov 4, 1993
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff track and report infections among residents? (F880, cited 4 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
Other nursing homes in Denison and the same chain
- Avir at Memorial
Denison · 37 deficiencies - Denison Nursing and Rehab
Denison · 31 deficiencies - Woodlands Place Rehabilitation Suites
Denison · 24 deficiencies - Beacon Hill
Denison · 21 deficiencies - Mabank Nursing Center
Mabank · 33 deficiencies - Ridgmar Medical Lodge
Fort Worth · 33 deficiencies - Broadmoor Medical Lodge
Rockwall · 32 deficiencies - Windmill Village Rehabilitation & Care Center
Lubbock · 28 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.