nursing home in Denison, TX
The Homestead of Denison
1101 Reba McEntire Lane, Denison, TX 75020 · (903) 463-4663
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Homestead of Denison at a glance
The Homestead of Denison is a 140-bed for-profit nursing home in Denison, Texas (Grayson County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3.3 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (March 26, 2026) found 7 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $29,991.
Nursing staff turnover is 58.3% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 140
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Priority Management
- Medicare-certified since
- November 4, 1993
- Resident/family council
- Resident
- County
- Grayson County
- CMS Certification Number
- 675212
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.31 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.30 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.83 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.96 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 58.3% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 60 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $29,991 | $44,141 | $30,972 | Average |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 140 | 113 | 107 | |
| Average residents per day | 70 | 76 | 86 | |
| Occupancy | 49.9% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.8% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.5% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.8% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11.7% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 5.3% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 48.1% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 5.6% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.7% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 28 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 19, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 24, 2026 |
| March 26, 2026 Fire safety | Meet other general requirements that are deficient. Egress Deficiencies · Tag K0300 | F Potential harm, widespread | Corrected April 1, 2026 |
| March 26, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected May 1, 2026 |
| March 26, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected May 1, 2026 |
| March 26, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 27, 2026 |
| March 26, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected March 27, 2026 |
| March 26, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected March 27, 2026 |
| March 26, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 27, 2026 |
| March 26, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 27, 2026 |
| March 26, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 27, 2026 |
| July 16, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Past Non-Compliance |
| January 3, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected December 30, 2024 |
| January 3, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 4, 2025 |
| January 3, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected January 4, 2025 |
| January 3, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected January 4, 2025 |
| January 3, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 27, 2024 |
| January 3, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 4, 2025 |
| January 3, 2025 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected January 4, 2025 |
| January 3, 2025 Standard | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected January 4, 2025 |
| November 6, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 22, 2024 |
| January 4, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected January 19, 2024 |
| January 4, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected January 19, 2024 |
| January 4, 2024 Complaint | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Tag F0635 | D Potential harm, isolated | Corrected January 19, 2024 |
| November 10, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected November 13, 2023 |
| November 10, 2023 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected December 20, 2023 |
| November 10, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected November 16, 2023 |
| November 10, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected November 11, 2023 |
| November 10, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected July 26, 2023 |
| November 10, 2023 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected November 11, 2023 |
| November 10, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected November 14, 2023 |
| November 10, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 14, 2023 |
| November 10, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected November 14, 2023 |
| November 10, 2023 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected November 14, 2023 |
| November 10, 2023 Complaint | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected November 14, 2023 |
| November 10, 2023 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected November 11, 2023 |
| October 14, 2023 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected October 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $29,991 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 16, 2025 | Fine | $14,271 |
| November 10, 2023 | Fine | $15,720 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY Organization | 5% or greater direct ownership interest | 100% | 04/01/2024 |
| BAUDER FAMILY INVESTMENTS, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 04/01/2024 |
| BOULWARE ST JAMES LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 04/01/2024 |
| PMG REALCO-DENISON LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 04/01/2024 |
| BAUDER FAMILY INVESTMENTS, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| BAUDER, KELLY Individual | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| BAUDER, MADISON Individual | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| BAUDER, PARKER Individual | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| BAUDER, WILLIAM Individual | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| BOULWARE, STEVEN Individual | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| BOULWARE ST JAMES LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| BOULWARE, THOMAS Individual | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| BRIDGEPOINTE FINANICAL SERVICES, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| INNOVATIVE NURSE CONSULTING, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| LANGE, TYLER Individual | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| PMG OPCO-DENISON, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| PMG REALCO-DENISON LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| PRIORITY MANAGEMENT GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| PROGRESSIVE REHAB SOLUTIONS, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| STEVEN BOULWARE FAMILY INVESTMENTS LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| TORRES RAMOS, RANDOLPH Individual | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| WALKER, KATIE Individual | adp of the snf | NOT APPLICABLE | 04/01/2024 |
| SANDERSON, CLARK Individual | corporate director | NOT APPLICABLE | 04/01/2024 |
| BOULWARE, DOUGLAS Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/30/2025 |
| BOULWARE, SANDRA Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/30/2025 |
| BAUDER, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 04/01/2024 |
| BOULWARE, STEVEN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2024 |
| LANGE, TYLER Individual | operational/managerial control | NOT APPLICABLE | 04/01/2024 |
| PMG OPCO-DENISON, LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2024 |
| TORRES RAMOS, RANDOLPH Individual | operational/managerial control | NOT APPLICABLE | 04/01/2024 |
| INNOVATIVE NURSE CONSULTING, LLC Organization | trustee of the snf | NOT APPLICABLE | 04/01/2024 |
| PRIORITY MANAGEMENT GROUP, LLC Organization | trustee of the snf | NOT APPLICABLE | 04/01/2024 |
Other nursing homes near The Homestead of Denison
Avir at Memorial
1300 Memorial Dr, Denison, TX 75020 · under 1 mi
For-profit · 136 beds · Part of Fundamental Healthcare
★★★★★1Much below averageWoodlands Place Rehabilitation Suites
5600 Woodlands Trail, Denison, TX 75020 · 1.6 mi
For-profit · 133 beds · Part of Fundamental Healthcare
★★★★★3Average- ★★★★★2Below average
Beacon Hill
3515 S Park Ave, Denison, TX 75020 · 3.5 mi
For-profit · 150 beds · Part of Cantex Continuing Care
★★★★★4Above averageSouthern Pointe Living Center
101 Sherrard Drive, Colbert, OK 74733 · 6.2 mi
For-profit · 95 beds · Part of Bgm Estate
★★★★★1Much below averageAvir at Sherman
1000 Sara Swamy Drive, Sherman, TX 75090 · 7.2 mi
For-profit · 132 beds · Part of Avir Health Group
★★★★★2Below average
Frequently asked questions
What is The Homestead of Denison's rating?
The Homestead of Denison has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did The Homestead of Denison receive?
Its most recent standard health inspection found 7 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does The Homestead of Denison accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Homestead of Denison?
It is for profit - limited liability company and part of Priority Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Homestead of Denison and how do I contact it?
The Homestead of Denison is at 1101 Reba McEntire Lane, Denison, TX 75020. Phone: (903) 463-4663.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.