Texas › Grayson County › Denison
Denison Nursing and Rehab
601 E Hwy 69, Denison, TX 75021
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 71 beds, Denison Nursing and Rehab serves Denison in Grayson County, Texas and has taken Medicare and Medicaid residents since 1985.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 5.
Inspectors recorded 31 health deficiencies across the three most recent survey cycles (12, 16, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 43.7 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.8 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 60.0%.
Compared with county, state and nation
| Measure | This facility | Grayson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 31 | 30 | 25 | 28.7 |
| Citations per 100 beds | 43.7 | 21.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 60.0% | 60.0% | 52.1% | 45.8% |
| Fines listed | $8,281 | $29,991 | $16,801 | — |
County and state figures are medians across facilities (11 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Jul 2025, 16 May 2024.
Severity mix: J ×1 D ×22 E ×4 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 30 Apr 2026 |
| 29 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 30 Apr 2026 |
| 10 Feb 2026 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint investigation | 17 Mar 2026 |
| 2 Jul 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 25 Jul 2025 |
| 2 Jul 2025 | F0727 | 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. | F | Standard survey | 3 Jul 2025 |
| 2 Jul 2025 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 25 Jul 2025 |
| 2 Jul 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 25 Jul 2025 |
| 2 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Jul 2025 |
| 2 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Jul 2025 |
| 2 Jul 2025 | F0690 | 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 | Standard survey | 25 Jul 2025 |
| 2 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 25 Jul 2025 |
| 2 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 25 Jul 2025 |
| 9 Jun 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 29 Jun 2025 |
| 16 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Jun 2025 |
| 16 May 2025 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | D | Complaint investigation | 12 Jun 2025 |
| 16 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 16 Jun 2025 |
| 10 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 14 Apr 2025 |
| 10 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 11 Apr 2025 |
| 10 Apr 2025 | F0761 | 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 | Complaint investigation | 11 Apr 2025 |
| 5 Mar 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 24 Mar 2025 |
| 5 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 24 Mar 2025 |
| 5 Mar 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 24 Mar 2025 |
| 5 Mar 2025 | F0761 | 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 | Complaint investigation | 24 Mar 2025 |
| 16 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 5 Jun 2024 |
| 16 May 2024 | F0727 | 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. | E | Complaint investigation | 5 Jun 2024 |
| 16 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 5 Jun 2024 |
| 16 May 2024 | F0761 | 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 | Complaint investigation | 5 Jun 2024 |
| 16 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 5 Jun 2024 |
| 9 Nov 2023 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 10 Nov 2023 |
| 16 Feb 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 17 Feb 2023 |
| 16 Feb 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 Feb 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 May 2025 | Fine | $8,281 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 60.0%, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.4% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Msl Denison Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Troy Issac Seperate Property Tr | 5% or greater direct ownership interest | 5% | 01/04/2021 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Grayson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Beacon Hill | Denison | 150 | 4 | 4 | 3 | 21 | 14.0 | — | 26 May 2026 |
| Cedar Hollow Rehabilitation Center | Sherman | 142 | 3 | 3 | 2 | 30 | 21.1 | $32K | 12 Jun 2026 |
| Meadowbrook Care Center | Van Alstyne | 60 | 3 | 2 | 2 | 17 | 28.3 | $14K | 5 May 2026 |
| The Homestead of Denison | Denison | 140 | 3 | 3 | 1 | 27 | 19.3 | $30K | 26 Mar 2026 |
| Woodlands Place Rehabilitation Suites | Denison | 133 | 3 | 2 | 2 | 24 | 18.0 | $110K | 26 Feb 2026 |
| Avir At Sherman | Sherman | 132 | 2 | 3 | 1 | 34 | 25.8 | — | 2 Jun 2026 |
| Texoma Healthcare Center | Sherman | 179 | 2 | 3 | 1 | 37 | 20.7 | $16K | 16 Jun 2026 |
| Whitesboro Health and Rehabilitation Center | Whitesboro | 95 | 2 | 3 | 1 | 15 | 15.8 | $30K | 30 Jan 2026 |
All 11 facilities in Grayson County
Questions and answers
How many deficiencies has Denison Nursing and Rehab been cited for?
31 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Denison Nursing and Rehab been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Denison Nursing and Rehab compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Denison Nursing and Rehab?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Troy Issac Seperate Property Tr. Individual owners and managers are not listed on this site.
When was Denison Nursing and Rehab last inspected?
The most recent survey or investigation in the CMS record is dated 29 Apr 2026; the most recent standard health survey was 2 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.