The Homestead of DenisonCMS ratings, inspections and fines
- Address
- 1101 Reba McEntire Lane, Denison, TX 75020
- CCN
- 675212
- Ownership type
- For-profit, limited liability company
- Certified beds
- 140
- Chain
- Priority Management
- Residents per day
- 70
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives The Homestead of Denison an overall rating of 3 of 5 stars. The last standard survey was on 26 Mar 2026. The latest survey cycle has 6 health citations. The median for nursing homes in Texas is 8. CMS lists 2 fines with a total of $29,991 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Grayson County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 11 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Mar 2026 | 6 | 8 |
| Cycle 2 | 3 Jan 2025 | 9 | 8 |
| Cycle 3 | No date | 12 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | 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 | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Mar 2026 |
| 26 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Mar 2026 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | Past Non-Compliance |
| 3 Jan 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 4 Jan 2025 |
| 3 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 4 Jan 2025 |
| 3 Jan 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 4 Jan 2025 |
| 3 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Jan 2025 |
| 3 Jan 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 27 May 2024 |
| 3 Jan 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 4 Jan 2025 |
| 3 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Jan 2025 |
| 6 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 22 Nov 2024 |
Survey cycle 3: 12 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Jan 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 19 Jan 2024 |
| 4 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Jan 2024 |
| 4 Jan 2024 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint investigation | 19 Jan 2024 |
| 10 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 26 Jul 2023 |
| 10 Nov 2023 | 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 | 11 Nov 2023 |
| 10 Nov 2023 | 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. | E | Standard survey | 14 Nov 2023 |
| 10 Nov 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 14 Nov 2023 |
| 10 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Nov 2023 |
| 10 Nov 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 11 Nov 2023 |
| 10 Nov 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 14 Nov 2023 |
| 10 Nov 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 14 Nov 2023 |
| 14 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 15 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 16 Jul 2025 | Fine | $14,271 | |
| 10 Nov 2023 | Fine | $15,720 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.31 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.30 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 1.19 | 0.95 | |
| Nurse aides | 1.83 | 2.00 | |
| All nurse staff, weekends | 2.96 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 58.3%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 66.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.7% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.8% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Fannin County Hospital Authority
- Chain
- Priority Management (38 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | 100% | 1 Apr 2024 |
| Boulware St James LLC | 5% or greater mortgage interest | 1 Apr 2024 | |
| PMG Realco-Denison LLC | 5% or greater mortgage interest | 1 Apr 2024 | |
| PMG Opco-Denison, LLC | Operational/managerial control | 1 Apr 2024 | |
| Innovative Nurse Consulting, LLC | Trustee of the snf | 1 Apr 2024 | |
| Priority Management Group, LLC | Trustee of the snf | 1 Apr 2024 | |
| Boulware St James LLC | Adp of the snf | 1 Apr 2024 | |
| Bridgepointe Finanical Services, LLC | Adp of the snf | 1 Apr 2024 | |
| Innovative Nurse Consulting, LLC | Adp of the snf | 1 Apr 2024 | |
| PMG Opco-Denison, LLC | Adp of the snf | 1 Apr 2024 | |
| PMG Realco-Denison LLC | Adp of the snf | 1 Apr 2024 | |
| Priority Management Group, LLC | Adp of the snf | 1 Apr 2024 | |
| Progressive Rehab Solutions, LLC | Adp of the snf | 1 Apr 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Grayson County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Avir at Memorial | Denison | 1 of 5 | 15 | $47,097 | 11 Sep 2025 | |
| Woodlands Place Rehabilitation Suites | Denison | 3 of 5 | 12 | $109,954 | 26 Feb 2026 | |
| Denison Nursing and Rehab | Denison | 2 of 5 | 12 | $8,281 | 2 Jul 2025 | |
| Beacon Hill | Denison | 4 of 5 | 10 | $0 | 18 Dec 2025 | |
| Avir at Sherman | Sherman | 2 of 5 | 17 | $0 | 5 Jun 2025 | |
| Texoma Healthcare Center | Sherman | 2 of 5 | 10 | $16,441 | 19 Mar 2026 | |
| Focused Care at ShermanSpecial Focus candidate | Sherman | 1 of 5 | 15 | $120,309 | 9 May 2025 | |
| Cedar Hollow Rehabilitation Center | Sherman | 3 of 5 | 8 | $31,673 | 7 May 2026 | |
| Whitesboro Health and Rehabilitation Center | Whitesboro | 2 of 5 | 9 | $30,253 | 15 May 2025 | |
| Meadowbrook Care Center | Van Alstyne | 3 of 5 | 13 | $14,069 | 3 Jul 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of The Homestead of Denison (CCN 675212). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-homestead-of-denison-denison-tx-675212/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was The Homestead of Denison last inspected?
- The latest inspection with a citation in the CMS record was on 26 Mar 2026. It was a standard survey. It gave 6 citations. The standard survey before the last one was on 3 Jan 2025.
- Who operates The Homestead of Denison?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Priority Management. The CMS ownership file names PMG Opco-Denison, LLC for operational or managerial control. This site does not show the names of persons.
- Is The Homestead of Denison a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.