CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
The Homestead of Denison is a 2-star Medicare and Medicaid certified nursing home in Denison, Texas with 140 certified beds. It has been operating since 1993. Its overall CMS rating is 2 out of 5.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2024 |
| BAUDER FAMILY INVESTMENTS, LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Apr 1, 2024 |
| BOULWARE ST JAMES LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Apr 1, 2024 |
| PMG REALCO-DENISON LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Apr 1, 2024 |
| SANDERSON, CLARK | CORPORATE DIRECTOR | Individual | N/A | Apr 1, 2024 |
| PMG OPCO-DENISON, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2024 |
| BAUDER, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2024 |
| BOULWARE, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2024 |
| LANGE, TYLER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2024 |
| TORRES RAMOS, RANDOLPH | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2024 |
| BOULWARE, DOUGLAS | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Apr 30, 2025 |
| BOULWARE, SANDRA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Apr 30, 2025 |
| INNOVATIVE NURSE CONSULTING, LLC | TRUSTEE OF THE SNF | Organization | N/A | Apr 1, 2024 |
| PRIORITY MANAGEMENT GROUP, LLC | TRUSTEE OF THE SNF | Organization | N/A | Apr 1, 2024 |
| BAUDER FAMILY INVESTMENTS, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2024 |
| BOULWARE ST JAMES LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2024 |
| BRIDGEPOINTE FINANICAL SERVICES, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2024 |
| INNOVATIVE NURSE CONSULTING, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2024 |
| PMG OPCO-DENISON, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2024 |
| PMG REALCO-DENISON LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2024 |
| PRIORITY MANAGEMENT GROUP, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2024 |
| PROGRESSIVE REHAB SOLUTIONS, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2024 |
| STEVEN BOULWARE FAMILY INVESTMENTS LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2025 |
| BAUDER, KELLY | ADP OF THE SNF | Individual | N/A | Apr 1, 2024 |
| BAUDER, MADISON | ADP OF THE SNF | Individual | N/A | Apr 1, 2024 |
| BAUDER, PARKER | ADP OF THE SNF | Individual | N/A | Apr 1, 2024 |
| BAUDER, WILLIAM | ADP OF THE SNF | Individual | N/A | Apr 1, 2024 |
| BOULWARE, STEVEN | ADP OF THE SNF | Individual | N/A | Apr 1, 2024 |
| BOULWARE, THOMAS | ADP OF THE SNF | Individual | N/A | Apr 1, 2024 |
| LANGE, TYLER | ADP OF THE SNF | Individual | N/A | Apr 1, 2024 |
| TORRES RAMOS, RANDOLPH | ADP OF THE SNF | Individual | N/A | Apr 1, 2024 |
| WALKER, KATIE | ADP OF THE SNF | Individual | N/A | Apr 1, 2024 |
Compare CMS ratings and recorded fines for The Homestead of Denison and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 38 facilities. View all →