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HomeTexasThe Homestead of Denison

The Homestead of Denison

1101 Reba McEntire Ln, Denison, TX 750209034634663WebsiteGoogle Maps
3.9on Google(83 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
5/5
Beds
140
certified
This facility has been flagged for abuse.
2 fine(s) totaling $29,991

How The Homestead of Denison Compares in Texas

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.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.31 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.30 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
58.3%
TX average
55.3%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported RN time is 0.30 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
17
deficiency citations
Inspected Jan 3, 2025
Most recent cycle
7
deficiency citations
Inspected Mar 26, 2026
The most recent cycle recorded 10 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Grayson County 65+
24,528
17.9% of county
County Population
137,008
Grayson County

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.

Beds
140
Avg Residents/Day
69.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 4, 1993
Sprinklers
Yes
Council
Resident
County
Grayson
Last Inspection
Mar 26, 2026
Deficiencies (Cycle 1)
7
Weighted Score
69.0
Infection Citations
0

Deficiency Citations (29)

F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 26, 2026Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 16, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jan 3, 2025Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jan 3, 2025Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jan 3, 2025Corrected: NoCycle: 2
F0770Potential for Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey: Jan 3, 2025Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jan 3, 2025Corrected: NoCycle: 2
F0867Potential for Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey: Jan 3, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 3, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 6, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jan 4, 2024Corrected: NoCycle: 3
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jan 4, 2024Corrected: NoCycle: 3
F0635Potential for Harm

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Survey: Jan 4, 2024Corrected: NoCycle: 3
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 10, 2023Corrected: NoCycle: 3
F0727Potential for Harm

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.

Survey: Nov 10, 2023Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Nov 10, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 10, 2023Corrected: NoCycle: 3
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Nov 10, 2023Corrected: NoCycle: 3
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Nov 10, 2023Corrected: NoCycle: 3
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Nov 10, 2023Corrected: NoCycle: 3
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Nov 10, 2023Corrected: NoCycle: 3
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Oct 14, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 13, 2023Corrected: NoCycle: 3
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Jul 13, 2023Corrected: NoCycle: 3
Total Fines
$29,991
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJul 16, 2025
$14,271
FineNov 10, 2023
$15,720

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.83 hrs
National avg: 2.32 hrs
LPN1.19 hrs
National avg: 0.86 hrs
RN0.30 hrs
National avg: 0.69 hrs
Total Nursing3.31 hrs
National avg: 3.86 hrs
Weekend Total2.96 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
58.3%
RN Turnover
66.7%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (32)

NameRoleTypeOwnership %Since
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2024
BAUDER FAMILY INVESTMENTS, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AApr 1, 2024
BOULWARE ST JAMES LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AApr 1, 2024
PMG REALCO-DENISON LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AApr 1, 2024
SANDERSON, CLARKCORPORATE DIRECTORIndividualN/AApr 1, 2024
PMG OPCO-DENISON, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2024
BAUDER, WILLIAMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2024
BOULWARE, STEVENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2024
LANGE, TYLEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2024
TORRES RAMOS, RANDOLPHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2024
BOULWARE, DOUGLASINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 30, 2025
BOULWARE, SANDRAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AApr 30, 2025
INNOVATIVE NURSE CONSULTING, LLCTRUSTEE OF THE SNFOrganizationN/AApr 1, 2024
PRIORITY MANAGEMENT GROUP, LLCTRUSTEE OF THE SNFOrganizationN/AApr 1, 2024
BAUDER FAMILY INVESTMENTS, LLCADP OF THE SNFOrganizationN/AApr 1, 2024
BOULWARE ST JAMES LLCADP OF THE SNFOrganizationN/AApr 1, 2024
BRIDGEPOINTE FINANICAL SERVICES, LLCADP OF THE SNFOrganizationN/AApr 1, 2024
INNOVATIVE NURSE CONSULTING, LLCADP OF THE SNFOrganizationN/AApr 1, 2024
PMG OPCO-DENISON, LLCADP OF THE SNFOrganizationN/AApr 1, 2024
PMG REALCO-DENISON LLCADP OF THE SNFOrganizationN/AApr 1, 2024
PRIORITY MANAGEMENT GROUP, LLCADP OF THE SNFOrganizationN/AApr 1, 2024
PROGRESSIVE REHAB SOLUTIONS, LLCADP OF THE SNFOrganizationN/AApr 1, 2024
STEVEN BOULWARE FAMILY INVESTMENTS LLCADP OF THE SNFOrganizationN/AApr 1, 2025
BAUDER, KELLYADP OF THE SNFIndividualN/AApr 1, 2024
BAUDER, MADISONADP OF THE SNFIndividualN/AApr 1, 2024
BAUDER, PARKERADP OF THE SNFIndividualN/AApr 1, 2024
BAUDER, WILLIAMADP OF THE SNFIndividualN/AApr 1, 2024
BOULWARE, STEVENADP OF THE SNFIndividualN/AApr 1, 2024
BOULWARE, THOMASADP OF THE SNFIndividualN/AApr 1, 2024
LANGE, TYLERADP OF THE SNFIndividualN/AApr 1, 2024
TORRES RAMOS, RANDOLPHADP OF THE SNFIndividualN/AApr 1, 2024
WALKER, KATIEADP OF THE SNFIndividualN/AApr 1, 2024

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for The Homestead of Denison and nearby alternatives.

All Texas facilities
The Homestead of Denison
Denison, TXCurrent facilityAbuse flag
CMS
2/5
Health
2/5
Staffing
1/5
Recorded fines: $29,991
The Terrace at Denison
Denison, TX1,584 ft
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $47,097
Woodlands Place Rehabilitation Suites
Denison, TX1.6 mi
CMS
3/5
Health
2/5
Staffing
2/5
Recorded fines: $109,954
Denison Nursing and Rehab
Denison, TX2.3 mi
CMS
2/5
Health
2/5
Staffing
1/5
Recorded fines: $8,281
Beacon Hill
Denison, TX3.5 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Avir at Sherman
Sherman, TX7.2 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
Texoma Healthcare Center
Sherman, TX7.8 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $16,441
FacilityDistanceCMSHealthStaffingRecorded fines
The Homestead of Denison
Denison, TX · Current facility
—2/52/51/5$29,991
The Terrace at Denison
Denison, TX
1,584 ft1/52/51/5$47,097
Woodlands Place Rehabilitation Suites
Denison, TX
1.6 mi3/52/52/5$109,954
Denison Nursing and Rehab
Denison, TX
2.3 mi2/52/51/5$8,281
Beacon Hill
Denison, TX
3.5 mi4/54/53/5None recorded
Avir at Sherman
Sherman, TX
7.2 mi2/53/51/5None recorded
Texoma Healthcare Center
Sherman, TX
7.8 mi2/53/51/5$16,441

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.

Frequently Asked Questions

What is the CMS rating for The Homestead of Denison?▾
The Homestead of Denison has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 5/5. This facility is rated below average.
How much does The Homestead of Denison cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). The Homestead of Denison participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has The Homestead of Denison had any health inspection violations?▾
The Homestead of Denison had 7 deficiency citations in its most recent health inspection (Mar 26, 2026). The current CMS dataset records 2 fine(s) totaling $29,991.
What are the staffing levels at The Homestead of Denison?▾
The Homestead of Denison provides 3.31 total nursing staff hours per resident per day, including 0.30 RN hours, 1.19 LPN hours, and 1.83 nurse aide hours. The total staff turnover rate is 58.3%.
How many beds does The Homestead of Denison have?▾
The Homestead of Denison has 140 certified beds with an average of 69.9 residents per day, resulting in approximately 50% occupancy. The facility is For profit - Limited Liability company owned and is part of the Priority Management chain.
Are there other nursing homes near The Homestead of Denison?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 4 in Denison. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about The Homestead of Denison?▾
On Google Maps, The Homestead of Denison has a rating of 3.9 out of 5 based on 83 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Priority Management

This chain operates 38 facilities. View all →