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Nursing home report

The Homestead of Denison

Denison, TX · Medicare-certified · 140 beds

Needs attention
Abuse citationFor-profitChain member
1 of 5 overall

The Homestead of Denison in Denison, TX has an overall rating of 1 out of 5 stars, with 1-star staffing and 2-star health inspection results. Reported nurse staffing is 3.37 hours per resident per day versus the 4.1-hour federal benchmark, and the facility has had $14,271 in fines in the last 24 months along with a recent abuse citation.

Facility ratings

Health inspections

Staffing

3.368 hrs/resident/day

Quality measures

Last inspection: July 16, 2025Penalties, last 24 months: $14,271recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.368.

Staffing detail

Registered nurses
0.29
Licensed practical nurses
1.24
Nurse aides
1.83
Weekend nursing
3.03

Hours per resident per day.

Total staff turnover: 66%
Registered nurse turnover: 89%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

9.7%10.8%Worsening

Residents with a fall causing major injury

3.3%0%Improving

Residents with pressure ulcers (bedsores)

5.1%1%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

4.9%2%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

35.6%2.1%Improving

Residents whose ability to walk got worse

18.1%5.6%Improving

Long-stay residents on antianxiety or sleep medication

42.6%44.9%Worsening

Short-stay residents newly given an antipsychotic

5%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

15.9%5.3%Improving

Residents with depressive symptoms

3.6%7.4%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

100%

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited November 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited January 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $14,271 was recorded.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $29,991 in total fines.

  • Federal fine

    Jul 16, 2025

    $14,271
  • Federal fine

    Nov 10, 2023

    $15,720

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of PRIORITY MANAGEMENT · 38 homes · 2.6 stars avg
Occupancy
69.6 residents on an average day (50% of 140 beds)
Resident voice
Resident council
Medicare history
Certified for 32 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.