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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $14,271 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
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.