Denison Nursing and Rehab
601 E Hwy 69 · Denison, TX · 75021 · 9034652438
71 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
72% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.89 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.05 | ≈ weekday level |
| Nursing turnover / year | 72% | median 45% |
| Fines (3-yr window) | 1 · $8,281 |
Inspection citations (32 in the current record)
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Potential for harm · D April 29, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 29, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D February 10, 2026 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected March 17, 2026 · Administration
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Potential for harm · E July 2, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 25, 2025 · Resident Rights
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Potential for harm · D July 2, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 25, 2025 · Quality of Life and Care
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Potential for harm · D July 2, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected July 25, 2025 · Quality of Life and Care
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Potential for harm · F July 2, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 25, 2025 · Nursing and Physician Services
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Potential for harm · F July 2, 2025
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.
Corrected July 3, 2025 · Nursing and Physician Services
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Potential for harm · D July 2, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 25, 2025 · Pharmacy Service
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Potential for harm · D July 2, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 25, 2025 · Nutrition and Dietary
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Potential for harm · F July 2, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected July 25, 2025 · Administration
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Potential for harm · E July 2, 2025
Provide and implement an infection prevention and control program.
Corrected July 25, 2025 · Infection Control
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Potential for harm · D June 9, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected June 29, 2025 · Environmental
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Immediate jeopardy · J May 16, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 16, 2025 · Quality of Life and Care
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Potential for harm · D May 16, 2025 · found via complaint
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected June 12, 2025 · Resident Rights
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Potential for harm · D May 16, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · D April 10, 2025 · found via complaint
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.
Corrected April 11, 2025 · Pharmacy Service
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Potential for harm · D March 5, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected March 24, 2025 · Quality of Life and Care
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Potential for harm · D March 5, 2025 · found via complaint
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.
Corrected March 24, 2025 · Pharmacy Service
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Potential for harm · E May 16, 2024 · found via complaint
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.
Corrected June 5, 2024 · Nursing and Physician Services
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Potential for harm · D May 16, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 5, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 16, 2025 | Fine | $8,281 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455563 · certified since October 16, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.