The Homestead of Denison
1101 Reba McEntire Ln · Denison, TX · 75020 · 9034634663
140 certified beds For profit - Limited Liability company Chain: Priority Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results have improved across recent cycles.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
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.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 2 · $29,991 |
Inspection citations (29 in the current record)
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Potential for harm · E March 26, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · E March 26, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · D March 26, 2026
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 27, 2026 · Pharmacy Service
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Potential for harm · E March 26, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 27, 2026 · Nutrition and Dietary
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Potential for harm · D March 26, 2026
Provide and implement an infection prevention and control program.
Corrected March 27, 2026 · Infection Control
-
Immediate jeopardy · J July 16, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 3, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 4, 2025 · Quality of Life and Care
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Potential for harm · E January 3, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 4, 2025 · Pharmacy Service
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Potential for harm · D January 3, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected January 4, 2025 · Administration
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Potential for harm · F January 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 4, 2025 · Nutrition and Dietary
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Potential for harm · D January 3, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 4, 2025 · Administration
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Potential for harm · D January 3, 2025
Provide and implement an infection prevention and control program.
Corrected January 4, 2025 · Infection Control
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Potential for harm · D January 3, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 6, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 22, 2024 · Infection Control
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Potential for harm · D January 4, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 4, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 4, 2024 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected January 19, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · K November 10, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 26, 2023 · Quality of Life and Care
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Potential for harm · F November 10, 2023
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 November 11, 2023 · Nursing and Physician Services
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Potential for harm · E November 10, 2023
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 November 14, 2023 · Pharmacy Service
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Potential for harm · E November 10, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 14, 2023 · Nutrition and Dietary
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Potential for harm · E November 10, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected November 14, 2023 · Environmental
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Potential for harm · E November 10, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 14, 2023 · Environmental
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Potential for harm · D November 10, 2023 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected November 14, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 16, 2025 | Fine | $14,271 |
| November 10, 2023 | Fine | $15,720 |
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 675212 · certified since November 4, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.