Nursing HomeInspections

The Homestead of Denison

Nursing home in Denison, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (903) 463-4663Send a messageMap ↗

Public-record details

Address
1101 Reba McEntire Lane, Denison, TX 75020
Phone
(903) 463-4663
Listed under
For-profit
Medicare CCN
675212
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
140
Average residents per day
70
Ownership
For-profit, limited Liability company
Legal business name
Fannin County Hospital Authority
Chain
Priority Management (38 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 4, 1993
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675212. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 26, 2026. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 14, 2023 to Mar 26, 2026): 10 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 26, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 26, 2026Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Mar 26, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
Mar 26, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Mar 26, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Jul 16, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
J
Immediate jeopardy, isolated
Jan 3, 2025Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration
D
Potential for more than minimal harm, isolated
Jan 3, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 3, 2025Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration
D
Potential for more than minimal harm, isolated
Jan 3, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Jan 3, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 27. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $29,991 in the last three years.

Jul 16, 2025Fine: $14,271
Nov 10, 2023Fine: $15,720

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.31 hours
Registered nurse (RN) time per resident per day
0.30 hours
Nurse aide time per resident per day
1.83 hours
Total nurse staffing on weekends
2.96 hours
Nursing staff turnover (yearly)
58%
RN turnover (yearly)
67%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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