Lilisity

Nursing home

The Homestead of Denison

1101 Reba Mcentire Ln, Denison, TX 75020 · Map
For profit - Limited Liability company · Part of Priority Management (38 facilities) · 140 certified beds

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The Homestead of Denison is a Medicare-certified nursing home in Denison, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.37 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jan 3, 2025 cited 8 deficiencies. Note: it carries a CMS abuse icon.

1 out of 5Overall CMS rating
2 out of 5Health inspections
1 out of 5Staffing
140 bedsCertified beds
  • CMS abuse iconThis facility has an active abuse icon on its CMS record.
  • 2 fines totaling $29,789In CMS records: 2 total penalties.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections2/5
Staffing1/5
Quality measures2/5
Long-stay quality3/5
Short-stay quality1/5

How The Homestead of Denison compares

This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityTexas avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.373.403.89below avg
RN staffing (hrs/resident/day)0.190.440.68below avg
Aide staffing (hrs/resident/day)2.122.012.34above avg
Nursing staff turnover70.3%51.5%46.4%above avg
Deficiencies cited, last inspection8.09.19.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.37Total nurse hrs/resident/day
0.19RN hrs/resident/day
1.06LPN hrs/resident/day
2.12Aide hrs/resident/day
3.10Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff70.3%
Registered nurses87.5%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jan 3, 2025Most recent inspection
8Deficiencies found
68Health inspection score
2Fines

Penalties in CMS records: 2 fines totaling $29,789, 2 total penalties.

What inspectors found at The Homestead of Denison

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Immediate jeopardy

    Protect 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 Deficiencies · Jul 16, 2025 · Full report (PDF)
  • Potential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies · Jan 3, 2025 · Full report (PDF)
  • Potential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pharmacy Service Deficiencies · Jan 3, 2025 · Full report (PDF)
  • Potential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies · Jan 3, 2025 · Full report (PDF)
  • Potential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning Deficiencies · Jan 3, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Jan 3, 2025 · Full report (PDF)
  • Potential for harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Administration Deficiencies · Jan 3, 2025 · Full report (PDF)
  • Potential for harm

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Administration Deficiencies · Jan 3, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Nov 6, 2024 · Full report (PDF)
  • Potential for harm

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Resident Assessment and Care Planning Deficiencies · Jan 4, 2024 · Full report (PDF)
  • Potential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 4, 2024 · Full report (PDF)
  • Potential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 4, 2024 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
1101 Reba Mcentire Ln
Denison, TX 75020
CMS certification #
675212
Ownership
For profit - Limited Liability company
Certified beds
140
Avg residents/day
71.1
Provider type
Medicare and Medicaid
First certified
1993-11-04
Chain
Priority Management (38 facilities)
Setting
Urban

Part of Priority Management

Priority Management operates 38 nursing facilities across the United States. View all Priority Management facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around The Homestead of Denison using Google Maps.

Other public records

  • Workplace safety 1 OSHA workplace safety inspection since 2022, no violations cited
Full public records, with dates and sources

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Mar 31, 2022: programmed (planned) inspection, partial (health). Case closed Apr 15, 2022. No violations cited. OSHA record. OSHA recorded the employer as Abri Health Care Services. Matched by street address; the name OSHA recorded differs from the community's.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Texoma Medical Center, Denison. 3.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
Nearest Medicare nursing home
The Terrace at Denison, Denison. 0.3 miles away, straight line.
Nearest home health agency office
Humane Home Health Services Incorporated, Denison. 1.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Parks Drug. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 75020 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Denison Dialysis Center, Denison, 3.4 miles away, straight line (CMS rating 5 of 5 stars)
Davita Sherman Dialysis Center, Sherman, 8.5 miles away, straight line (CMS rating 2 of 5 stars)
Texoma Dialysis Center, Sherman, 11.5 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Hospice
26 Medicare hospices tell CMS they serve ZIP code 75020.
Angel Hands Hospice Of Texoma, office in Denison, 1.4 miles away, straight line
Centric Hospice, office in Sherman, 8.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Heart To Heart Hospice Of North Texas LLC, office in Sherman, 8.6 miles away, straight line (CMS family survey rating 3 of 5 stars)
Nearest geriatric medicine practice
Century Integrated Partners, Inc, Mckinney. 38.9 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site

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Frequently asked questions

Is The Homestead of Denison a good nursing home?

CMS gives The Homestead of Denison an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is The Homestead of Denison staffed?

The Homestead of Denison reports 3.37 total nurse hours per resident per day, compared with the Texas average of 3.40.

Has The Homestead of Denison had inspection problems?

Its most recent CMS inspection cited 8 deficiencies.

How many beds does The Homestead of Denison have?

The Homestead of Denison is certified for 140 beds.