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Nursing HomeMedicaid Investigative

Denison Nursing and Rehab

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

601 E Hwy 69, Denison, TX 7502171 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 7 Google reviews

5
4
3
2
1
Denison Nursing and Rehab Nursing Home in Denison, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (20 vs median 8.0)
  • High staff turnover (71%)

Below average in Texas · Critically understaffed (RN) · Above average staffing · Very high staff turnover · $8,281 in fines

Source: Medicare data

What this means for your family

While some staff members are noted as being capable, the facility faces serious allegations regarding cleanliness, outdated infrastructure, and administrative hostility. If you choose this facility, closely monitor the cleanliness of the resident's room and ensure that resident rights and privileges are being respected.

Google Reviews

Google Reviews

7 reviews on Google
Families should be aware of significant concerns regarding facility cleanliness and outdated infrastructure, including steep entry ramps and unpleasant odors from nearby smoking. While some reviewers note that nursing and kitchen staff can be good, there are serious allegations of administrative mismanagement and poor resident treatment.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean1.0ActivitiesN/AMedsN/AMemoryN/AComms1.0ValueN/A

Strengths

  • Competent nursing staff
  • Good kitchen staff

Concerns

  • Poor facility cleanliness and outdated appearance
  • Unprofessional administrative behavior and loss of resident privileges
  • Difficult physical access due to steep ramps

Rating Trends

Tap a year to see what changed

2345.02016(1)1.02018(1)5.02019(1)4.02020(1)4.02024(1)3.72025(3)

Distribution · 8 analyzed

5
4
4
2
3
0
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the kitchen staff and the quality of the meals; could you tell us more about the daily dining experience for residents?
  • 2How does the nursing team manage communication with families to ensure we are always kept up to date on our loved one's care?
  • 3What specific steps are being taken to refresh the facility and ensure the living areas are kept clean and comfortable for residents?
  • 4Could you walk us through the protocol for handling medical emergencies or changes in health status during the night shift?
  • 5What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?
  • 6How do you ensure that the physical layout and access points, like the ramps, are safe and easy for residents with mobility challenges to navigate?

Personalized based on this facility's data


Key Review Excerpts

This place is really outdated. The rooms look disgusting. The floors look like they haven't been mopped in a while.

Grandchild of a resident · 2025☆☆☆☆

Since when did this nursing home become the administrators home this is suppose to be our home but how can it be when the administrator takes away our privileges.

Resident · 2024★★★★

This place has good nurses and kitchen staff. Outside of that...good luck.

Family of a former resident · 2018☆☆☆☆
Source: 7 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
39%
Registered nurses for medical care
Total Nursing
3.89hrs
95%
All nurses + aides combined
Staff Turnover
72%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility44.6%
Worse than Avg
Here
44.6%
US
19.5%
TX
18.4%
Grayson
26.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Grayson
2.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.8%
Better than Avg
Here
3.8%
US
15.4%
TX
9.4%
Grayson
10.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Grayson
97.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.8%
Better than Avg
Here
9.8%
US
15.3%
TX
14.9%
Grayson
11.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Grayson
97.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Grayson
81.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
1penalties
Well above state avg (9.1)
19 complaint-triggered
$8,281 in fines

Families have filed numerous complaints that led to 18 deficiencies, indicating ongoing concerns requiring inspection. The most recurring problems involve nursing staffing levels, medication management, and care planning. While all deficiencies show correction dates, the pattern of repeated issues across multiple surveys—particularly with nursing coverage and pharmacy services—suggests persistent operational challenges that families should carefully evaluate during visits.

Feb 10, 2026Complaint
1
0773Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Jul 2, 2025Routine
13
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0838Potential for harm · WidespreadCorrected

Administration Deficiencies

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.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0342Potential for harm · PatternCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0521Minimal · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jun 9, 2025Complaint
1
0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

May 16, 2025Complaint
3
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0575Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Apr 10, 2025Complaint
3
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Mar 5, 2025Complaint
4
0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Federal Penalties

Fine

May 16, 2025

$8,281

Ownership & Operations

Who Operates This Facility

Owner / Operator

Msl Denison, LLC

Organization Type

for profit

Administrator

GARREL FAULKNER

Ownership & Management

Owners

Troy Issac Seperate Property Tr

Owner · Organization

5%

Key personnel

Cifelli, CaitlinManagerCifelli, CaitlinAdp of the SnfGarvin, CliffordAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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