Denison Nursing and Rehab
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 7 Google reviews

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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
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While some staff members are noted as being capable, the facility faces serious allegations regarding cleanliness, outdated infrastructure, and administrative hostility.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7 reviews on Google“Families should be aware of significant concerns regarding facility cleanliness and outdated infrastructure, including steep entry ramps and unpleasant odors from nearby smoking.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 detailsStrengths
- 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- Poor facility cleanliness and outdated appearance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
Distribution · 8 analyzed
How They Respond to Reviews
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.”
“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.”
“This place has good nurses and kitchen staff. Outside of that...good luck.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
3
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint1
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Jul 2, 2025Routine13
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.
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.
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.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jun 9, 2025Complaint1
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, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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, 2025Complaint3
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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.
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.
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
Msl Denison, LLC
for profit
GARREL FAULKNER
Ownership & Management
Owners
Troy Issac Seperate Property Tr
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
7 reviews from families & visitors
Official Website
Visit msl-denison.com
Medicare data downloads
Original nursing home datasets
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