The Homestead of Denison
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 84 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.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (70%)
- High RN turnover (88%)
Bottom 25% in Texas · Critically understaffed (RN) · Very high staff turnover · Worst in PRIORITY MANAGEMENT chain · $29,789 in fines · Abuse citation
What this means for your family
The facility offers a strong rehabilitation program and a very well-regarded memory care unit. However, families should be extremely vigilant about hygiene standards and ensure that communication protocols are strictly followed, as multiple reports indicate issues with residents being left in soiled linens and difficulty reaching the nursing station.
Google Reviews
Google Reviews
84 reviews on Google“Families considering The Homestead of Denison will find a facility praised for its compassionate rehab therapy team and a welcoming, community-oriented atmosphere. However, there are serious, recurring allegations regarding hygiene neglect, such as residents being left in soiled linens, and significant concerns regarding communication from the nursing station.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate rehab and therapy team
- Welcoming and friendly staff
- Clean and well-maintained environment
- Dedicated memory care unit
Concerns
- Hygiene and neglect issues (mentioned by 3 reviewers)
- Poor communication from nursing staff/station (mentioned by 3 reviewers)
- Inconsistent food temperature and portion size (mentioned by 2 reviewers)
- Staffing shortages and slow response times (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 85 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your rehab and therapy team; could you tell us more about how they work with residents on their daily mobility goals?
- 2How does the nursing station ensure that family members are kept updated and informed about any changes in a resident's condition?
- 3What steps are being taken to ensure consistent meal service, specifically regarding food temperature and portion sizes?
- 4Could you walk us through your protocols for responding to urgent medical needs or emergencies during the overnight hours?
- 5What kind of daily activities or social programs are available to keep residents engaged, especially within the memory care unit?
- 6How does the facility manage hygiene and personal care routines to ensure every resident's needs are met promptly?
Personalized based on this facility's data
Key Review Excerpts
“I’ve been at Homestead for rehab and the therapy team pushed me in the best way. The nurses are kind, the food is good, and it feels like a community.”
“My mom has been a resident here for 6 months and I can’t express enough how the staff has been incredibly wonderful to her and our family.”
“The staff is amazing and takes wonderful care of my 93 year old mother, who is in the memory care unit.”
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 · 17 measures
11
measures
3
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Multiple families have filed complaints triggering 17 deficiencies, raising concerns about this facility's care quality. The most recurring issues involve infection control, food safety and nutrition services, and medication management, with problems persisting across multiple surveys from 2022 through 2025. While the facility has correction dates for most deficiencies, the pattern of repeated complaints and ongoing issues in essential care areas suggests families should carefully evaluate whether this facility meets their standards.
Jul 16, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jan 3, 2025Routine7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Provide properly protected cooking facilities.
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 3, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 6, 2024Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 4, 2024Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Nov 10, 2023Routine9
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Federal Penalties
Fine
Jul 16, 2025
$14,271
Fine
Nov 10, 2023
$15,720
Ownership & Operations
Who Operates This Facility
Fannin County Hospital Authority
for profit
TOUCHSTONE STRATEGIES HARKER HEIGHTS, LLC
TYLER LANGE
Chain Affiliation
Priority Management
38 facilities nationwide
Chain avg rating: 3.0/5 · Rank 17 of 19 (Worst)
Ownership & Management
Owners
Fannin County Hospital Authority
Owner · Organization
Boulware, Douglas
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Boulware, Sandra
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
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
84 reviews from families & visitors
Official Website
Visit homesteaddenison.com
Medicare data downloads
Original nursing home datasets
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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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Denison Nursing and Rehab
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