Nursing homeActive
The Homestead of Denison
1101 Reba McEntire Lane, Denison, TX 750209034634663140 certified beds · 70 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
27
● 0● 25● 2
Penalties · 3 yrs
$29,991
2 fines
Last survey
2026-03-26
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 1
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-26 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2025-07-16 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-01-03 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-11-06 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-01-04 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2023-11-10 | Standard | 071 | CMS-2567 (Care Compare) | — |
| 2023-10-14 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 675212-20260326-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 675212-20260326-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 675212-20260326-F695
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 675212-20260326-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 675212-20260326-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 675212-20260326-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 675212-20250716-F600
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 675212-20250103-F677
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 675212-20250103-F755
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 675212-20250103-F770
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 675212-20250103-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-27Record 675212-20250103-F842
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 675212-20250103-F867
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-04Record 675212-20250103-F880
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 675212-20241106-F880
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-19Record 675212-20240104-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-19Record 675212-20240104-F609
F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-19Record 675212-20240104-F635
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-07-26Record 675212-20231110-F689
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-11Record 675212-20231110-F727
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-14Record 675212-20231110-F761
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-14Record 675212-20231110-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-14Record 675212-20231110-F812
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-11Record 675212-20231110-F919
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-14Record 675212-20231110-F921
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-14Record 675212-20231110-F925
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-15Record 675212-20231014-F550
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-07-16 | Civil money penalty | $14,271 | CMS · Penalties |
| 2023-11-10 | Civil money penalty | $15,720 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.30
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.31
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.96
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover58%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover67%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.5% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.8% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.8% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 11.7% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.2% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 48.1% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Fannin County Hospital Authority Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bauder, William Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Boulware, Steven Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lange, Tyler Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pmg Opco-Denison, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Torres Ramos, Randolph Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bauder Family Investments, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bauder Family Investments, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Bauder, Kelly Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bauder, Madison Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bauder, Parker Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bauder, William Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boulware St James LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Boulware St James LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boulware, Douglas Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boulware, Sandra Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boulware, Steven Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boulware, Thomas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bridgepointe Finanical Services, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Innovative Nurse Consulting, LLC Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Innovative Nurse Consulting, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lange, Tyler Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pmg Opco-Denison, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pmg Realco-Denison LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pmg Realco-Denison LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Priority Management Group, LLC Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Priority Management Group, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Progressive Rehab Solutions, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sanderson, Clark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Steven Boulware Family Investments LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Torres Ramos, Randolph Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Walker, Katie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Priority Management — 38 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Grayson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avir at Memorial Denison | 0.3 mi | 2026-05-03 | 0282 |
| Woodlands Place Rehabilitation Suites Denison | 1.6 mi | 2026-02-26 | 0204 |
| Denison Nursing And Rehab Denison | 2.3 mi | 2026-04-29 | 0281 |
| Beacon Hill Denison | 3.5 mi | 2026-05-26 | 0190 |
| Southern Pointe Living Center Colbert | 6.2 mi | 2025-09-18 | 0152 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |