The Homestead of Denison
Nursing Home · Denison, TX
CMS certification number675212
Contact & location
1101 Reba McEntire LaneDenison, TX 75020
Grayson County
- Phone
- (903) 463-4663
- ZIP code
- 75020 – all care providers
Facility details
- Certified beds
- 140
- Residents per day
- 69.9 (50% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Fannin County Hospital Authority
- Chain
- Priority Management (38 facilities, avg 2.9★)
- Medicare certified since
- November 4, 1993
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.31 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.30 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.19 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.83 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.96 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 58.3 (state 55.3 · U.S. 45.8)%
- RN turnover
- 66.7 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- March 26, 2026
- Health deficiencies (last cycle)
- 6.0 (state 9.3 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 27 health · 8 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-27 |
| 2026-03-26 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-27 |
| 2026-03-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-27 |
| 2026-03-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-27 |
| 2026-03-26 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-27 |
| 2026-03-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-27 |
| 2025-07-16 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Past Non-Compliance |
| 2025-01-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-01-04 |
| 2025-01-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-04 |
| 2025-01-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-04 |
| 2025-01-03 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-04 |
| 2025-01-03 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-27 |
| 2025-01-03 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-04 |
| 2025-01-03 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-04 |
| 2024-11-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-22 |
| 2024-01-04 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-19 |
| 2024-01-04 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-19 |
| 2024-01-04 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. F0635 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-19 |
| 2023-11-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2023-07-26 |
| 2023-11-10 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-11-11 |
| 2023-11-10 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
| 2023-11-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
| 2023-11-10 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
| 2023-11-10 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
| 2023-11-10 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-14 |
| 2023-11-10 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-11 |
| 2023-10-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $29,991 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-16 | Fine | $14,271 |
| 2023-11-10 | Fine | $15,720 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Fannin County Hospital Authority (organization) | 5%+ Direct Ownership Interest · 100% | |
| Bauder Family Investments, LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Boulware ST James LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| PMG Realco-Denison LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Bauder Family Investments, LLC (organization) | Administrator · NOT APPLICABLE | |
| Bauder, Kelly (individual) | Administrator · NOT APPLICABLE | |
| Bauder, Madison (individual) | Administrator · NOT APPLICABLE | |
| Bauder, Parker (individual) | Administrator · NOT APPLICABLE | |
| Bauder, William (individual) | Administrator · NOT APPLICABLE | |
| Boulware ST James LLC (organization) | Administrator · NOT APPLICABLE | |
| Boulware, Steven (individual) | Administrator · NOT APPLICABLE | |
| Boulware, Thomas (individual) | Administrator · NOT APPLICABLE | |
| Bridgepointe Finanical Services, LLC (organization) | Administrator · NOT APPLICABLE | |
| Innovative Nurse Consulting, LLC (organization) | Administrator · NOT APPLICABLE | |
| Lange, Tyler (individual) | Administrator · NOT APPLICABLE | |
| PMG Opco-Denison, LLC (organization) | Administrator · NOT APPLICABLE | |
| PMG Realco-Denison LLC (organization) | Administrator · NOT APPLICABLE | |
| Priority Management Group, LLC (organization) | Administrator · NOT APPLICABLE | |
| Progressive Rehab Solutions, LLC (organization) | Administrator · NOT APPLICABLE | |
| Steven Boulware Family Investments LLC (organization) | Administrator · NOT APPLICABLE | |
| Torres Ramos, Randolph (individual) | Administrator · NOT APPLICABLE | |
| Walker, Katie (individual) | Administrator · NOT APPLICABLE | |
| Sanderson, Clark (individual) | Corporate Director · NOT APPLICABLE | |
| Boulware, Douglas (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Boulware, Sandra (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| 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 | |
| Innovative Nurse Consulting, LLC (organization) | Trustee Of The Snf · NOT APPLICABLE | |
| Priority Management Group, LLC (organization) | Trustee Of The Snf · NOT APPLICABLE |
Frequently asked questions
What is the rating of The Homestead of Denison?
The Homestead of Denison has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does The Homestead of Denison have?
It has 140 certified beds and cares for about 70 residents per day.
Has The Homestead of Denison been fined?
Yes. CMS lists 2 penalties totaling $29,991 in the last three years.
Who owns The Homestead of Denison?
It is part of Priority Management and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of The Homestead of Denison?
(903) 463-4663. The facility is located at 1101 Reba McEntire Lane, Denison, TX 75020.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.