The Homestead Of Denison in Denison, Grayson County, Texas

Denison, Grayson County, Texas 75020

Status Medicare and Medicaid certifiedMedicare CCN 675212

HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Verify on TULIP View on Medicare.gov

Location and contact

Address: 1101 Reba McEntire Lane
Denison, TX 75020
Open map (OpenStreetMap)
Phone: (903) 463-4663
HHSC facility ID: 005317
License number: 311916

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Overall: 3 of 5Overall: 3 of 5 stars
Health inspection: 3 of 5Health inspection: 3 of 5 stars
Staffing: 1 of 5Staffing: 1 of 5 stars
Quality measures: 5 of 5Quality measures: 5 of 5 stars
Long-stay quality measures: 5 of 5Long-stay quality measures: 5 of 5 stars
Short-stay quality measures: 5 of 5Short-stay quality measures: 5 of 5 stars

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
Measure	This facility	Texas average (this site)
Total nurse staffing	3.48 hours	3.42 hours n=1,152
Registered nurse	0.34 hours	0.44 hours
LPN	1.28 hours	0.95 hours
Nurse aide	1.86 hours	2.03 hours
Weekend nurse staffing	3.13 hours	2.99 hours

0.06 hours above this site’s computed Texas average.

Total nursing staff turnover: 64.5% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover: 66.7%
Average residents per day: 74.0
Certified beds (CMS): 140

Penalties in the CMS Provider Information file: 2 finestotaling $29,991; 2 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.

Fines and payment denials

Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.

CMS fines and payment denials
Date	Type	Fine amount	Payment denial
July 16, 2025	Fine · Fine ID 134455	$14,271	—
November 10, 2023	Fine · Fine ID 111770	$15,720	—

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
Measure	Stay	Four-quarter average	Used in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased Quarterly scores Q1 9.3% · Q2 2.1% · Q3 8.9% · Q4 7.1% · Period 2025Q3-2026Q2 · Measure code 401	Long Stay	6.7%	Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406	Long Stay	0.0%	Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407	Long Stay	0.0%	Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury Quarterly scores Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 1.5% · Period 2025Q3-2026Q2 · Measure code 410	Long Stay	0.8%	Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened Quarterly scores Q1 7.7% · Q2 5.6% · Q3 2.9% · Q4 9.8% · Period 2025Q3-2026Q2 · Measure code 451	Long Stay	6.4%	Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers Quarterly scores Q1 4.0% · Q2 1.0% · Q3 2.0% · Q4 0.9% · Period 2025Q3-2026Q2 · Measure code 479	Long Stay	1.9%	Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication Quarterly scores Q1 8.8% · Q2 10.8% · Q3 12.1% · Q4 8.8% · Period 2025Q3-2026Q2 · Measure code 481	Long Stay	10.1%	Yes, as published by CMS
Percentage of long-stay residents who lose too much weight Quarterly scores Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 404	Long Stay	0.6%	No, as published by CMS
Percentage of long-stay residents who have depressive symptoms Quarterly scores Q1 5.2% · Q2 7.4% · Q3 3.2% · Q4 1.5% · Period 2025Q3-2026Q2 · Measure code 408	Long Stay	4.3%	No, as published by CMS
Percentage of long-stay residents who were physically restrained Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409	Long Stay	0.0%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415	Long Stay	100.0%	No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication Quarterly scores Q1 50.0% · Q2 44.9% · Q3 47.8% · Q4 43.2% · Period 2025Q3-2026Q2 · Measure code 452	Long Stay	46.4%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454	Long Stay	100.0%	No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Quarterly scores Q1 11.0% · Q2 5.3% · Q3 1.4% · Q4 7.8% · Period 2025Q3-2026Q2 · Measure code 480	Long Stay	6.3%	No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication Quarterly scores Q1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 434	Short Stay	0.0%	Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 430	Short Stay	100.0%	No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472	Short Stay	97.4%	No, as published by CMS

Inspection citations

28 health citations in the CMS file (11 from complaint surveys). Highest scope/severity letter in the file: J — Isolated, immediate jeopardy.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
Severity	Isolated	Pattern	Widespread
Potential for minimal harm	A	B	C
No actual harm, potential for more than minimal harm	D	E	F
Actual harm	G	H	I
Immediate jeopardy	J	K	L

2026 — 7 citations

Tag 0880D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: July 19, 2026

CMS records a correction date (July 24, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 26, 2026

CMS records a correction date (March 27, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 26, 2026

CMS records a correction date (March 27, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0761D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 26, 2026

CMS records a correction date (March 27, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0695E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 26, 2026

CMS records a correction date (March 27, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0677D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 26, 2026

CMS records a correction date (March 27, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0656E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 26, 2026

CMS records a correction date (March 27, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 8 citations

Tag 0600J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: July 16, 2025

Past non-compliance, as recorded by CMS

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 3, 2025

CMS records a correction date (January 4, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0867D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 3, 2025

CMS records a correction date (January 4, 2025)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: January 3, 2025

Past non-compliance, as recorded by CMS (May 27, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0812F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: January 3, 2025

CMS records a correction date (January 4, 2025)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0770D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 3, 2025

CMS records a correction date (January 4, 2025)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0755E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: January 3, 2025

CMS records a correction date (January 4, 2025)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0677E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: January 3, 2025

CMS records a correction date (January 4, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2024 — 4 citations

Tag 0880E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: November 6, 2024

CMS records a correction date (November 22, 2024)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0635D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: January 4, 2024

CMS records a correction date (January 19, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0609D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: January 4, 2024

CMS records a correction date (January 19, 2024)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0607D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: January 4, 2024

CMS records a correction date (January 19, 2024)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

2023 — 9 citations

Tag 0925E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: November 10, 2023

CMS records a correction date (November 14, 2023)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0921E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: November 10, 2023

CMS records a correction date (November 14, 2023)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0919D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: November 10, 2023

CMS records a correction date (November 11, 2023)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: November 10, 2023

CMS records a correction date (November 14, 2023)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0805D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: November 10, 2023

CMS records a correction date (November 14, 2023)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0761E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: November 10, 2023

CMS records a correction date (November 14, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0727F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: November 10, 2023

CMS records a correction date (November 11, 2023)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0689K

K — Pattern, immediate jeopardy

Complaint survey, Standard survey

Survey date: November 10, 2023

Past non-compliance, as recorded by CMS (July 26, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0550D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: October 14, 2023

CMS records a correction date (October 15, 2023)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective: April 1, 2024
License expires: April 1, 2027
Initial license date: January 4, 1993
Facility licensed: Yes
Facility certified (HHSC): Yes
Service type: MEDICARE/MEDICAID
Total licensed capacity: 140 beds
Bed mix (HHSC): Licensed only 0; Medicaid only 0; Medicare only 16; Medicare/Medicaid 124; ICF/IID 0
Alzheimer capacity: 0
Administrator: Jon Fulkerson
Management company: Pmg Opco Denison LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: For profit - Limited Liability company · Affiliated / chain name in the file: PRIORITY MANAGEMENT (38 facilities in the chain, as listed)

CMS ownership records
Name	Role	Type	Share	Associated
FANNIN COUNTY HOSPITAL AUTHORITY	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 04/01/2024
BAUDER FAMILY INVESTMENTS, LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 04/01/2024
BOULWARE ST JAMES LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 04/01/2024
PMG REALCO-DENISON LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 04/01/2024
SANDERSON, CLARK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
PMG OPCO-DENISON, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/01/2024
BAUDER, WILLIAM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2024
BOULWARE, STEVEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2024
LANGE, TYLER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2024
TORRES RAMOS, RANDOLPH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2024
BOULWARE, DOUGLAS	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/30/2025
BOULWARE, SANDRA	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/30/2025

20 more CMS ownership records

Additional CMS ownership records
Name	Role	Type	Share	Associated
INNOVATIVE NURSE CONSULTING, LLC	TRUSTEE OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2024
PRIORITY MANAGEMENT GROUP, LLC	TRUSTEE OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2024
BAUDER FAMILY INVESTMENTS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2024
BOULWARE ST JAMES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2024
BRIDGEPOINTE FINANICAL SERVICES, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2024
INNOVATIVE NURSE CONSULTING, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2024
PMG OPCO-DENISON, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2024
PMG REALCO-DENISON LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2024
PRIORITY MANAGEMENT GROUP, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2024
PROGRESSIVE REHAB SOLUTIONS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2024
STEVEN BOULWARE FAMILY INVESTMENTS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2025
BAUDER, KELLY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2024
BAUDER, MADISON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2024
BAUDER, PARKER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2024
BAUDER, WILLIAM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2024
BOULWARE, STEVEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2024
BOULWARE, THOMAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2024
LANGE, TYLER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2024
TORRES RAMOS, RANDOLPH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2024
WALKER, KATIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2024

HHSC owner fields

Owner (HHSC): Fannin County Hospital Authority
Type of entity (HHSC): HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.