Denison Nursing And Rehab
601 E HWY 69, Denison, TX, 75021
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 71 · avg 22 residents/day
- Total nursing staff turnover
- 71.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,281 total
State licensing & capacity
- License number
- 308167
- Service type
- Medicare/medicaid
- Licensed capacity
- 71 beds
- Bed type breakdown
- 29 Medicare-only · 42 Medicaid/Medicare
- Current license effective
- March 1, 2025
- Current license expires
- March 1, 2028
- Initial license date
- March 1, 1978
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Msl Denison, Llc (Limited Liability Company (LLC))
- Administrator
- Garrel Faulkner
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (4 on record)
- Clifford David Garvin
Adp of The Snf · since 2025
- Caitlin Cifelli
Adp of The Snf · since 2025
- Troy Issac
5% or Greater Direct Ownership Interest · 95% · since 2021
- Troy Issac Seperate Property tr
5% or Greater Direct Ownership Interest · 5% · since 2021
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 29)
- E0880·Jul 2, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0838·Jul 2, 2025
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.
- D0812·Jul 2, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0755·Jul 2, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F0727·Jul 2, 2025
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.
- F0725·Jul 2, 2025
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.
- D0690·Jul 2, 2025
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.
- D0677·Jul 2, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Federal penalties
By year
- 20251 fine · $8,281
Most recent events
- May 16, 2025Fine · $8,281
Fire-safety citations
17 Life-Safety-Code citations on file. Most recent: Jul 2, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Denison Nursing And Rehab is a 71-bed Medicare/Medicaid nursing home in Denison, Grayson County, licensed to MSL Denison, LLC. CMS rates it 2 stars overall, with a 1-star staffing rating and a 5-star quality-measures rating. The facility is currently operating at roughly 31% of its licensed beds — about 22 residents on an average day. No memory care is offered.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 223 minutes of total nursing care per day, about 18 minutes less than at a 4-star-staffing facility in Texas. RN coverage is 17 minutes per resident per day, compared to 37 minutes at the 4-star threshold.
Turnover among nursing staff ran at 71.4% over the past year — roughly 7 in 10 nursing staff left. Texas nursing homes at the 75th percentile turn over 60% of staff annually, so this facility sits above that mark. A long-stay resident is likely to go through two or three primary caregivers over the course of a year.
CMS's quality-measures rating is 5 stars — the top tier. This rating reflects tracked clinical outcomes for residents, such as rates of pressure ulcers, falls, and hospitalizations, and sits well above what the staffing numbers alone would suggest.
The facility reported one CMS fine totaling $8,281. The state median fine amount among facilities that received any fine is $20,699; this fine is below that median.
The facility is operating at roughly 31% of its 71 licensed beds — about 22 residents on an average day. That is well below typical occupancy for Texas nursing homes.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on weekends
Weekend nursing hours here average 3.0 hours per resident per day — ask how staffing is allocated on Saturdays and Sundays compared to weekdays.
Why turnover is so high
Seven in ten nursing staff left in the past year; ask what has driven that turnover and what steps management is taking to stabilize the care team.
How quality scores stay high
CMS rates clinical outcomes at 5 stars despite a 1-star staffing rating — ask which specific measures are tracked and how care plans are reviewed with current staffing levels.
Current resident census
With roughly 22 residents in a 71-bed building, ask whether the low occupancy reflects a deliberate cap, admissions challenges, or a recent change in operations.
Administrator tenure and stability
No administrator turnover is recorded in the past year — ask how long the current administrator, Garrel Faulkner, has been in the role and what continuity looks like in the leadership team.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how family members can raise concerns in its absence.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.