The Homestead Of Denison
1101 REBA MCENTIRE LANE, Denison, TX, 75020
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Priority Management
- Certified beds
- 140 · avg 71 residents/day
- Total nursing staff turnover
- 70.3% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 87.5% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · 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)
- 2 fines · $29,789 total
- Infection control citations
- 2
State licensing & capacity
- License number
- 311916
- Service type
- Medicare/medicaid
- Licensed capacity
- 140 beds
- Bed type breakdown
- 16 Medicare-only · 124 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- January 4, 1993
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Harker Heights, Llc
- Administrator
- Tyler Lange
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Priority Management chain — 38 facilities across 2 states. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (20 on record)
- Steven Boulware Family Investments Llc
Adp of The Snf · since 2025
- Bauder Family Investments, Llc
5% or Greater Mortgage Interest · 33% · since 2024
- Boulware st James Llc
5% or Greater Mortgage Interest · 33% · since 2024
- Bridgepointe Finanical Services, Llc
Adp of The Snf · since 2024
- Clark r Sanderson
Corporate Director · since 2024
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2024
+ 14 additional owners on the federal record.
Recent change of ownership
April 2024 (2 years ago) · acquired from The Homestead of Denison
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 35)
- J0600·Jul 16, 2025Complaint
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.
- D0842·Jan 3, 2025Complaint
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.
- D0880·Jan 3, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0867·Jan 3, 2025
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F0812·Jan 3, 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.
- D0770·Jan 3, 2025
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
- E0755·Jan 3, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0677·Jan 3, 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 · $14K
- 20231 fine · $16K
Most recent events
- Jul 16, 2025Fine · $14K
- Nov 10, 2023Fine · $16K
Largest single fine on record: $16K.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Jan 3, 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
The Homestead of Denison is a 140-bed nursing home in Denison, Texas, operating at roughly half capacity with 71 residents on an average day. CMS rates it 1 star overall — the lowest rating — with a substantiated abuse or neglect finding on record and 2 CMS fines totaling $29,789 since the facility's last processing date. Staffing also rates 1 star. Licensed to a hospital district authority and managed by Touchstone Strategies, the facility holds an active state license through April 2027.
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 bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 202 minutes of nursing care per day, about 39 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on daily care than at a typical facility — less mobile, or with more complex needs on average — so those 202 minutes stretch thinner than the raw number suggests. RN coverage is particularly narrow at 11 minutes per resident per day; the Texas threshold for 4-star staffing is 37 minutes.
About 7 in 10 nursing staff left in the past year. For RNs specifically, roughly 9 in 10 left — an exceptionally high rate. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year, and consistent RN oversight will be harder to rely on.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That finding is recorded in the federal database and visible on CMS Care Compare.
Two CMS fines totaling $29,789 have been assessed against this facility — above the Texas median of $20,699 per fined facility. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 51% of its 140 licensed beds, with about 71 residents on an average day. That low occupancy, read alongside the safety flags and staffing rating, reflects a pattern beyond ordinary seasonal variation.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse finding and current safeguards
CMS recorded a substantiated abuse or neglect finding here within the past 36 months — ask what specifically occurred, what corrective steps were taken, and how outcomes have been monitored since.
RN coverage on evenings and weekends
Reported RN hours average 11 minutes per resident per day; ask how many RNs are scheduled on a typical evening shift and whether that coverage changes on weekends.
Staff continuity for a specific resident
About 7 in 10 nursing staff left in the past year — ask how care assignments work and how the facility ensures a new resident builds a consistent relationship with caregivers.
Why occupancy is near half capacity
Roughly 71 of 140 beds are occupied on an average day; ask what accounts for the low census and whether planned changes are expected to affect staffing ratios or services.
Management company's day-to-day role
The facility is licensed to a hospital district authority but managed by Touchstone Strategies — ask which entity makes staffing and care-policy decisions and who administrator Tyler Lange reports to.
Resident Council access and frequency
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets, whether families can attend, and how concerns raised there are documented and addressed.
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.