The Homestead Of Denison
1101 Reba Mcentire Ln, Denison, TX, 75020
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Order the reportFederal 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 June 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 70 residents/day
- Total nursing staff turnover
- 66.1% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 88.9% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $29,991 total
Medicare certification
- CMS Certification Number
- 675212
- Certified beds
- 140 beds · avg 70 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Fannin County Hospital Authority
- Chain affiliation
- Priority Management
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Priority Management chain — 38 facilities across 2 states. Chain-wide average overall rating 2.6 / 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 May 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)
- D0880·Mar 26, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Mar 26, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Mar 26, 2026
Pharmacy Service Deficiencies
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.
- E0695·Mar 26, 2026
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0677·Mar 26, 2026
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0656·Mar 26, 2026
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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.
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: Mar 26, 2026. 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Homestead Of Denisoninto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.