The Homestead of Denison

CCN 675212 · FANNIN COUNTY HOSPITAL AUTHORITY · For profit - Limited Liability company · PRIORITY MANAGEMENT chain · 140 certified beds · Grayson · TX


The Homestead of Denison is a 140-bed nursing home in Denison, Texas. CMS has certified it for Medicare and Medicaid since 1993-11-04. It averages 69.9 residents a day.

What harm was found in the violations cited at The Homestead of Denison?

CMS lists 27 health-inspection deficiencies for The Homestead of Denison, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-03-26.

Survey dateTagDeficiencySeverity
2026-03-26F0656, F0695, F0812Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-03-26F0677, F0761, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide and implement an infection prevention and control program.D
2025-07-16F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2025-01-03F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-01-03F0677, F0755Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2025-01-03F0770, F0842, F0867, F0880Provide timely, quality laboratory services/tests to meet the needs of residents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program.D
2024-11-06F0880Provide and implement an infection prevention and control program.E
2024-01-04F0607, F0609, F0635Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D
2023-11-10F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2023-11-10F0727Have 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.F
2023-11-10F0761, F0812, F0921, F0925Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2023-11-10F0805, F0919Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2023-10-14F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D

Why was The Homestead of Denison fined 2 times?

DateTypeAmount
2025-07-16Fine$14,271
2023-11-10Fine$15,720

How is The Homestead of Denison staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.312963.38539
Total nursing staff turnover (%)58.355.3
Average number of residents per day69.975.8

Who owns The Homestead of Denison, and what chain is it in?

The Homestead of Denison is registered with CMS as For profit - Limited Liability company, operates under the legal business name FANNIN COUNTY HOSPITAL AUTHORITY and belongs to the PRIORITY MANAGEMENT chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTFANNIN COUNTY HOSPITAL AUTHORITYsince 04/01/2024
5% OR GREATER MORTGAGE INTERESTBAUDER FAMILY INVESTMENTS, LLC, BOULWARE ST JAMES LLC, PMG REALCO-DENISON LLCsince 04/01/2024
CORPORATE DIRECTORSANDERSON, CLARKsince 04/01/2024
OPERATIONAL/MANAGERIAL CONTROLPMG OPCO-DENISON, LLC, BAUDER, WILLIAM, BOULWARE, STEVEN, LANGE, TYLER, TORRES RAMOS, RANDOLPHsince 04/01/2024
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFBOULWARE, DOUGLAS, BOULWARE, SANDRAsince 04/30/2025
TRUSTEE OF THE SNFINNOVATIVE NURSE CONSULTING, LLC, PRIORITY MANAGEMENT GROUP, LLCsince 04/01/2024
ADP OF THE SNFBAUDER FAMILY INVESTMENTS, LLC, BOULWARE ST JAMES LLC, BRIDGEPOINTE FINANICAL SERVICES, LLC, INNOVATIVE NURSE CONSULTING, LLC, PMG OPCO-DENISON, LLC, PMG REALCO-DENISON LLC, PRIORITY MANAGEMENT GROUP, LLC, PROGRESSIVE REHAB SOLUTIONS, LLC, STEVEN BOULWARE FAMILY INVESTMENTS LLC, BAUDER, KELLY, BAUDER, MADISON, BAUDER, PARKER, BAUDER, WILLIAM, BOULWARE, STEVEN, BOULWARE, THOMAS, LANGE, TYLER, TORRES RAMOS, RANDOLPH, WALKER, KATIEsince 04/01/2024

Were you or a family member harmed at The Homestead of Denison?