All states › Texas › Denison › Denison Nursing and Rehab
601 E Hwy 69 Denison, TX 75021 · Grayson County
All 5 nursing homes in Denison, TX (5 take Medicaid)
CMS certification number 455563 · See this home on Medicare Care Compare
Is Denison Nursing and Rehab a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Denison Nursing and Rehab as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.57 hours per resident per day at Denison Nursing and Rehab, above the Texas median of 3.30 (US median: 3.72). About 0.25 of those hours are from registered nurses. On weekends it falls to 2.78 hours, 22% below its all-week average. Ask how weekends are staffed. 65.5% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Denison Nursing and Rehab: Medicare and Medicaid
Denison Nursing and Rehab is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 2, 2025 and found 9 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 32 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 32 citations at Denison Nursing and Rehab across 11 inspection dates, 21 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 16, 2025 (complaint inspection). The most common areas cited were quality of life and care (6) and pharmacy service (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, May 16, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
August 18, 2026 · 1 citation · includes complaint inspection
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
April 29, 2026 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
February 10, 2026 · 1 citation · includes complaint inspection
DProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
July 2, 2025 · 9 citations
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FHave 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.
FConduct 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.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EProvide and implement an infection prevention and control program.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 9, 2025 · 1 citation · includes complaint inspection
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
May 16, 2025 · 3 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
April 10, 2025 · 3 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure 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.
March 5, 2025 · 4 citations · includes complaint inspection
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DEnsure 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.
May 16, 2024 · 5 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave 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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
DProvide and implement an infection prevention and control program.
November 9, 2023 · 1 citation · includes complaint inspection
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
February 16, 2023 · 2 citations
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Questions to ask on a tour of Denison Nursing and Rehab
- Inspectors cited the home at the immediate-jeopardy level on May 16, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 5, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 22% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 65.5% a year. How many of the staff come from agencies?
- The home averages about 33% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,281 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 16, 2025 | Fine | $8,281 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 1/5 | 5/5 |
| August 2026 | 2/5 | 2/5 | 1/5 | 5/5 |
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Location
Hospitals near Denison Nursing and Rehab
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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3.5 mi
Texoma Medical Center DenisonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 56m for patients treated and sent home
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5.8 mi
Baylor Scott and White Surgical Hospital at Sherma ShermanEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 8m for patients treated and sent home
- 7.4 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Denison Nursing and Rehab › All nursing homes in Denison ›
Compare Denison Nursing and Rehab with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Beacon Hill · Denison · 4 stars · 2.2 mi
- Woodlands Place Rehabilitation Suites · Denison · 3 stars · 1.5 mi
- The Homestead of Denison · Denison · 3 stars · 2.3 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.