Nursing home · SNF / NF

The Homestead of Denison

Federal · CMSActive CMS certificationCCN 675212For profit CMS overall

1101 Reba Mcentire Lane, Denison, TX 75020 · Operated by Fannin County Hospital Authority · Chain Priority Management

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

140

Avg residents / day

Inspections

Citations

Harm-level

Fines

$30k

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 140 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 74.0 CMS, MDS-derived
CMS Certification Number: 675212
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 4, 1993
Ownership type: For profit - Limited Liability company
Operator (legal business name): Fannin County Hospital Authority
CMS chain: Priority Management 38 facilities
Phone: (903) 463-4663
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Jul 19, 2026

Citations

28 health · 8 fire

Harm or worse

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K1	L·
Actual harm	G·	H·	I·
Potential harm	D15	E11	F8
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

$29,991

Payment denials

Latest

Jul 16, 2025

Date	Domain	Survey types	Citations	Most severe	Open
Jul 19, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Mar 26, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Mar 26, 2026	Health	Health Standard	6	Potential harm	—	Open →
Jul 16, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Jan 3, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jan 3, 2025	Health	Health Complaint, Health Standard	7	Potential harm	—	Open →
Nov 6, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jan 4, 2024	Health	Health Complaint	3	Potential harm	—	Open →
Nov 10, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Nov 10, 2023	Health	Health Complaint, Health Standard	8	Immediate jeopardy	—	Open →
Oct 14, 2023	Health	Health Complaint	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jul 16, 2025	Civil money penalty (fine)	$14,271	—	675212\|Fine\|134455
Nov 10, 2023	Civil money penalty (fine)	$15,720	—	675212\|Fine\|111770

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K1	L·
Actual harm	G·	H·	I·
Potential harm	D15	E11	F8
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 19, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 24, 2026	Complaint
Mar 26, 2026	K-0300	Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 1, 2026
Mar 26, 2026	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 1, 2026
Mar 26, 2026	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 1, 2026
Mar 26, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 27, 2026
Mar 26, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2026
Mar 26, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 27, 2026
Mar 26, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 27, 2026
Mar 26, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 27, 2026
Mar 26, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 27, 2026
Jul 16, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Past non-compliance	Complaint
Jan 3, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 30, 2024
Jan 3, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 4, 2025
Jan 3, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jan 4, 2025
Jan 3, 2025	F-0770	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jan 4, 2025
Jan 3, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jan 4, 2025
Jan 3, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Past non-compliance May 27, 2024	Complaint
Jan 3, 2025	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jan 4, 2025
Jan 3, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jan 4, 2025
Nov 6, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Nov 22, 2024	Complaint
Jan 4, 2024	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 19, 2024	Complaint
Jan 4, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 19, 2024	Complaint
Jan 4, 2024	F-0635	Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 19, 2024	Complaint
Nov 10, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Past non-compliance Jul 26, 2023	Complaint
Nov 10, 2023	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 13, 2023
Nov 10, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 16, 2023
Nov 10, 2023	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 20, 2023
Nov 10, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 11, 2023
Nov 10, 2023	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Nov 11, 2023
Nov 10, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Nov 14, 2023
Nov 10, 2023	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Nov 14, 2023	Complaint
Nov 10, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Nov 14, 2023
Nov 10, 2023	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 11, 2023	Complaint
Nov 10, 2023	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 14, 2023
Nov 10, 2023	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 14, 2023
Oct 14, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 15, 2023	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Fannin County Hospital Authority

CMS legal business name of the certified provider. Operates 58 facilities.

VerifiedLinked by exact legal name

CMS chain

Priority Management

38 facilities in 2 states. CMS chain ID 425.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.7

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Fannin County Hospital Authority	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2024

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Fannin County Hospital Authority	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2024
Douglas Boulware	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 30, 2025
Sandra Boulware	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 30, 2025
Pmg Opco-Denison, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
William Bauder	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
Steven Boulware	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
Tyler Lange	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
Randolph Torres Ramos	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
Clark Sanderson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2024
Innovative Nurse Consulting, LLC	Organization	Trustee	TRUSTEE OF THE SNF	not provided	Apr 1, 2024
Priority Management Group, LLC	Organization	Trustee	TRUSTEE OF THE SNF	not provided	Apr 1, 2024
Bauder Family Investments, LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Apr 1, 2024
Boulware St James LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Apr 1, 2024
Pmg Realco-Denison LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Apr 1, 2024
Bauder Family Investments, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Boulware St James LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Bridgepointe Finanical Services, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Innovative Nurse Consulting, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Pmg Opco-Denison, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Pmg Realco-Denison LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Priority Management Group, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Progressive Rehab Solutions, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Steven Boulware Family Investments LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025
Kelly Bauder	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Madison Bauder	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Parker Bauder	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
William Bauder	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Steven Boulware	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Thomas Boulware	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Tyler Lange	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Randolph Torres Ramos	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024
Katie Walker	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024

Other facilities operated by Fannin County Hospital Authority

All 57 →

Facility	Beds	Last inspection	Citations (window)	Fines
Avir at the Meadow 8383 Meadow Road, Dallas, TX 75231 CCN 455463	184	Jul 27, 2026	693 IJ2 harm	$36k
Ennis Care Center 1200 S Hall St, Ennis, TX 75119 CCN 455486	155	May 20, 2026	502 IJ	$37k
Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon	90	Aug 7, 2026	774 IJ2 harm	$66k
Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550	137	Jul 23, 2025	271 IJ	$9,113
Texoma Healthcare Center 1000 US Highway 82 East, Sherman, TX 75090 CCN 455573	179	Aug 19, 2026	602 IJ6 open	$16k
Avir at Weatherford 521 W. 7th Street, Weatherford, TX 76086 CCN 455574Abuse icon	122	Feb 12, 2026	262 IJ	$22k
Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586	93	Jun 17, 2026	16	—
Christian Care Communities and Services Mesquite 1000 Wiggins Parkway, Mesquite, TX 75150 CCN 455617	180	May 21, 2026	314 IJ	$29k

Same chain in Texas

All 37 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Victoria Gardens of Frisco 10700 Rolater Dr., Frisco, TX 75035 CCN 675811	118	Jul 9, 2026	422 IJ	$24k
Victoria Gardens of Allen 310 S. Jupiter, Allen, TX 75002 CCN 675882	120	Jun 28, 2026	36	—
Bridgeport Medical Lodge 2108 15th St, Bridgeport, TX 76426 CCN 675891Abuse icon	152	Aug 6, 2026	231 IJ1 harm2 open	$25k
Hilltop Park Rehabilitation and Care Center 970 Hilltop Dr, Weatherford, TX 76086 CCN 675988	132	Mar 17, 2026	362 IJ	$103k
Vista Ridge Nursing & Rehabilitation Center 700 E Vista Ridge Mall Dr, Lewisville, TX 75067 CCN 676036	132	Aug 11, 2026	341 IJ	$10k
The Parks at Garland Healthcare and Rehab 3737 N Garland Ave., Garland, TX 75044 CCN 676039	132	Apr 10, 2026	221 IJ	$10k
Ridgmar Medical Lodge 6600 Lands End Court, Fort Worth, TX 76116 CCN 676101	155	Jul 23, 2026	433 IJ1 harm1 open	$30k
Grapevine Medical Lodge 1005 Ira E. Woods Parkway, Grapevine, TX 76051 CCN 676104	132	Jun 18, 2026	23	—

Coordinates as published by CMS.

Address: 1101 Reba Mcentire Lane, Denison, TX 75020
ZIP: 75020
County: Grayson County FIPS 48181
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Avir at Memorial 1300 Memorial Dr, Denison, TX 75020 CCN 455806	0.5 km	136	May 3, 2026	512 IJ	$47k
Woodlands Place Rehabilitation Suites 5600 Woodlands Trail, Denison, TX 75020 CCN 676394	2.5 km	133	Feb 26, 2026	353 IJ1 harm	$110k
Denison Nursing and Rehab 601 E Hwy 69, Denison, TX 75021 CCN 455563	3.6 km	71	Aug 18, 2026	491 IJ	$8,281
Beacon Hill 3515 S Park Ave, Denison, TX 75020 CCN 675503	5.7 km	150	May 26, 2026	28	—
Southern Pointe Living Center 101 Sherrard Drive, Colbert, OK 74733 CCN 375469	9.9 km	95	Sep 18, 2025	282 IJ	$38k
Avir at Sherman 1000 Sara Swamy Drive, Sherman, TX 75090 CCN 676120	11.6 km	132	Aug 5, 2026	49	—
Texoma Healthcare Center 1000 US Highway 82 East, Sherman, TX 75090 CCN 455573	12.4 km	179	Aug 19, 2026	602 IJ6 open	$16k
Focused Care at Sherman 817 W Center, Sherman, TX 75090 CCN 675089	17.1 km	116	Jul 28, 2026	678 IJ	$120k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675212	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675212	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 675212

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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The Homestead of Denison

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Fannin County Hospital Authority

Same chain in Texas

Nearby nursing homes

The Homestead of Denison

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Fannin County Hospital Authority

Same chain in Texas

Nearby nursing homes