THE HOMESTEAD OF DENISON
The information listed below provides an in-depth look into the type and quality of care offered at The Homestead of Denison. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
THE HOMESTEAD OF DENISON
1101 REBA MCENTIRE LN
DENISON, TX 75020
(903) 463-4663
1101 REBA MCENTIRE LN
DENISON, TX 75020
(903) 463-4663
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
69%Number of Residents and Certified Beds
- Residents: 91
- Certified Beds: 132
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by The Homestead of Denison. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Very High Rehabilitation Plus Extensive Services
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 1.4% |
| Total Percent: | 1.4% |
High Rehabilitation Plus Extensive Services
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-10 | 1.1% |
| Total Percent: | 1.1% |
Medium Rehabilitation Plus Extensive Services
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 2.3% |
| Total Percent: | 2.3% |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 15.9% |
| ADL Index Range: 0-5 | 4.3% |
| Total Percent: | 20.2% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 19.2% |
| ADL Index Range: 0-5 | 14.9% |
| Total Percent: | 34.1% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 8.5% |
| ADL Index Range: 0-5 | 1.8% |
| Total Percent: | 10.2% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 7.1% |
| ADL Index Range: 0-5 | 2.0% |
| Total Percent: | 9.2% |
Extensive Services
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-16 - Isolation for active infectious disease | 4.3% |
| Total Percent: | 4.3% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - Signs of depression | 0.09% |
| ADL Index Range: 15-16 - No Signs of depression | 3.3% |
| ADL Index Range: 6-10 - No Signs of depression | 0.3% |
| Total Percent: | 3.6% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - No Signs of depression | 2.8% |
| ADL Index Range: 11-14 - Signs of depression | 0.3% |
| ADL Index Range: 11-14 - No Signs of depression | 1.4% |
| ADL Index Range: 2-5 - No Signs of depression | 1.5% |
| Total Percent: | 6.0% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 11-14 - Signs of depression | 0.3% |
| Total Percent: | 0.3% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 15-16 - Less restorative nursing | 3.4% |
| ADL Index Range: 11-14 - Less restorative nursing | 3.1% |
| ADL Index Range: 2-5 - Less restorative nursing | 0.8% |
| Total Percent: | 7.2% |
Rating Details For The Homestead of Denison
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 34 Minutes | 1 Hour and 12 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 52 Minutes | 45 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 33 Minutes | 2 Hours and 31 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 26 Minutes | 1 Hour and 57 Minutes |
| Total Nurse Hours | 3 Hours and 59 Minutes | 4 Hours and 27 Minutes |
Quality of Care -
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Texas Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 91% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 73% | 88% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 5% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 3% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 9% | 6% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 12% | 12% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 11% | 13% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | - | 9% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 20% | 46% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 6% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 3% | 4% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 27% | 18% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 12% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 84% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 49% | 79% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 16% | 11% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 20% | 16% |
| Percent of Short-Stay Residents Who Have Delirium | - | 3% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/09/2010.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
|  |  |
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
|  |  |
Get Services Outside the Nursing Home That Meet Professional Standards.
|  |  |
Choose a Doctor to Be the Medical Director.
| | |
Give or Get Lab Tests to Meet the Needs of Residents.
| | |
Set Up or Keep a Group of People to Review and Ensure Quality.
| | |
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
| | |
Keep Accurate and Appropriate Medical Records.
| | |
Keep Accurate and Appropriate Medical Records.
| | |
Train All Employees on What to Do in an Emergency.
| | |
Environmental
Provide Needed Housekeeping and Maintenance.
| | |
Keep Sound Levels Comfortable.
| | |
Have a Program to Keep Infection from Spreading.
| | |
Keep All Essential Equipment Working Safely.
| | |
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
| | |
Nutrition and Dietary
Hire Enough Skilled Workers to Carry out Dietary Service.
| | |
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
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Provide Food in a Way That Meets a Resident's Needs.
| | |
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
| | |
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
| | |
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| | |
Quality Care
Provide Activities to Meet the Needs of Each Resident.
| | |
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Give Professional Services That Follow Each Resident's Written Care Plan.
| | |
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
| | |
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| | |
Make Sure That Each Resident's Nutritional Needs Were Met.
|  | |
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| | |
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| | |
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| | |
Resident Rights
Tell the Resident Completely About His or Her Health Status.
| | |
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
| | |
Keep Each Resident's Personal and Medical Records Private and Confidential.
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Try to Resolve Each Resident's Complaints Quickly.
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Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
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Have a Private Telephone Available for Use.
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Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
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Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for The Homestead of Denison, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
| | |
Pharmacy Service
Make Sure That Residents Are Safe from Serious Medication Errors.
| | |
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| | |
Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| | |
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
| | |
Resident Rights
Provide Enough Notice Before Discharging or Transferring a Resident.
| | |
Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that The Homestead of Denison had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/08/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Fire Alarm Systems
A Fire Alarm System That Can Be Heard Throughout the Facility.
| | |
Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
| | |
Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
| | |
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
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Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011
