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

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

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Nearby Cities:

Sherman | Savoy | Gunter

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 ServicesResident ConditionsPercent 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: 11-161.4%
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: 2-101.1%
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: 11-162.3%
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: 11-1615.9%
ADL Index Range: 0-54.3%
Total Percent:20.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1619.2%
ADL Index Range: 0-514.9%
Total Percent:34.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.5%
ADL Index Range: 0-51.8%
Total Percent:10.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-167.1%
ADL Index Range: 0-52.0%
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 DayReportedExpected
Registered Nurse (RN) Hours34 Minutes1 Hour and 12 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours52 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 33 Minutes2 Hours and 31 Minutes
Total Licensed Nurse Hours1 Hour and 26 Minutes1 Hour and 57 Minutes
Total Nurse Hours3 Hours and 59 Minutes4 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 FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination73%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 Bladder3%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%
Percent of Long-Stay Residents Who Lose Too Much Weight9%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%12%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%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 Bladder20%46%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased27%18%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination49%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores16%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain20%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 InspectorsDegree of HarmResidents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Get Services Outside the Nursing Home That Meet Professional Standards.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Choose a Doctor to Be the Medical Director.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 06/18/2009
  • Correction Date: 07/24/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 06/18/2009
  • Correction Date: 07/24/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/09/2010
  • Correction Date: 08/19/2010
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 07/09/2010
  • Correction Date: 08/19/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Keep Sound Levels Comfortable.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Keep All Essential Equipment Working Safely.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 06/18/2009
  • Correction Date: 07/24/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/09/2010
  • Correction Date: 08/19/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008

Resident Rights

Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
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.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Have a Private Telephone Available for Use.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
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.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 05/13/2008
  • Correction Date: 06/13/2008

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 ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/13/2008
  • Correction Date: 06/13/2008

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 05/13/2008
  • Correction Date: 06/13/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 05/13/2008
  • Correction Date: 06/13/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/13/2008
  • Correction Date: 06/13/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 05/13/2008
  • Correction Date: 06/13/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 05/13/2008
  • Correction Date: 06/13/2008

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 05/13/2008
  • Correction Date: 06/13/2008

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 InspectorsDegree of HarmResidents Affected

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/19/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/19/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 05/07/2008
  • Correction Date: 05/13/2008
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 07/08/2010
  • Correction Date: 08/19/2010
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011