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D
Poor

DENISON NURSING AND REHAB

601 E HWY 69 · DENISON, TX 75021

9034652438 · For profit - Limited Liability company

71 beds21.8 residents40 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

DENISON NURSING AND REHAB receives an overall staffing grade of D (Poor). With 3.7381 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.2846 HPRD, below the recommended 0.75. It is 0.16 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 24.16% compared to weekdays. The facility has low agency staff usage (0.11% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Had 21 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
⚠️RN staffing (0.2846 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (0.11%) — mostly permanent, familiar staff
Total Nurse HPRD
3.7381hrs/resident/day▼ 0.16
CMS benchmark: 3.48
RN HPRD
0.2846hrs/resident/day▼ 0.40
Recommended: 0.75
Weekend Drop-off
24.16%
4.012 weekday → 3.0427 weekend
⚠ Significant weekend reduction
Agency Staff
0.11%
0% of RN hours from contractors
Days with Zero RN
21days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
2.0775hrs/resident/day
Direct care aides
LPN HPRD
1.376hrs/resident/day
Licensed practical nurses
Consistency
0.657std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Grayson County Average+0.34 HPRD
3.40
03.74 HPRD
vs. Texas State Average+0.33 HPRD
3.40
03.74 HPRD
vs. National Average-0.16 HPRD
3.90
03.74 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
DENISON NURSING AND REHAB ★
DENISON · This facility
—
D
3.73810.2846★★☆☆☆
THE TERRACE AT DENISON
DENISON
2.2 mi
D
3.38510.3261★☆☆☆☆
Texoma Healthcare Center
Sherman
6.3 mi
C
3.13770.4687★☆☆☆☆
CEDAR RIDGE REHABILITATION AND HEALTHCARE CENTER
PILOT POINT
32.4 mi
F
3.6990.2404★★★☆☆
Denton Village by PureHealth
DENTON
49.2 mi
A
4.43761.0178★★☆☆☆
LIFE CARE CENTER OF PLANO
PLANO
50.9 mi
C
4.0140.5417★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
26
Total Deficiencies
$8,281
Fines Assessed
Jun 9, 2025Health
1 deficiency cited
▼
May 16, 2025Health
3 deficiencies cited· Includes actual harm
▼
Apr 10, 2025Health
3 deficiencies cited
▼
Mar 5, 2025Health
4 deficiencies cited
▼
May 16, 2024Health
5 deficiencies cited
▼
Nov 9, 2023Health
1 deficiency cited
▼
Jul 13, 2023Health
1 deficiency cited
▼
Feb 16, 2023Health
2 deficiencies cited
▼
Dec 15, 2021Health
6 deficiencies cited
▼

Penalty History

May 16, 2025Fine
$8,281
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.