Denison Nursing And Rehab faces challenges in its CMS ratings, earning a D grade with a score of 40/100. The facility ranks in the 44th percentile among Texas nursing homes, suggesting significant room for improvement.
Staffing at Denison Nursing And Rehab is near the national average, with 3.72 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 29 deficiencies at Denison Nursing And Rehab, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.72 | 3.8 | Average |
| Registered Nurses (RN) | 0.28 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.37 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.07 | 2.4 | Below Average |
| Weekend Total Nursing | 3.02 | 3.8 | Below Average |
| Weekend RN Hours | 0.07 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0725 Severity FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Jul 1, 2025 · Nursing and Physician Services Deficiencies
- Tag 0727 Severity 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.Jul 1, 2025 · Nursing and Physician Services Deficiencies
- Tag 0838 Severity FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day opeJul 1, 2025 · Administration Deficiencies
- Tag 0565 Severity EHonor the resident's right to organize and participate in resident/family groups in the facility.Jul 1, 2025 · Resident Rights Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jul 1, 2025 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.5% | 4.5% | Worse |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 1.8% | 14.5% | Better |
| Urinary tract infections | 2.5% | 2.5% | Average |
| ADL decline (daily activities) | 23.4% | 14.0% | Worse |
| Excessive weight loss | 2.8% | 7.5% | Better |
| New/worsened incontinence | 16.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,281
How This Grade Was Calculated
This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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