DENISON NURSING AND REHAB
601 E HWY 69, DENISON, TX 75021 · CCN 455563
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 71
- Avg residents/day
- 21.8
- Phone
- 9034652438
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-02 | 20 | 9.1 | 9.5 | +10.9 worse |
| 2 | 2024-05-16 | 5 | 9.4 | 9.8 | -4.4 better |
| 3 | 2023-02-16 | 4 | 8.1 | 9.3 | -4.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.72 | 71.4% |
| RN staffing (reported) | 0.28 | — |
| Total nurse staffing (adjusted) | 3.82 | — |
Fines & penalties
- Total fines
- $8,281
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (29)1 immediate jeopardy
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-07-02 · Health · corrected 2025-07-25
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-07-02 · Health · corrected 2025-07-25
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-07-02 · Health · corrected 2025-07-25
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-07-02 · Health · corrected 2025-07-25
Potential for more than minimal harm
- FF0727Have 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.2025-07-02 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-02 · Health · corrected 2025-07-25
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-02 · Health · corrected 2025-07-25
Potential for more than minimal harm
- FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-07-02 · Health · corrected 2025-07-25
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-07-02 · Health · corrected 2025-07-25
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-06-09 · Health · corrected 2025-06-29
Potential for more than minimal harm
- DF0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.2025-05-16 · Health · corrected 2025-06-12
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-16 · Health · corrected 2025-06-16
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-16 · Health · corrected 2025-06-16
Immediate jeopardy
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-10 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-10 · Health · corrected 2025-04-11
Potential for more than minimal harm
- DF0761Ensure 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.2025-04-10 · Health · corrected 2025-04-11
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-03-05 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-05 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-03-05 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0761Ensure 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.2025-03-05 · Health · corrected 2025-03-24
Potential for more than minimal harm
- EF0727Have 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.2024-05-16 · Health · corrected 2024-06-05
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-16 · Health · corrected 2024-06-05
Potential for more than minimal harm
- DF0761Ensure 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.2024-05-16 · Health · corrected 2024-06-05
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-16 · Health · corrected 2024-06-05
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-05-16 · Health · corrected 2024-06-05
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-11-09 · Health · corrected 2023-11-10
Potential for more than minimal harm
- EF0727Have 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.2023-07-13 · Health · corrected 2023-07-14
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-16 · Health · corrected 2023-02-20
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-02-16 · Health · corrected 2023-02-17
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ISSAC, TROY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 95% | 2021-01-04 |
| TROY ISSAC SEPERATE PROPERTY TR | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2021-01-04 |
| CIFELLI, CAITLIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-20 |
Other facilities in DENISON
| Name | Overall | Beds |
|---|---|---|
| BEACON HILL | ★★★★★ | 150 |
| THE TERRACE AT DENISON | ★★☆☆☆ | 136 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.