The Homestead Of Denison

Penalties

• Jul 16, 2025 — Fine ($14,271)
• Nov 10, 2023 — Fine ($15,720)

Inspection findings

1. Mar 26, 2026 Health · 9 findings
   • Not serious Scope/severity E

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Mar 27, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Mar 27, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Mar 27, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure 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.

     Corrected Mar 27, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 27, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 27, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0300 Egress Deficiencies

     Meet other general requirements that are deficient.

     Corrected Apr 1, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected May 1, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected May 1, 2026 · CMS fire safety

2. Jul 16, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     CMS health inspection

3. Jan 3, 2025 Health · 8 findings
   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jan 4, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jan 4, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0770 Administration Deficiencies

     Provide timely, quality laboratory services/tests to meet the needs of residents.

     Corrected Jan 4, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jan 4, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected May 27, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0867 Administration Deficiencies

     Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

     Corrected Jan 4, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 4, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Dec 30, 2024 · CMS fire safety

4. Nov 6, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 22, 2024 · CMS health inspection

5. Jan 4, 2024 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Jan 19, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jan 19, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0635 Resident Assessment and Care Planning Deficiencies

     Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

     Corrected Jan 19, 2024 · CMS health inspection

6. Nov 10, 2023 Health · 12 findings
   • Serious Scope/severity K Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jul 26, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0727 Nursing and Physician Services Deficiencies

     Have 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.

     Corrected Nov 11, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     Ensure 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.

     Corrected Nov 14, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0805 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

     Corrected Nov 14, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Nov 14, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Nov 11, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Nov 14, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Nov 14, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Nov 13, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Nov 16, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0916 Gas, Vacuum, and Electrical Systems Deficiencies

     Have a battery powered remote alarm panel in a location accessible by operating personnel.

     Corrected Dec 20, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Nov 11, 2023 · CMS fire safety

7. Oct 14, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Oct 15, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BAUDER, KELLY — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BAUDER, MADISON — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BAUDER, PARKER — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BAUDER, WILLIAM — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• BAUDER, WILLIAM — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BOULWARE, DOUGLAS — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/30/2025
• BOULWARE, SANDRA — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/30/2025
• BOULWARE, STEVEN — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• BOULWARE, STEVEN — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BOULWARE, THOMAS — adp of the snf, NOT APPLICABLE, since 04/01/2024
• LANGE, TYLER — adp of the snf, NOT APPLICABLE, since 04/01/2024
• LANGE, TYLER — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• SANDERSON, CLARK — corporate director, NOT APPLICABLE, since 04/01/2024
• TORRES RAMOS, RANDOLPH — adp of the snf, NOT APPLICABLE, since 04/01/2024
• TORRES RAMOS, RANDOLPH — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• WALKER, KATIE — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BAUDER FAMILY INVESTMENTS, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 04/01/2024
• BAUDER FAMILY INVESTMENTS, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BOULWARE ST JAMES LLC — adp of the snf, NOT APPLICABLE, since 04/01/2024
• BOULWARE ST JAMES LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 04/01/2024
• BRIDGEPOINTE FINANICAL SERVICES, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2024
• FANNIN COUNTY HOSPITAL AUTHORITY — 5% or greater direct ownership interest, 100%, since 04/01/2024
• INNOVATIVE NURSE CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2024
• INNOVATIVE NURSE CONSULTING, LLC — trustee of the snf, NOT APPLICABLE, since 04/01/2024
• PMG OPCO-DENISON, LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• PMG OPCO-DENISON, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2024
• PMG REALCO-DENISON LLC — adp of the snf, NOT APPLICABLE, since 04/01/2024
• PMG REALCO-DENISON LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 04/01/2024
• PRIORITY MANAGEMENT GROUP, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2024
• PRIORITY MANAGEMENT GROUP, LLC — trustee of the snf, NOT APPLICABLE, since 04/01/2024
• PROGRESSIVE REHAB SOLUTIONS, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2024
• STEVEN BOULWARE FAMILY INVESTMENTS LLC — adp of the snf, NOT APPLICABLE, since 04/01/2025