Denison, Texas · CMS Care Compare

Denison Nursing and Rehab

2 of 5 · CMS overall rating Below average

601 E HWY 69, Denison, TX 75021

Denison, Texas · CMS verdict

CMS places Denison Nursing and Rehab in the below-average range on the federal scale, and below the Texas average of 2.8.

The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.

Denison Nursing and Rehab in Denison, Texas holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 42 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.

42 of 100 · F

Quality & Compliance Index (lower star tercile)

This facility's CMS overall rating sits in the lower U.S. star tercile (≤2/5). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.

How the 42 is built

Each segment is a dimension's weighted points toward the score, summing to 42.

Health inspections 25/100
Staffing 0/100
Quality measures 100/100
Inspection record 45/100

Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.

Denison Nursing and Rehab's lower-tercile CMS stars

Quality ratings

On Care Compare (data as of April 2026), the overall star is a roll-up of three separately tracked sub-ratings: health inspection, staffing, and quality measures. The comparison chart below shows where each one sits relative to Texas.

What each sub-rating measures

The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.

Size and setting

Located in Denison, Texas. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 31% occupancy, this facility is running well below its certified bed capacity, worth asking why directly.

Same-ownership peers

Within Texas, Denison Nursing and Rehab is one of 313 for profit - limited liability company nursing homes CMS rates. Its 2-star overall rating sits below the for profit - limited liability company-segment average of 2.5 stars, ahead of roughly 32% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.

Inspection record

On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.

Where these figures come from

Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.

How Denison Nursing and Rehab's lower-tercile stars compare to Texas

CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.

Overall 2/5 · state avg 2.8
Health inspection 2/5 · state avg 2.8
Staffing 1/5 · state avg 2.1
Quality measures 5/5 · state avg 3.8

Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.

Where Denison Nursing and Rehab ranks in Texas

Among the 1,167 CMS-rated nursing homes in Texas, Denison Nursing and Rehab’s 2-star overall rating is higher than 23% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.

1 star 267 · 23%
2 stars · this facility 262 · 22%
3 stars 271 · 23%
4 stars 212 · 18%
5 stars 155 · 13%

262 Texas homes share this 2-star rating. Source: CMS Nursing Home Compare.

Facility details

Beds, residents, ownership, location, penalty and deficiency counts from CMS Care Compare.
Attribute Value
Beds 71
Residents 22
Ownership For profit - Limited Liability company
County Grayson
Penalties 1
Deficiencies 26

Source: CMS Care Compare Nursing Homes (data as of April 2026)

What do families ask most?

What is the quality rating for Denison Nursing and Rehab? ▾

Denison Nursing and Rehab has an overall CMS quality rating of 2 out of 5 stars. The health inspection, staffing, and quality measures sub-ratings behind it are compared with the Texas average in the chart on this page.

How much does a nursing home cost per month in Texas? ▾

The median cost for a semi-private nursing home room in Texas is $5,627 per month ($67,525 annually). A private room averages $7,604 per month. Costs are from the CareScout 2025 survey.

What services does Denison Nursing and Rehab offer? ▾

CMS classifies Denison Nursing and Rehab as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.

Does Denison Nursing and Rehab have any deficiencies or penalties? ▾

Denison Nursing and Rehab has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.

What are the alternatives to a nursing home in Texas? ▾

In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).

Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainElderCare