CCN 675212 · Grayson County, Texas

The Homestead of Denison

1101 Reba McEntire Lane, Denison, TX 75020

The Homestead of Denison is a 140-bed for-profit nursing home in Denison, Texas, first certified for Medicare or Medicaid in 1993. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 69.9 residents a day, about 50% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $4.5 million in December 2017 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.

Facility facts

Certified beds
140
Average residents per day
69.9 (49.9% of beds)
Ownership type
For profit - Limited Liability company
Certification
Medicare and Medicaid
Legal business name
Fannin County Hospital Authority
Certified since
Nov 4, 1993
Chain or affiliated group
Priority Management (38 facilities, chain average 2.9 stars)
Location
Urban

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityTexas medianUS median
Overall rating3 of 5State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5
Health inspections3 of 5
Quality measures5 of 5
Staffing1 of 5
Total nurse hours per resident per day3.313.273.68
RN hours per resident per day0.300.380.58
Weekend nurse hours per resident per day2.96
Nursing staff turnover58.3%52.1%44.9%
Occupancy (residents / beds)49.9%68.6%85.7%
Fines reported by CMS2 totaling $29,991
Health deficiencies, latest standard survey7 (Mar 26, 2026)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). The Homestead of Denison meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Fannin County Hospital AuthorityOrganizationDirect Ownership Interest100%04/01/2024
Bauder Family Investments, LLCOrganizationMortgage Interestn/a04/01/2024
Boulware St James LLCOrganizationMortgage Interestn/a04/01/2024
Pmg Realco-Denison LLCOrganizationMortgage Interestn/a04/01/2024
Pmg Opco-Denison, LLCOrganizationOperational / Managerial Controln/a04/01/2024
Bauder, WilliamIndividualOperational / Managerial Controln/a04/01/2024
Boulware, StevenIndividualOperational / Managerial Controln/a04/01/2024
Lange, TylerIndividualOperational / Managerial Controln/a04/01/2024
Torres Ramos, RandolphIndividualOperational / Managerial Controln/a04/01/2024

Holders of a 5% or greater mortgage interest reported in the enrollment record: Bauder Family Investments, LLC, Boulware St James LLC, Pmg Realco-Denison LLC.

Changes of ownership

EffectiveBuyerSeller
Apr 1, 2024Fannin County Hospital AuthorityPm Management - Denison Nc LLC

HUD Section 232 loans

HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.

EndorsedProgramOriginal amountStatusFHA number
Dec 15, 2017223(f) refinance or purchaseHUD project name: Javelin - The Homestead of Denison, 117 beds. Lender at endorsement: Berkadia Commercial Mortgage LLC$4,480,000Ended Mar 29, 2024Prepayment11322228

Watch this facility

Get one email when the monthly CMS or HUD files show a change at The Homestead of Denison: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.