Nursing homes across Grayson County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Beacon Hill runs 150 certified beds in Denison under corporate ownership, and its numbers are a mixed bag worth sorting through. Nurse staffing sits at 3.27 hours per resident day, roughly 15 percent under the national average, and weekends drop about 11 percent below what the home staffs on weekdays, that gap matters when families visit and see who's actually on the floor. Turnover is the brighter spot: 34.9 percent against a national 45.8 percent, which suggests people stay. Inspections in December 2025 turned up 21 deficiencies, none at harm or jeopardy level and none abuse-related.
Denison Nursing and Rehab runs 71 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, but the bigger issue is consistency: weekends run about 28% below the home's own weekday level, and annual turnover hits 60% against a national 45.8%. Inspections are recent (July 2025) but the record shows 32 deficiencies, including one at the harm level and one abuse-related, plus an $8,281 fine. The five-star quality measure score stands out against a one-star staffing rating and a two-star inspection rating. Ask about weekend coverage and how they've addressed that abuse citation.
The Terrace at Denison runs 136 beds under for-profit LLC ownership, and its nursing hours come in around 3.43 per resident day, roughly 11 percent under the national average, with weekends running about 14 percent thinner than weekdays. That staffing picture matches the one-star CMS staffing rating, and the inspection record backs it up: 37 deficiencies on file, including two at the harm or jeopardy level and two tied to abuse, plus a $47,097 fine. The quality measure rating sits at 4 stars, but strong clinical numbers don't offset thin coverage and a two-star inspection history. The most recent inspection was September 11, 2025, so the record is current.
Woodlands Place Rehabilitation Suites runs 133 beds in Denison under corporate ownership, and its staffing is the number that stands out first: 3.28 nurse hours per resident day, roughly 15 percent under the national average, with weekends running about 9 percent thinner than weekdays. Turnover sits at 44.6 percent, essentially level with the national figure, so the issue isn't retention so much as how few hands are scheduled. The inspection record shows 26 deficiencies, four at harm or jeopardy level and one abuse-related, plus a $109,954 fine, with the most recent inspection dated February 26, 2026. Strong quality measure scores don't cancel out thin weekend coverage and that deficiency history.
Meadowbrook Care Center runs about 3.01 nurse hours per resident each day, roughly 22% under the national average, and weekend staffing dips another 10% below its own weekday levels, so the thinnest coverage lands when families are most likely to visit. Annual turnover sits at 60% against a national 45.8%, meaning the people caring for your relative are often new to the building. The current record carries 17 deficiencies, including one at the harm level and one tied to abuse, with a $21,645 fine. That quality measure score of 5/5 reflects charted care, but the staffing and inspection scores tell a different story.
Cedar Hollow is hospital-district owned, which usually means steadier public funding than a for-profit chain, but the numbers here don't show that advantage paying off. Nurse staffing sits at 3.46 hours per resident day against a national average of 3.86, and weekends run roughly 12% thinner than weekdays, so the coverage gap isn't just theoretical, it's baked into the schedule. Turnover at 50.4% tops the national 45.8%, and the inspection record carries 30 deficiencies, including three at harm or jeopardy level and one tied to abuse, plus two fines totaling $39,697. The most recent inspection was May 2026, so that record is current.
The Homestead of Denison runs 140 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekend coverage drops about 11% below its own weekday level, and annual turnover hits 58.3% against a national 45.8%, meaning the aides and nurses your family member sees are likelier than average to be new or on their way out. The inspection record backs that up: 29 deficiencies, two at harm or jeopardy level and three abuse-related, with $29,991 in fines and a 2-out-of-5 inspection rating. Strong quality-measure scores don't offset thin, churning staffing.
Avir At Sherman runs on 3.06 nurse hours per resident per day, roughly a fifth below the national figure, and weekends drop about 9% below what the home staffs on weekdays. That shortfall shows up in the numbers that matter: the federal staffing rating sits at 1 out of 5, with annual turnover at 87.1% against a national rate near 46%. Thirty-three deficiencies appear on the current record, three tied to abuse, though none reached harm or jeopardy. The last inspection was June 2025, and quality measures actually score well. A for-profit LLC runs the 132-bed home, so ask directly how they hold onto aides and who covers weekends.
Texoma Healthcare Center runs 179 certified beds in Sherman under corporate for-profit ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.24 hours per resident per day, roughly 16 percent under the national average, and it thins out further on weekends, dropping about 17 percent below the home's own weekday level. Annual turnover is 93.7 percent, more than double the national rate of 45.8 percent, which means the aides and nurses caring for residents are, on average, not there for long. The inspection record shows 36 deficiencies, including two at harm or jeopardy level and one tied to abuse, with $16,441 in fines. The last inspection was March 19, 2026; the health and quality ratings each land at 3 out of 5, staffing at 1.
Focused Care At Sherman runs on 3.17 nurse hours per resident day, roughly 18% under the national average, and weekends drop about 13% below its own weekday staffing. That thin coverage sits behind a 75% annual turnover rate, well above the national 45.8%, so the people caring for residents are often new to the building. Its current record carries 45 deficiencies, including 7 at harm or jeopardy level and 6 tied to abuse, plus one fine of $82,570, with the most recent inspection in May 2025. The quality measure rating of 3/5 is the one area that looks closer to average, but staffing and inspection ratings both sit at 1/5.
Whitesboro Health And Rehabilitation Center runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about another 10% below its own weekday levels. That thin coverage shows in the numbers: 90.9% annual staff turnover, double the national rate, with a 1-out-of-5 CMS staffing rating and 2-out-of-5 on quality measures. Inspectors last visited in May 2025 and cited 15 deficiencies, four of them serious enough to put residents at harm or jeopardy, including one abuse-related finding. Two fines totaling $30,253 are on record. For-profit corporate ownership, three inspection stars, and a resident population of up to 95, this is a home where you'd want to visit unannounced, on a weekend, and ask directly who's on the floor.