Denison Nursing and Rehab: Hygiene Neglect Violations - TX
Inspectors visited the facility on April 28 and 29, 2026, following a complaint. What they found was a resident who had been showered three times in 35 days, against a posted schedule that called for showers three times a week, every Tuesday, Thursday, and Saturday.
The shower sheets, which staff used to track bathing because they lacked access to the facility's electronic records system, showed completed showers on March 28, April 14, and April 22. That's it. Eleven scheduled shower days passed without documentation of a bath. The resident told inspectors she thought she had been showered three or four times total since arriving at the facility. She said she couldn't remember the last one.
"She had an odor and could smell herself," the inspection report states. Inspectors noted she was neatly dressed when they observed her, and they did not detect an odor at that moment. But her own account was unambiguous.
The nursing assistants responsible for her care gave inspectors a picture of a system with nobody minding it. CNA A said she had showered the resident or given her bed baths but couldn't remember when. She acknowledged she had failed to document the shower sheets. CNA B said she had showered the resident once since admission and assumed CNA A was handling the rest. Neither had access to the electronic medical record system to document ADL care, which was part of why the paper shower sheets existed in the first place. Both CNAs, when asked, described exactly what goes wrong when residents aren't bathed: skin breakdown, odor, infection risk.
The charge nurse, LVN A, told inspectors that nurses were supposed to oversee the aides and verify that residents were being bathed, by checking with the CNAs and with the residents themselves. She said she was too busy with her other assigned duties to do that.
The administrator said the expectation was for residents to shower on their scheduled days or whenever they wanted, and that nurses were responsible for checking daily to make sure it happened. He acknowledged the facility used paper shower sheets because staff didn't have access to the electronic documentation system. He said showers were important for hygiene and resident rights.
The resident's care plan, reviewed by inspectors on April 28, did not list activities of daily living, including bathing, as a focus of care at all. Her electronic health record did not reflect her assigned shower days. The shower schedule existed on a posted sheet in the facility. It just wasn't connected to anything else in the system that tracked whether care was delivered.
The inspection was classified as causing minimal harm or potential for actual harm. The violation affected one of six residents reviewed for personal hygiene.
What the report leaves is a woman with epilepsy, paralysis from the waist down, and a left side that doesn't move or respond, who told a federal inspector that she knew she had an odor and could smell herself, and who, when asked when she had last been bathed, said she couldn't remember.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Denison Nursing and Rehab from 2026-04-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
DENISON NURSING AND REHAB in DENISON, TX was cited for neglect violations during a health inspection on April 29, 2026.
Inspectors visited the facility on April 28 and 29, 2026, following a complaint.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.