Beacon Hill
BEACON HILL in DENISON, TX — inspection on May 26, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the facility's policy Resident Rights dated [DATE] reflected .
The facility will ensure that all direct care and indirect care staff members, including contractors and volunteers, are educated on the rights of residents and the responsibility of the facility to properly care for its residents.
Respect and dignity - The resident has a right to be treated with respect and dignity.
675503 05/26/2026
Beacon Hill 3515 S Park Ave Denison, TX 75020
residents who are unable to carry out activities of daily living to maintain good grooming and personal
had his fingernails trimmed and cleaned on 05/26/2026.
This failure could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and skin breakdown, and a decreased quality of life.
Record review of Resident #2's Quarterly MDS assessment dated [DATE] indicated an [AGE] year-old male with initial admission date of 07/28/2022 to the facility.
His pertinent diagnoses included: dementia (a decline in cognitive abilities, severe enough to interfere with daily life), and need for assistance with personal care.
His BIMS score was 7, which indicated Resident #2' cognition was severely impaired. Resident #2 needed maximal assistance with personal hygiene.
Record review of Resident #2 's Comprehensive Care Plan, revised 09/15/2025 reflected, Focus: Resident has an ADL self-care performance deficit related to impaired mobility.Interventions: .
Check nail length and trim and clean on bath day and as necessary.
Report any changes to the nurse.
In an observation on 05/26/2026 at 9:33 AM, revealed Resident #2 was sitting in his wheelchair.
The nails on both hands were approximately 0.3cm in length extending from the tip of his fingers.
The nails were discolored, tan and had green brownish colored residue underside and around the nail beds. Resident #2 was unable to answer questions. In an interview on 05/26/26 at 9:37 AM, CNA A stated CNAs and nurses were responsible for cleaning and cut the residents' nails. CNA A stated she did not notice Resident #2's nails.
She stated she would do it right then.
She stated the risk would be infection and injury. In an interview on 05/26/2026 at 1:34 PM, the DON stated that her expectation was that ADL care be provided as needed.
She stated that CNAs were responsible for providing nail care, including trimming fingernails, unless the resident had a diagnosis of diabetes.
She stated that charge nurses were responsible for monitoring this care.
The DON stated that residents having long, dirty fingernails could result in skin breakdown and potential of infections.
Record review of the facility policy Nail Care, dated 10/1/2025 reflected .
Routine nail care, to include trimming and filling, will be provided on a regular schedule.
Nail care will be provided between scheduled occasion as the need arises .
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.