Denison Nursing And Rehab
DENISON NURSING AND REHAB in DENISON, TX — inspection on April 29, 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
aware of ADL care plan goals and interventions for Resident #1 since she didn't have access to POC,
Comprehensive Care Plans, revised 09/04/24, revealed on page 1, The comprehensive care plan will
resident's highest practicable physical, mental, and psychosocial well-being.
455563 04/29/2026
Denison Nursing and Rehab 601 E Hwy 69 Denison, TX 75021
carry out activities of daily living received the necessary services to maintain good nutrition,
hygiene.
The facility failed to provide Resident #1 with scheduled showers between 03/24/2026 and 04/28/2026.This failure could place residents who require assistance from staff for personal hygiene at risk of not receiving care and services contributing to overall poor hygiene, risk of experiencing a diminished quality of life, and possible skin infections.
Record review of Resident #1's face sheet, dated 04/28/2026, revealed a [AGE] year-old female admitted to the facility on [DATE] with medical diagnoses of Unspecified Sequelae of Cerebral Infarction (unspecified neurological deficits or functional impairments remaining after a stroke), Flaccid Hemiplegia Affecting Left Dominant Side (sudden, complete paralysis and loss of muscle tone on the left side), Other Cerebral Infarction (disrupted blood flow to the brain), Paraplegia (paralysis affecting the lower half of the body) and Epilepsy (a brain condition that causes recurring seizures).
Record review of Resident #1's quarterly MDS assessment, dated 03/30/2026, reflected a BIMS score of 13, which indicated intact cognitive response.
Section GG0130-Functional Abilities revealed partial/moderate assistance (helper does less than half the effort) for showering/bathing.
Record review of Resident #1's Comprehensive Care Plan reviewed 04/28/2026 failed to address ADLs as a focus of care.
Record review of Resident #1's tasks in the electronic health record did not reflect the residents assigned shower days.
Further review of the posted Resident Shower Sheet revealed Resident #1's scheduled shower days were Tuesday, Thursday, Saturday from 6am-6pm.
Record review of completed shower sheets revealed Resident #1 was showered 03/28/2026, 04/14/2026, and 04/22/2026.
During an interview on 04/28/2026 at 1:08 p.m., Resident #1 revealed she was showered three-four times since arriving at the facility. Resident #1 stated she couldn't remember the last shower. Resident #1 stated she had an odor and could smell herself. Resident #1 was observed neatly dressed; an odor was not observed.
During an interview on 04/28/26 at 12:16 p.m., the Administrator revealed the expectation was for residents to shower when they wanted or on their scheduled shower days.
The Administrator stated showers and refusals were documented on shower sheets since there wasn't access to the POC system. He stated nurses were responsible for checking daily to ensure residents were showered. He stated showers were important for hygiene and resident rights.
During an interview on 04/29/26 at 10:12 a.m., CNA A stated Resident #1 was showered or received bed baths, but she didn't remember when.
She stated she failed to document the shower sheets.
She stated she didn't have access to the electronic medical record system for documenting ADL care for showers.
She stated the risk of unbathed residents included hygiene or skin issues.
During an interview on 04/29/26 at 10:38 a.m., CNA B stated she showered Resident #1 once since her admission.
She stated CNA A normally showered Resident #1.
She stated showers, refusals, and bed baths were documented on the shower sheets.
She stated she didn't have POC access for documentation of ADL care.
She stated residents were at risk for skin breakdown, smells, odors, and uncleanliness when unbathed.During an interview on 04/29/26 at 1:56 p.m., LVN A stated charge nurses were responsible for overseeing CNAs to ensure residents were showered by checking with the CNA and residents.
She said she was too busy with her assigned duties to check if/when residents were showered.
She stated shower sheets were kept in the shower sheet book and documented in the POC computer system.
She stated showers/bathing were important for hygiene, it helped residents feel better, and it helped residents' skin.
Record review of facility policy, dated reviewed 02/11/22, titled, Resident Showers, reflected, Residents will be provided showers as per request or as per shower schedule.
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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.