Denison, TX

Beacon Hill

5-star overall rating with 4-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3515 S Park Ave, Denison, TX

(903) 327-8537

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

150

Certified beds

Average residents

110

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cantex Continuing Care

Operator or chain grouping

Approved since

1995-06-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

38 facilities

Chain averages 3 overall / 3 health / 2 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.52

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.08

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.67

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.27

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.59

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.92

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.50

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.56

CMS adjusted RN staffing hours

Adjusted total hours

3.57

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

61%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,129

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

41.16

Composite VBP score used to determine payment impact.

Payment multiplier

0.9941

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.17

Baseline 21.27% · Performance 19.96% · Measure score 3.17 · Achievement 3.17 · Improvement 2.59

Healthcare-associated infections

2.53

Baseline 5.08% · Performance 7.08% · Measure score 2.53 · Achievement 2.53 · Improvement 0

Total nurse turnover

9.12

Performance 26.39% · Measure score 9.12 · Achievement 9.12 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.64

Baseline 3.34 hours · Performance 3.54 hours · Measure score 1.64 · Achievement 1.64 · Improvement 0.34

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.98%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 202 · Observed rate 10.89% · Lower 95% interval 7%
Discharge to community	52.11%	50.57% 1.5 pts better	No Different than the National Rate · Eligible stays 189 · Observed rate 42.33% · Lower 95% interval 45.6%
Medicare spending per beneficiary	1.08	1.02 0.1 pts worse
Drug regimen review with follow-up	98.42%	95.27% 3.2 pts better	Numerator 187 · Denominator 190
Falls with major injury	0.53%	0.77% 0.2 pts better	Numerator 1 · Denominator 190
Discharge self-care score	49.62%	53.69% 4.1 pts worse	Numerator 66 · Denominator 133
Discharge mobility score	40.6%	50.94% 10.3 pts worse	Numerator 54 · Denominator 133
Pressure ulcers or injuries, new or worsened	0.53%	2.29% 1.8 pts better	Numerator 1 · Denominator 190 · Adjusted rate 0.61%
Healthcare-associated infections requiring hospitalization	7.08%	7.12% About the same	No Different than the National Rate · Eligible stays 123 · Observed rate 7.32% · Lower 95% interval 4.36%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 118
Staff flu vaccination coverage	26.14%	42% 15.9 pts worse	Numerator 40 · Denominator 153
Discharge function score	39.1%	56.45% 17.4 pts worse	Numerator 52 · Denominator 133
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 63 · Denominator 63
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 88 · Denominator 88
Resident COVID-19 vaccinations up to date	65.81%	25.2% 40.6 pts better	Numerator 77 · Denominator 117

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	2.1 About the same	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.7 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.8	2.1 1.3 pts better	1.8 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.9%	97.9% 1 pts better	95.5% 3.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9%
Percentage of long-stay residents experiencing one or more falls with major injury	2.8%	3.3% 0.5 pts better	3.3% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.5% · Q3 2.5% · Q4 3.7% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.3%	2.7% 1.4 pts better	11.4% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.3% · Q3 0.0% · Q4 1.3% · 4Q avg 1.3%
Percentage of long-stay residents who lose too much weight	1.6%	3.3% 1.7 pts better	5.4% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.1%	18.9% 4.2 pts worse	19.6% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 20.9% · Q3 25.4% · Q4 23.0% · 4Q avg 23.1%
Percentage of long-stay residents who received an antipsychotic medication	7.0%	10.8% 3.8 pts better	16.7% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 5.6% · Q3 5.8% · Q4 9.1% · 4Q avg 7.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	9.3%	15.4% 6.1 pts better	16.3% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 4.2% · Q3 8.9% · Q4 12.9% · 4Q avg 9.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	24.1%	16.1% 8 pts worse	14.9% 9.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 20.3% · Q3 23.0% · Q4 44.8% · 4Q avg 24.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.6%	15.0% 3.4 pts better	19.8% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 12.6% · Q3 11.8% · Q4 13.0% · 4Q avg 11.6%
Percentage of long-stay residents with pressure ulcers	5.5%	4.2% 1.3 pts worse	5.1% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.4% · Q3 6.0% · Q4 7.4% · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	89.7% 9.8 pts better	81.7% 17.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.9% · Q4 99.2% · 4Q avg 99.5%
Percentage of short-stay residents who had an outpatient emergency department visit	4.8%	12.0% 7.2 pts better	12.0% 7.2 pts better	Short Stay · 20240701-20250630 · Adjusted 4.8% · Observed 4.8% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.3%	1.5% 1.2 pts better	1.6% 1.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.0% · Q3 0.0% · Q4 0.5% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.9%	88.0% 7.9 pts better	79.7% 16.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.6%	25.9% 6.3 pts better	23.9% 4.3 pts better	Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 20.5% · Expected 24.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-18 · Fire 2024-09-26

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-09-26 · Fire 2023-08-17

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-08-17 · Fire 2022-07-14

3 health deficiencies

Top issue: Environmental (1 deficiency)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-09-26

F · Potential for more than minimal harm 2023-08-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-08-17

F · Potential for more than minimal harm 2023-08-17

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-09-15

E · Potential for more than minimal harm 2023-08-17

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-09-05

E · Potential for more than minimal harm 2023-08-17

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-08-19

E · Potential for more than minimal harm 2022-07-14

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-07-15

E · Potential for more than minimal harm 2022-07-14

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-07-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-18

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-12-23

E · Potential for more than minimal harm 2025-12-18

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-12-23

E · Potential for more than minimal harm 2025-12-18

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-18

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-18

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-18

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-18

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-12-23

E · Potential for more than minimal harm 2024-09-26

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-10-25

E · Potential for more than minimal harm 2024-09-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-25

E · Potential for more than minimal harm 2024-09-26