The Terrace at Denison
1300 Memorial Dr, Denison TX 75020 · (903) 465-7442 · 105% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
The Terrace at Denison is a small nursing home located in Denison, Texas. We gave this nursing home an overall grade of D. A grade of this caliber typically indicates a few concerning datapoints. At the end of the day, we would struggle to recommend this place. Despite all this, one of the few highlights of this nursing home's profile is its impressive inspection score. You can continue reading to find out about inspections and other category scores
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 70 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we didn't give this place a good overall score, we actually gave it a relatively strong grade in the area of inspections, where it received a B+. Inspection ratings account for a host of factors found on a facility's inspection reports. One of the most important criteria we consider is the number and severity of deficiencies. You generally want to avoid facilities with too many deficiencies flagged. Fortunately, although this facility had some minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are labeled as categories G, H, I, J, K and L. This means CMS did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A couple minor deficiencies aren't necessarily the end of the world.
Long-term Care Quality
The second most favorable category we gave this nursing home in any area came in the area of long-term care, where we awarded it a B-. In determining these long-term care ratings, we analyze the facility's personal care services. In addition to assessing the quantity of care provided by nurses and other staff, we looked at the number of residents vaccinated against pneumonia. This nursing home administered the vaccine to 75.193794 percent of its residents. This is multiple points lower than what we were hoping for. Finally, we looked at the facility's number of hospitalizations. This facility did not excel here either, with 3.09 hospitalizations per one thousand long-term resident days. While this figure is somewhat concerning, this statistic may be skewed for some nursing homes based on the medical complexity of residents.
Nurse Quality
Turning to the area of nursing care, this facility received a grade of just D in this category. Our nursing grade consists of quite a few datapoints, but the main consideration is the number of nurse hours per patient per week. This nursing home provided just 3.1 hours of nursing care per resident daily. To pair with its below average total nursing hours per resident, this facility had really bad marks in many of the quality-based metrics we looked at in determining our nursing scores. For starters, we looked at the percent of patients experiencing falls leading to serious injury. This facility was at more than 1.5 times the national average in this statistic. This is concerning in light of the fact that many falls could likely be prevented with better nursing care. This ended up sealing the facility's fate of earning a poor nursing rating.
Short-term Care Quality
The next area we rated is short-term care. Unfortunately, we gave it a lowly F in this category, which is a rock bottom grade. Short-term care grades are commonly employed to grade a nursing home's performance with rehabilitation. To provide quality rehabilitation services, facilities generally must have better levels of highly skilled nursing services. Skilled nursing includes registered nurses, physical therapists, speech therapists and other licensed professionals. Considering its score in this area, we were not surprised to learn that this facility is well below average in terms of its number of registered nurse and physical therapy hours offered to its residents based on the data we assessed. Honestly, this was about what we expected to find. The final item we assessed in this category is the number of residents who returned home from the facility. This nursing home struggled quite a bit in this area as well, with just 28.6 percent of its patients returning home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
The Terrace at Denison Quality Metrics
Minimizes Pressure Ulcers
This is a measure of the percentage of long-term stay patients which developed pressure ulcers or bed sores. We use this statistic in calculating both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percent of residents that have had a major fall. Falls resulting in major injuries are considered to be a barometer of nursing care at a nursing home. Falls which result in injury are routinely caused by lower quality nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of patients that sustained a urinary tract infection. These infections could be linked to poorer hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of patients who were prescribed antipsychotic medications. While antipsychotic drugs may be vital to many residents, it is important to confirm these drugs are being used only where medically required. In some cases, excessive reliance on these medications may mean that a nursing home is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percentage of residents given antianxiety medications. These medications are typically used to treat patients experiencing anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is a measure of the percentage of long-term care residents exhibiting symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percent of patients that received the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percentage of residents that required additional assistance with activities of daily living over time.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents who remained mobile levels over time. Retaining mobility can be a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This metric measures the number of hospitalizations per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is a measure of the number of times residents are rehospitalized per thousand days of short-term patient care. Minimizing rehospitalizations during rehabilitation is important to restoring the physical well-being of residents.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric tracks the number of emergency room visits per 1,000 days of short-term care. Avoiding medical emergencies is one way to measure the well-being of patients during rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
Measures the percent of short-term patients that saw functional improvements.
Percentage of Resident
Higher is Better