The Homestead of Sherman
The Homestead of Sherman
3.7 (70 reviews)
Skilled Nursing Facility • 132 Licensed Beds
1000 Sara Swammy Dr, Sherman, TX
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
Call
Claimed

The Homestead of Sherman

Skilled Nursing Facility • 132 Licensed Beds
1000 Sara Swammy Dr,
Sherman, TX
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

The Homestead of Sherman – Medicare Certified Since 2006

The Homestead of Sherman is a Medicare and Medicaid certified skilled nursing facility located in Sherman, Texas. This facility has been serving the community for 20 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 132 certified beds with a current occupancy rate of 55% (averaging 73 residents per day), which is below average. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.27 hours of total nursing care per resident per day (2.05 hours from CNAs, 1.06 hours from LPNs, 0.16 hours from RNs). Physical therapy staffing is 0.06 hours per resident per day.

Medicare Quality Ratings: According to CMS, The Homestead of Sherman has an overall quality rating of 3 out of 5 stars, which is average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 3 stars, staffing: 1 stars, quality measures: 5 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

Show Phone

Local Comparison Snapshot

How The Homestead of Sherman compares to 11 facilities in Sherman-Denison, TX

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
3
2.5
Quality Measures
Clinical outcomes & safety
5
3.5
Health Inspections
State survey results
3
2.5
Staffing
Nurse-to-resident ratio
1
1.9
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.16 hrs
0.41 hrs
LPN/LVN Hours
Licensed practical nurses
1.06 hrs
1.02 hrs
CNA Hours
Certified nursing assistants
2.05 hrs
1.87 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.27 hrs
3.30 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
4.8 %
1.3 %
LPN/LVN Agency Use
% of LPN hours from contractors
10.5 %
10.4 %
CNA Agency Use
% of CNA hours from contractors
10.7 %
8.6 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
87 %
53 %
Occupancy Rate
Percentage of beds filled
55 %
54 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$229
$314
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 11 facilities in Sherman-Denison, TX.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

View Other Options Near You

Claimed

Texoma Healthcare Center

1000 HWY 82 E
Sherman, TX 75090 (< 1 miles away)
Skilled Nursing Facility • 179 beds
★★★★★ 4.0 (83 reviews)
Show Phone
View Listing
Claimed

Cedar Hollow Rehabilitation Center

5011 NORTH US HWY 75
Sherman, TX 75090 (1 miles away)
Skilled Nursing Facility • 142 beds
★★★★★ 4.3 (60 reviews)
Show Phone
View Listing

Focused Care at Sherman

817 W CENTER
Sherman, TX 75090 (3 miles away)
Skilled Nursing Facility • 116 beds
Show Phone
View Listing

Beacon Hill

3515 S PARK AVE
Denison, TX 75020 (4 miles away)
Skilled Nursing Facility • 150 beds
Show Phone
View Listing
Claimed

Woodlands Place Rehabilitation Suites

5600 WOODLANDS TRAIL
Denison, TX 75020 (4 miles away)
Skilled Nursing Facility • 133 beds
★★★★★ 3.5 (33 reviews)
Show Phone
View Listing

Denison Nursing and Rehab

601 E HWY 69
Denison, TX 75021 (6 miles away)
Skilled Nursing Facility • 71 beds
Show Phone
View Listing
Claimed

The Terrace at Denison

1300 MEMORIAL DR
Denison, TX 75020 (7 miles away)
Skilled Nursing Facility • 136 beds
★★★★★ 3.9 (81 reviews)
Show Phone
View Listing
Claimed

The Homestead of Denison

1101 REBA MCENTIRE LN
Denison, TX 75020 (7 miles away)
Skilled Nursing Facility • 140 beds
★★★★★ 3.9 (81 reviews)
Show Phone
View Listing

Southern Pointe Living Center

101 SHERRARD DRIVE
Colbert, OK 74733 (13 miles away)
Skilled Nursing Facility • 95 beds
Show Phone
View Listing

Mullican Care Center

105 N MAIN ST
Savoy, TX 75479 (15 miles away)
Skilled Nursing Facility • 112 beds
Show Phone
View Listing

Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
3/5
Quality Measures
5/5
Health Inspections
3/5
Staffing
1/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 11 other nursing homes in Sherman-Denison, TX

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
The Homestead of Sherman
Sherman-Denison, TX Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

The Homestead of Sherman
Sherman-Denison, TX Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

The Homestead of Sherman
Sherman-Denison, TX Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

The Homestead of Sherman
Sherman-Denison, TX Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
123
minutes/day
CNAs
Certified Nursing Assistants
64
minutes/day
LVNs
Licensed Vocational Nurses
10
minutes/day
RNs
Registered Nurses
4
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LVNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
The Homestead of Sherman
Sherman-Denison, TX Average (54.2%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$229
per resident per day
Compared to 11 facilities in your area
Below local median ($314)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

Government Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-6% -7% Above
Net Income
Annual profit or loss
$2,568 $2,568 Below
Staff Cost per Resident
Daily salary expense per resident
$114/day $129/day Lower
Occupancy Rate
Bed utilization percentage
55% 56% Lower
Est. Daily Rate
Average revenue per patient day
$229/day $314/day Lower
Total Beds
Licensed bed capacity
132 133 Smaller

Local comparisons based on 11 skilled nursing facilities in the Sherman-Denison, TX metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$5,594,796
Operating Expenses
Total operating costs
$5,929,399
Total Salaries
Staff compensation
$2,760,589
Contract Labor
Agency & temp staff
$494,453

Payer Mix

Medicare
10%
Medicaid
65%
Private Pay & Other
24%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
24,274
Medicare
Short-term skilled nursing
10%
Medicaid
Long-term care residents
65%
Private Pay / Other
Self-pay, insurance, VA
24%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
202.28
days
Medicare Stays
58.63
days
Medicaid Stays
754.05
days
Total Admissions
97
Total Discharges
120
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in SHERMAN

Join Our Caring Team

We're always looking for compassionate individuals who are dedicated to providing exceptional care for our residents. Explore career opportunities at The Homestead of Sherman.

Current Job Openings

The Homestead of Sherman
SHERMAN, TX
Full Time
View Job
The Homestead of Sherman
SHERMAN, TX
Full Time
View Job

Reviews

3.7 (70 reviews)
Powered by Google Logo
Ann Johnson's profile photo
Ann Johnson 6 months ago

My mother in law has been a resident here since January 2025, and has adjusted well to her new home. There was definitely an adjustment period, but everything is going well now. The staff is very caring and know my mother in law by name, know what her wants and needs are, and do their best to meet them. She loves the activities, and says the food is very good. Kim in the business office is amazing at helping navigate through the insurance process. No place is going to be perfect, but this place strives to meet the needs of their residents and families. Communication is the key.

CATHRYN SCHMIDT's profile photo
CATHRYN SCHMIDT 4 months ago

Visited my friend for an hour in the evening. The front desk staff immediately assisted when I entered the lobby then showed me to her room. All the staff was engaging, friendly and helpful.

Leo Ransom's profile photo
Leo Ransom 6 months ago

Staff is friendly and efficient. They have always been quick to resolve any issues that we have had at the facility. I do trust that when I am not there, my mom is being looked after especially since she is nonverbal.

Savannah Woods's profile photo
Savannah Woods 10 months ago

Let me just start with....I love Homestead of Sherman! I work in post-acute care and have had great experiences at Homestead with my patients and their families. The remodel is amazing and the staff is caring, easy to communicate with and we have had no issues in coordinating care with their staff. I highly recommend you tour the facility for more information on skilled or long term care for your loved one!

T W's profile photo
T W a year ago

Do not put your loved one in here unless you are ready for them to die. You need to be able to be there every day to check on them. They will quickly go downhill, feel unheard, and lose the will to live. Skilled nursing at this facility is a joke! Majority of the time , no one answers the call button and weekends are even worse than week days. Your loved ones wishes are not listened too. Only a couple of people seemed to actually care. I highly regret putting my loved one here, even for a short time.

View All 70 Google Reviews

Explore Skilled Nursing Facilities Near Sherman

Discover skilled nursing facilities in nearby communities

Knollwood

1.2 mi away

Denison

6.9 mi away

Pottsboro

8.0 mi away

Southmayd

8.9 mi away

Dorchester

10.3 mi away

Bells

11.6 mi away

Howe

12.2 mi away

Tom Bean

12.8 mi away

Preston

13.6 mi away

Sadler

13.9 mi away

Savoy

14.8 mi away

Whitewright

16.2 mi away

Sherwood Shores

16.7 mi away

Van Alstyne

17.4 mi away

Whitesboro

17.4 mi away

Find Additional Care Services in Sherman

Explore additional care options and services available in your area