Homestead of Denison
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Denison, IA

Homestead of Denison

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Denison, IA

Overview of Homestead of Denison

Homestead of Denison is a 43-bed assisted living facility at 2506 3rd Avenue North in Denison, Iowa. Administered by Ashlee Killian, the community serves Crawford County and has been in operation for 27 years. The property currently reports a 58% occupancy rate with 25 residents, a figure below the Iowa state average of 75.4%. Given its central location and a Walk Score of 33, residents generally rely on transportation for errands and medical appointments.

Over 16 years, the facility has recorded an annual average of 0.6 deficiencies, which is 67% lower than the state benchmark. Most recently, the May 2025 recertification survey resulted in a citations-per-inspection rate of zero. While a 2019 complaint was substantiated regarding guardian notification, more recent state reviews indicate these isolated administrative gaps have been addressed.

Clinical care is delivered by 24-hour staffing, including licensed nurses and certified nursing assistants. The campus provides a broad range of services such as skilled nursing, short-term rehabilitation, and hospice care. Professional support includes specialized memory care and outpatient therapy programs tailored for seniors and individuals with disabilities. CMS metrics for similar regional care models show that these multi-level services support resident transitions as medical needs evolve.

The residential environment features private and companion suites with roll-in showers and upscale furnishings. Shared social features include free Wi-Fi, communal dining areas, and organized activities designed for a home-like feel. The facility also offers respite care options for families requiring temporary support. Because the community is located just 0.4 miles from Crawford County Memorial Hospital, residents have quick access to emergency and specialized clinical consultations.

This environment suits seniors seeking small-scale assisted living with integrated medical and rehabilitation services. Families evaluating Homestead of Denison should ask directly about the specific results of the 2025 zero-deficiency survey and confirm current nurse-to-resident ratios for the memory care wing before making a placement decision.

Bed community size
43-bed community Rank #314 / 406Bed count — State benchmarkedThis home is ranked 314th out of 406 homes in Iowa for Bed Count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
28 years in operation Rank #55 / 284Years in operation — State benchmarkedThis home is ranked 55th out of 284 homes in Iowa for Years In Operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 33 / 100 Rank #344 / 528Walk Score — State benchmarkedThis home is ranked 344th out of 528 homes in Iowa for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
58%
Rank #221 / 379Occupancy rate — State benchmarkedThis home is ranked 221st out of 379 homes in Iowa for Occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 379. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Iowa average: 75.4%
Occupied beds
25 / 43
Average occupied beds in Iowa homes 51 beds

License Details

Facility TypeAssisted Living Programs
StatusActive
IssuanceMay 29, 1998
ExpirationMay 25, 2028
CountyCrawford
License NumberS0013

Ownership & Operating Entity

Homestead of Denison is administered by Ashlee Killian.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

3 services
Short-Term Rehabilitation
Outpatient Therapy
Palliative Hospice Care

Contact Information

Fax7122632371

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Comfortable Rooms
Attractive
Upscale Furnishings
Personal Laundry Services
Roll-In Showers
Flat Screen Tv's With Cable
Companion Suites Available
Free Wifi
Operating Hours24 hours a day

Contact Homestead of Denison

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

Since 2010 · 16 years of data 9 deficiencies 13 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2010 vs. Iowa state average
Overall vs. IA average 0 Worse No metrics in this bucket. 3 Better Metrics better than Iowa average:
• Total deficiencies (67% below)
• Deficiencies per year (65% below)
• Deficiencies per inspection (61% below)
Latest Inspection May 22, 2025

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility IA Average vs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 9 27 This facility has 67% fewer total deficiencies than a typical Iowa assisted living residence (9 vs. IA avg 27).↓ 67% better
Deficiencies per year Info Average deficiencies per year since 2010. 0.6 1.7 This facility has 65% fewer deficiencies per year than a typical Iowa assisted living residence (0.6 vs. IA avg 1.7).↓ 65% better
Deficiencies per inspection Info Average deficiencies per inspection. 0.7 1.8 This facility has 61% fewer deficiencies per inspection than a typical Iowa assisted living residence (0.7 vs. IA avg 1.8).↓ 61% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This Facility IA Average vs. IA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 13 15 This facility has had 13% fewer total inspections than the Iowa average (13 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 13% fewer

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on May 22, 2025, found no deficiencies during the assisted living program recertification survey.
  • A March 26, 2024 complaint investigation found no regulatory insufficiencies, continuing a pattern of unsubstantiated complaints in recent years.
  • Past deficiencies focused on failure to complete timely tenant assessments and update service plans, including a substantiated December 11, 2019 complaint for not notifying a tenant’s legal guardian after an incident.

Places of interest near Homestead of Denison

Address 0.0 miles from city center Info Estimated distance in miles from Denison's city center to Homestead of Denison's address, calculated via Google Maps.

Calculate Travel Distance to Homestead of Denison

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Address

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Frequently Asked Questions about Homestead of Denison

Is Homestead of Denison in a walkable area?

Homestead of Denison has a walk score of 33. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Homestead of Denison?

According to IA state health department records, Homestead of Denison's license number is S0013.

When does Homestead of Denison's license expire?

According to IA state health department records, Homestead of Denison's license expires on May 25, 2028.

What is the occupancy rate at Homestead of Denison?

Homestead of Denison's occupancy is 58%.

Are pets allowed at Homestead of Denison?

No, Homestead of Denison has a no-pet policy.

What is the best email address for Homestead of Denison?

The team at Homestead of Denison can be reached at akillian@homesteadofdenison.com.

Who is the administrator of Homestead of Denison?

Ashlee Killian is the administrator of Homestead of Denison.

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