Autumn Leaves Nursing and Rehab IncCMS ratings, inspections and fines
- Address
- 321 Kilgore Drive, Henderson, TX 75652
- CCN
- 676025
- Ownership type
- Government, hospital district
- Certified beds
- 125
- Chain
- ML Healthcare
- Residents per day
- 99
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Autumn Leaves Nursing and Rehab Inc an overall rating of 2 of 5 stars. The last standard survey was on 7 May 2026. The latest survey cycle has 16 health citations. The median for nursing homes in Texas is 8. CMS lists 1 fine of $14,901 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Rusk County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 7 May 2026 | 16 | 8 |
| Cycle 2 | 19 Mar 2025 | 15 | 8 |
| Cycle 3 | No date | 11 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 5 Jun 2026 |
| 7 May 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 5 Jun 2026 |
| 22 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 27 Apr 2026 |
| 16 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 22 Jan 2026 |
| 26 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Nov 2025 |
| 18 Nov 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Complaint investigation | 20 Nov 2025 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 27 Mar 2025 |
| 19 Mar 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 15 Apr 2025 |
| 19 Mar 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 15 Apr 2025 |
| 19 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Apr 2025 |
| 19 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 15 Apr 2025 |
| 19 Mar 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 15 Apr 2025 |
| 19 Mar 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 15 Apr 2025 |
| 19 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 15 Apr 2025 |
| 19 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 15 Apr 2025 |
| 19 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 15 Apr 2025 |
| 19 Mar 2025 | F0761 | 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. | E | Standard survey | 15 Apr 2025 |
| 19 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Apr 2025 |
| 19 Mar 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 15 Apr 2025 |
| 19 Mar 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 15 Apr 2025 |
| 17 Sep 2024 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 2 Oct 2024 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 12 Jul 2024 |
| 31 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 26 Feb 2024 |
| 31 Jan 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 26 Feb 2024 |
| 31 Jan 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 26 Feb 2024 |
| 31 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 26 Feb 2024 |
| 31 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Feb 2024 |
| 31 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 26 Feb 2024 |
| 31 Jan 2024 | F0761 | 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. | D | Complaint investigation | 26 Feb 2024 |
| 31 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 26 Feb 2024 |
| 31 Jan 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Standard survey | 26 Feb 2024 |
| 31 Jan 2024 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Standard survey | 26 Feb 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 24 Jun 2025 | Fine | $14,901 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 2.79 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.23 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.69 | 0.95 | |
| Nurse aides | 1.87 | 2.00 | |
| All nurse staff, weekends | 2.44 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 56.8%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 20.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.5% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Government, hospital district
- Legal business name
- Frio Hospital District
- Chain
- ML Healthcare (6 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Frio Hospital District | 5% or greater direct ownership interest | 100% | 1 Dec 2022 |
| ML Real Estate-Henderson, LLC | 5% or greater mortgage interest | 1 Dec 2022 | |
| ML-Henderson LLC | Operational/managerial control | 1 Dec 2022 | |
| ML Real Estate-Henderson, LLC | Adp of the snf | 1 Dec 2022 | |
| ML-Henderson LLC | Adp of the snf | 27 May 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Rusk County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Henderson Health & Rehabilitation Center | Henderson | 2 of 5 | 8 | $10,546 | 14 May 2025 | |
| Avir at OvertonSpecial Focus candidate | Overton | 2 of 5 | 14 | $340,621 | 29 Apr 2026 | |
| Arbor Grace Guest Care Center | Kilgore | 1 of 5 | 9 | $187,096 | 17 Jun 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Autumn Leaves Nursing and Rehab Inc (CCN 676025). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/autumn-leaves-nursing-and-rehab-inc-henderson-tx-676025/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Autumn Leaves Nursing and Rehab Inc last inspected?
- The latest inspection with a citation in the CMS record was on 7 May 2026. It was a standard survey and a complaint investigation. It gave 12 citations. The standard survey before the last one was on 19 Mar 2025.
- Who operates Autumn Leaves Nursing and Rehab Inc?
- The CMS record gives the ownership type as government, hospital district. CMS lists the home in the chain ML Healthcare. The CMS ownership file names ML-Henderson LLC for operational or managerial control. This site does not show the names of persons.
- Is Autumn Leaves Nursing and Rehab Inc a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.