Texas › Comanche County › De Leon
De Leon Nursing and Rehabilitation
809 East Navarro Avenue, De Leon, TX 76444
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
De Leon Nursing and Rehabilitation is a Government, hospital district nursing home in De Leon, Texas, certified for 98 beds and caring for about 48 residents a day.
CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 1 and quality measures 5.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (1, 8, 5 by cycle, most recent first), none at the actual-harm level. That is 14.3 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.9 hours per resident per day (0.5 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Comanche Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 14 | 25 | 28.7 |
| Citations per 100 beds | 14.3 | 14.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | — | 52.1% | 52.1% | 45.8% |
| Fines listed | $0 | $0 | $16,801 | — |
County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Nov 2025, 20 Aug 2024.
Severity mix: D ×5 E ×4 F ×3 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Nov 2025 |
| 20 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 21 Aug 2024 |
| 20 Aug 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Complaint investigation | 21 Aug 2024 |
| 20 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 21 Aug 2024 |
| 20 Aug 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 21 Aug 2024 |
| 20 Aug 2024 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Complaint investigation | 21 Aug 2024 |
| 20 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 Aug 2024 |
| 20 Aug 2024 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 21 Aug 2024 |
| 20 Aug 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Complaint investigation | 21 Aug 2024 |
| 15 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 16 Nov 2023 |
| 28 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Jun 2023 |
| 28 Jun 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 29 Jun 2023 |
| 28 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Jun 2023 |
| 28 Jun 2023 | 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 | Standard survey | 29 Jun 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.3% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 2.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.6% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| De Leon I Enterprises LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2022 |
| De Leon I Enterprises LLC | Adp of the snf | NOT APPLICABLE | 05/07/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Comanche County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Legacy Estate Long Term Care | Comanche | 100 | 4 | 4 | 3 | 3 | 3.0 | — | 1 Jul 2025 |
| Western Hills Healthcare Residence | Comanche | 158 | 2 | 2 | 3 | 30 | 19.0 | $62K | 29 Jun 2026 |
All 3 facilities in Comanche County
Questions and answers
How many deficiencies has De Leon Nursing and Rehabilitation been cited for?
14 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has De Leon Nursing and Rehabilitation been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at De Leon Nursing and Rehabilitation compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates De Leon Nursing and Rehabilitation?
It is part of the Creative Solutions In Healthcare chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include De Leon I Enterprises LLC. Individual owners and managers are not listed on this site.
When was De Leon Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 19 Nov 2025; the most recent standard health survey was 19 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.