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Nursing home report

AUTUMN LEAVES NURSING AND REHAB INC

HENDERSON, TX · Medicare-certified · 125 beds

Needs attention
Government-runChain member
Data as of July 1, 2026
2 of 5 overall

AUTUMN LEAVES NURSING AND REHAB INC in Henderson, TX has a 2-star overall rating, with low health inspection and staffing scores (1 star for staffing), and reported staffing of 2.79 hours per resident per day versus the 4.1-hour federal benchmark. It also has $22,925 in fines in the last 24 months and a recent federal penalty, although its quality measures rating is 5 stars.

Facility ratings

Health inspections

Staffing

2.7904 hrs/resident/day

Quality measures

Last inspection: May 7, 2026Penalties, last 24 months: $22,925recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7904.

Staffing detail

Registered nurses
0.23
Licensed practical nurses
0.69
Nurse aides
1.87
Weekend nursing
2.44

Hours per resident per day.

Total staff turnover: 57%
Registered nurse turnover: 20%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

4.2%6.8%Worsening

Residents with a fall causing major injury

1.4%0%Improving

Residents with pressure ulcers (bedsores)

1.1%1.9%Worsening

Residents with a urinary tract infection

0%3.8%Worsening

Residents who lost too much weight

8.6%1.6%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

5.1%12.7%Worsening

Residents whose ability to walk got worse

0%0%No change

Long-stay residents on antianxiety or sleep medication

19.7%13.4%Improving

Short-stay residents newly given an antipsychotic

1.5%0%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

6.8%10.9%Worsening

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

98.6%100%Improving

Short-stay residents given the seasonal flu vaccine

98.6%

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: F

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited May 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E

The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited May 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 756 — 42 CFR §483.45(c) — S/S: E

The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited May 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 809 — 42 CFR §483.60 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  8. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  9. PENALTY

    A federal fine of $22,925 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $22,925 in total fines.

  • Federal fine

    Jun 24, 2025

    $22,925

Operator & ownership

Recent ownership change · Dec 1, 2022

Now operated by Frio Hospital District, previously Autumn Leaves Nursing and Rehab INC.

Ownership
Government - Hospital district
Chain
Part of ML HEALTHCARE · 6 homes · 2.3 stars avg
Occupancy
98.9 residents on an average day (79% of 125 beds)
Resident voice
Resident council
Medicare history
Certified for 22 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.