Autumn Leaves Nursing and Rehab Inc
321 Kilgore Drive · Henderson, TX · 75652 · 9036571923
125 certified beds Government - Hospital district Chain: Ml Healthcare
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.98 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.21 | 0.55–0.75 |
| Weekend hours / resident-day | 2.56 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $22,925 |
Inspection citations (34 in the current record)
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Potential for harm · D April 22, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 27, 2026 · Resident Rights
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Potential for harm · D January 16, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 28, 2025 · Quality of Life and Care
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Potential for harm · E November 18, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected November 20, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 15, 2025 · Resident Rights
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Potential for harm · D March 19, 2025
Ensure each resident receives an accurate assessment.
Corrected April 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
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.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · E March 19, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · E March 19, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 15, 2025 · Pharmacy Service
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Potential for harm · D March 19, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 15, 2025 · Pharmacy Service
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Potential for harm · E March 19, 2025
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.
Corrected April 15, 2025 · Pharmacy Service
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Potential for harm · D March 19, 2025
Provide and implement an infection prevention and control program.
Corrected April 15, 2025 · Infection Control
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Potential for harm · D March 19, 2025
Implement a program that monitors antibiotic use.
Corrected April 15, 2025 · Infection Control
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Potential for harm · E March 19, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected April 15, 2025 · Resident Rights
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Potential for harm · E March 19, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 15, 2025 · Environmental
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Potential for harm · D September 17, 2024 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected October 2, 2024 · Resident Rights
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Potential for harm · E June 27, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 12, 2024 · Quality of Life and Care
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Potential for harm · D January 31, 2024
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.
Corrected February 26, 2024 · Resident Rights
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Potential for harm · D January 31, 2024
Ensure each resident receives an accurate assessment.
Corrected February 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 31, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 31, 2024
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected February 26, 2024 · Administration
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Potential for harm · D January 31, 2024
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected February 26, 2024 · Resident Rights
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Potential for harm · D January 31, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 26, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 24, 2025 | Fine | $22,925 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676025 · certified since June 18, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.