Autumn Leaves Nursing and Rehab INC

321 Kilgore Drive, Henderson, TX 75652

Phone: 9036571923

CMS ratings and facility information

Autumn Leaves Nursing and Rehab INC is a Medicare-certified nursing facility in Henderson, Rusk County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating2 of 5 stars
Health inspection rating2 of 5
Staffing rating1 of 5
Quality measures rating5 of 5
Certified beds125
OwnershipGovernment - Hospital district
CMS certification number676025

Staffing

Total nurse hours per resident day2.79
RN hours per resident day0.23
Nurse aide hours per resident day1.87
Total nursing staff turnover percent56.8
RN turnover percent20

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations1.87events_per_1000_resident_days20250101-20251231
Emergency-department visits3.01events_per_1000_resident_days20250101-20251231
Falls with major injury0.63percent2025Q2-2026Q1
Pressure ulcers1.69percent2025Q2-2026Q1
Urinary tract infections1.63percent2025Q2-2026Q1
Antipsychotic medication use7.52percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2026-05-070755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.F
2026-05-070656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2026-05-070756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E
2026-05-070809Ensure 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
2026-05-070550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2026-05-070605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D
2026-05-070688Provide 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
2026-05-070689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-05-070690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2026-05-070770Provide timely, quality laboratory services/tests to meet the needs of residents.D
2026-05-070880Provide and implement an infection prevention and control program.D
2026-05-070881Implement a program that monitors antibiotic use.D
2025-03-190558Reasonably accommodate the needs and preferences of each resident.E
2025-03-190695Provide safe and appropriate respiratory care for a resident when needed.E
2025-03-190755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2025-03-190761Ensure 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
2025-03-190921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2025-03-190561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D
2025-03-190641Ensure each resident receives an accurate assessment.D
2025-03-190677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2025-03-190690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2025-03-190693Ensure 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
2025-03-190757Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2025-03-190880Provide and implement an infection prevention and control program.D
2025-03-190881Implement a program that monitors antibiotic use.D
2024-01-310656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2024-01-310695Provide safe and appropriate respiratory care for a resident when needed.E
2024-01-310880Provide and implement an infection prevention and control program.E
2024-01-310550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-01-310584Honor 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
2024-01-310641Ensure each resident receives an accurate assessment.D
2024-01-310677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-01-310761Ensure 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
2024-01-310940Develop, implement, and/or maintain an effective training program for all new and existing staff members.D
2024-01-310942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.D

Penalties

DateTypeAmount
2025-06-24Fine,901

Ownership records

NameTypeRole
FRIO HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
ML REAL ESTATE-HENDERSON, LLCOrganization5% OR GREATER MORTGAGE INTEREST
LANGSDALE, TROYIndividual5% OR GREATER MORTGAGE INTEREST
MILLER, LAURAIndividual5% OR GREATER MORTGAGE INTEREST
RUFF, MICHAELIndividualCORPORATE OFFICER
ML-HENDERSON LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
LANGSDALE, TROYIndividualOPERATIONAL/MANAGERIAL CONTROL
MILLER, LAURAIndividualOPERATIONAL/MANAGERIAL CONTROL
VOZZA, BRENDAIndividualOPERATIONAL/MANAGERIAL CONTROL
ML REAL ESTATE-HENDERSON, LLCOrganizationADP OF THE SNF
ML-HENDERSON LLCOrganizationADP OF THE SNF
LANGSDALE, TROYIndividualADP OF THE SNF
MILLER, LAURAIndividualADP OF THE SNF
TURNER, VICTORIndividualADP OF THE SNF
VOZZA, BRENDAIndividualADP OF THE SNF

Compare nursing homes in Rusk County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.