AUTUMN LEAVES NURSING AND REHAB INC
321 KILGORE DRIVE, HENDERSON, TX 75652 · CCN 676025
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 125
- Avg residents/day
- 98.8
- Phone
- 9036571923
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-19 | 16 | 9.1 | 9.5 | +6.9 worse |
| 2 | 2024-01-31 | 12 | 9.4 | 9.8 | +2.6 worse |
| 3 | 2022-10-19 | 5 | 8.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 6 |
| Resident assessment and care planning | 2 |
| Resident rights | 2 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.99 | 53.6% |
| RN staffing (reported) | 0.23 | 37.5% |
| Total nurse staffing (adjusted) | 2.86 | — |
Fines & penalties
- Total fines
- $30,368
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- ML HEALTHCARE
- Facilities in chain
- 6
- Chain avg overall
- 3.00 / 5
Inspection citations (33)1 actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2026-01-16 · Health
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-26 · Health · corrected 2025-11-28
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-11-18 · Health · corrected 2025-11-20
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- DF0693Ensure 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.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- EF0761Ensure 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.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-09-17 · Health · corrected 2024-10-02
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-27 · Health · corrected 2024-07-12
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-31 · Health · corrected 2024-02-26
Potential for more than minimal harm
- DF0584Honor 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.2024-01-31 · Health · corrected 2024-02-26
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-01-31 · Health · corrected 2024-02-26
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-31 · Health · corrected 2024-02-26
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-31 · Health · corrected 2024-02-26
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-31 · Health · corrected 2024-02-26
Potential for more than minimal harm
- DF0761Ensure 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.2024-01-31 · Health · corrected 2024-02-26
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-01-31 · Health · corrected 2024-02-26
Potential for more than minimal harm
- DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-01-31 · Health · corrected 2024-02-26
Potential for more than minimal harm
- DF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-01-31 · Health · corrected 2024-02-26
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-12 · Health · corrected 2023-06-13
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-10-19 · Health · corrected 2022-11-07
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-19 · Health · corrected 2022-10-20
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-10-19 · Health · corrected 2022-11-07
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-10-19 · Health · corrected 2022-10-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FRIO HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-12-01 |
| ML-HENDERSON LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-01 |
| LANGSDALE, TROY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-01 |
| MILLER, LAURA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-01 |
| VOZZA, BRENDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-01 |
| RUFF, MICHAEL | Individual | CORPORATE OFFICER | — | 2022-12-01 |
| ML REAL ESTATE-HENDERSON, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2022-12-01 |
| LANGSDALE, TROY | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2022-12-01 |
| MILLER, LAURA | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2022-12-01 |
Other facilities in HENDERSON
| Name | Overall | Beds |
|---|---|---|
| HENDERSON HEALTH & REHABILITATION CENTER | ★★☆☆☆ | 173 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.