Autumn Leaves Nursing and Rehab INC
Nursing Home · Henderson, TX
CMS certification number676025
Contact & location
321 Kilgore DriveHenderson, TX 75652
Rusk County
- Phone
- (903) 657-1923
- ZIP code
- 75652 – all care providers
Facility details
- Certified beds
- 125
- Residents per day
- 98.9 (79% occupied)
- Ownership
- Government - Hospital district
- Legal name
- Frio Hospital District
- Chain
- ML Healthcare (6 facilities, avg 2.3★)
- Medicare certified since
- June 18, 2004
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.79 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.23 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.69 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.87 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.44 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 56.8 (state 55.3 · U.S. 45.8)%
- RN turnover
- 20.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- May 7, 2026
- Health deficiencies (last cycle)
- 15.0 (state 9.3 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 42 health · 8 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-07 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-07 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-07 | Ensure 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. F0809 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-07 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-07 | Provide 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-07 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-07 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-07 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-07 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-04-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-27 |
| 2026-01-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-22 |
| 2025-11-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-28 |
| 2025-11-18 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-11-20 |
| 2025-06-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-03-27 |
| 2025-03-19 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2025-03-19 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2025-03-19 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2025-03-19 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2025-03-19 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2025-03-19 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2025-03-19 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2025-03-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2025-03-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2025-03-19 | 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. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2025-03-19 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2025-03-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2025-03-19 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-15 |
| 2024-09-17 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. F0573 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-02 |
| 2024-06-27 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-01-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-31 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-31 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-31 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-31 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-31 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-31 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-31 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-01-31 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $14,901 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-06-24 | Fine | $14,901 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Frio Hospital District (organization) | 5%+ Direct Ownership Interest · 100% | |
| Langsdale, Troy (individual) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Miller, Laura (individual) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| ML Real Estate-Henderson, LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Langsdale, Troy (individual) | Administrator · NOT APPLICABLE | |
| Miller, Laura (individual) | Administrator · NOT APPLICABLE | |
| ML Real Estate-Henderson, LLC (organization) | Administrator · NOT APPLICABLE | |
| Ml-Henderson LLC (organization) | Administrator · NOT APPLICABLE | |
| Turner, Victor (individual) | Administrator · NOT APPLICABLE | |
| Vozza, Brenda (individual) | Administrator · NOT APPLICABLE | |
| Ruff, Michael (individual) | Corporate Officer · NOT APPLICABLE | |
| Langsdale, Troy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Miller, Laura (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ml-Henderson LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Vozza, Brenda (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Autumn Leaves Nursing and Rehab INC?
Autumn Leaves Nursing and Rehab INC has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Autumn Leaves Nursing and Rehab INC have?
It has 125 certified beds and cares for about 99 residents per day.
Has Autumn Leaves Nursing and Rehab INC been fined?
Yes. CMS lists 1 penalty totaling $14,901 in the last three years.
Who owns Autumn Leaves Nursing and Rehab INC?
It is part of ML Healthcare and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Autumn Leaves Nursing and Rehab INC?
(903) 657-1923. The facility is located at 321 Kilgore Drive, Henderson, TX 75652.
Other nursing homes in Henderson
-
Henderson Health & Rehabilitation Center
Nursing Home · Henderson, TX · 173 beds
★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.