D

AUTUMN LEAVES NURSING AND REHAB INC

321 KILGORE DRIVE, HENDERSON, TX 75652
Score: 45 / 100

Autumn Leaves Nursing And Rehab Inc faces challenges in its CMS ratings, earning a D grade with a score of 45/100. The facility ranks in the 50th percentile among Texas nursing homes, suggesting significant room for improvement.

With 2.99 total nurse hours per resident per day, Autumn Leaves Nursing And Rehab Inc falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 33 deficiencies at Autumn Leaves Nursing And Rehab Inc. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.99 3.8 Below Average
Registered Nurses (RN) 0.23 0.7 Below Average
Licensed Practical Nurses (LPN) 0.81 0.7 Above Average
Certified Nursing Assistants (CNA) 1.94 2.4 Below Average
Weekend Total Nursing 2.64 3.8 Below Average
Weekend RN Hours 0.17 0.7 Below Average

🔍 Inspection & Deficiency History

33
Total Deficiencies
Jan 15, 2026
Most Recent Inspection
🟠 33 Moderate
View recent deficiencies (5 shown)
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jan 15, 2026 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 25, 2025 · Quality of Life and Care Deficiencies
  • Tag 0698 Severity E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    Nov 17, 2025 · Quality of Life and Care Deficiencies
  • Tag 0695 Severity E
    Provide safe and appropriate respiratory care for a resident when needed.
    Mar 18, 2025 · Quality of Life and Care Deficiencies
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Mar 18, 2025 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.7% 4.5% Better
Falls with major injury 0.7% 3.0% Better
On antipsychotic medication 6.0% 14.5% Better
Urinary tract infections 1.0% 2.5% Better
ADL decline (daily activities) 6.6% 14.0% Better
Excessive weight loss 4.0% 7.5% Better
New/worsened incontinence 9.0% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $30,368

How This Grade Was Calculated

This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -3 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - Hospital district
Certified Beds
125
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 18, 2025
Deficiencies (Cycle 1)
16