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
🏥 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
View recent deficiencies (5 shown)
- Tag 0656 Severity DDevelop 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 DEnsure 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 EProvide safe, appropriate dialysis care/services for a resident who requires such services.Nov 17, 2025 · Quality of Life and Care Deficiencies
- Tag 0695 Severity EProvide safe and appropriate respiratory care for a resident when needed.Mar 18, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity EProvide 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
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