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C

66/100

Average

Autumn Leaves Nursing And Rehab Inc

321 Kilgore Drive, Henderson, TX 75652

CMS 2/5 stars #1 of 4 in Rusk County (903) 657-1923
Certified beds
125
Occupancy
79%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $14,901 in federal fines

    CMS has fined this facility across 1 penalty action(s).

Our read on Autumn Leaves Nursing And Rehab Inc

Autumn Leaves is run by the hospital district in Henderson, and its clinical quality scores look strong on paper. The problem is who's there to deliver that care: 2.79 nurse hours per resident day, roughly 28% under the national average, with weekends running about 12% thinner than weekdays. Staff turnover sits at 56.8%, well above the 45.8% national figure, which means residents see a rotating cast of caregivers. The inspection record backs that up, 42 deficiencies, including one at the harm level and one tied to abuse, plus a $22,925 fine. The last inspection was May 2026. A hospital district can be a stable owner; here the staffing numbers are doing the talking.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing8/30Stability5/15Outcomes15/15Enforcement8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →2.62 total nurse hours per resident per day (national median 3.77)
  • →0.23 RN hours per resident per day
  • →Weekend staffing drops 12% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →57% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →5 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$14,901 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day2.79 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.23 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.44 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover56.80%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: May 7, 2026 (5 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of ML HEALTHCARE, which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Autumn Leaves Nursing And Rehab Inc

What is the ElderGrade for Autumn Leaves Nursing And Rehab Inc? +

Autumn Leaves Nursing And Rehab Inc holds an ElderGrade of C (66 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Autumn Leaves Nursing And Rehab Inc? +

Residents receive an average of 2.79 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Autumn Leaves Nursing And Rehab Inc been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Autumn Leaves Nursing And Rehab Inc accept Medicaid? +

Yes, Autumn Leaves Nursing And Rehab Inc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.