Nursing homes across Rusk County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
Henderson Health & Rehabilitation Center runs 173 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 5% below its own weekday levels, and annual turnover hits 52.5% against a national 45.8%, meaning more than half the nursing staff turns over each year. The inspection record shows 30 deficiencies, four of them serious enough to cause harm or jeopardy, plus one abuse-related finding and a $10,546 fine. The last inspection was May 2025. Quality measures score well, but staffing and inspection results are where the real story sits.
Avir At Overton runs 100 certified beds under for-profit LLC ownership, and the staffing numbers tell a mixed story: 3.77 nurse hours per resident day sits just under the national average of 3.86, but weekends dip about 4% below weekdays, and annual turnover hits 58.3% against a national 45.8%. More concerning is the inspection record, 41 deficiencies, 13 of them at harm or jeopardy level, 10 abuse-related, and six fines totaling $363,446, with the most recent inspection dated April 2026. The quality measure rating is strong, but that reflects resident health metrics, not the safety and oversight record a family should weigh most heavily when choosing care.
Arbor Grace runs 42 deficiencies on its current record, five of them serious enough to put residents in harm's way and three tied to abuse. The $187,096 fine is a single penalty, not a slow accumulation, which tells you something went badly wrong at least once. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends drop another 13% below the home's own weekday levels. Turnover is the number that would worry me most: 75.3% of staff leaving in a year against a national rate near 46%. Kilgore is a 127-bed for-profit, and the last inspection in April 2025 is recent enough to mean the record reflects how things run now.