AUTUMN LEAVES NURSING AND REHAB INC
AUTUMN LEAVES NURSING AND REHAB INC is a 125-bed nursing home in HENDERSON, Texas. CMS has certified it for Medicare and Medicaid since 2004-06-18. It averages 98.9 residents a day.
What harm was found in the violations cited at AUTUMN LEAVES NURSING AND REHAB INC?
CMS lists 42 health-inspection deficiencies for AUTUMN LEAVES NURSING AND REHAB INC, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-07.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-07 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F |
| 2026-05-07 | F0656, F0756, F0809 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. | E |
| 2026-05-07 | F0550, F0605, F0688, F0689, F0690, F0770, F0880, F0881 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | D |
| 2026-04-22 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2026-01-16 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-11-26 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-11-18 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E |
| 2025-06-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-03-19 | F0558, F0695, F0755, F0761, F0921 | Reasonably accommodate the needs and preferences of each resident. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2025-03-19 | F0561, F0641, F0677, F0690, F0693, F0757, F0880, F0881 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | D |
| 2024-09-17 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D |
| 2024-06-27 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2024-01-31 | F0656, F0695, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | E |
| 2024-01-31 | F0550, F0584, F0641, F0677, F0761, F0940, F0942 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D |
Why was AUTUMN LEAVES NURSING AND REHAB INC fined?
| Date | Type | Amount |
|---|---|---|
| 2025-06-24 | Fine | $14,901 |
How is AUTUMN LEAVES NURSING AND REHAB INC staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.79041 | 3.38539 |
| Total nursing staff turnover (%) | 56.8 | 55.3 |
| Average number of residents per day | 98.9 | 75.8 |
Who owns AUTUMN LEAVES NURSING AND REHAB INC, and what chain is it in?
AUTUMN LEAVES NURSING AND REHAB INC is registered with CMS as Government - Hospital district, operates under the legal business name FRIO HOSPITAL DISTRICT and belongs to the ML HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | FRIO HOSPITAL DISTRICT | since 12/01/2022 |
| 5% OR GREATER MORTGAGE INTEREST | ML REAL ESTATE-HENDERSON, LLC, LANGSDALE, TROY, MILLER, LAURA | since 12/01/2022 |
| CORPORATE OFFICER | RUFF, MICHAEL | since 12/01/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | ML-HENDERSON LLC, LANGSDALE, TROY, MILLER, LAURA, VOZZA, BRENDA | since 12/01/2022 |
| ADP OF THE SNF | ML REAL ESTATE-HENDERSON, LLC, ML-HENDERSON LLC, LANGSDALE, TROY, MILLER, LAURA, TURNER, VICTOR, VOZZA, BRENDA | since 05/27/2025 |
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