Autumn Leaves Nursing and Rehab INC

321 Kilgore Drive, Henderson, TX 75652

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Autumn Leaves Nursing and Rehab INC is a nursing home in Henderson, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

CMS overall star rating2 of 5
Last standard health inspectionMay 7, 2026 (6 months ago)
Health citations since January 31, 202442 (Texas average 28)
Fines in the past three years1, $14,901 in total
CMS flagsNone listed by CMS

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

CMS update of October 8, 2026
- Fine
  CMS changed the fine from June 24, 2025 from $22,925 to $14,901.
CMS update of July 29, 2026
- Star rating
  The CMS overall star rating changed from 3 of 5 to 2 of 5.
- Star rating
  The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Health inspection on May 7, 2026
12 citations
CMS lists this as a standard inspection and a complaint inspection.
Show the 12 citations
- Citation F0755. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  CMS lists it as corrected on June 5, 2026.
  CMS has cited this home for F0755 2 times since 2025.
- Citation F0656. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on June 5, 2026.
  CMS has cited this home for F0656 3 times since 2024.
- Citation F0756. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  CMS lists it as corrected on June 5, 2026.
- Citation F0809. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on June 5, 2026.
- Citation F0550. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  CMS lists it as corrected on June 5, 2026.
  CMS has cited this home for F0550 3 times since 2024.
- Citation F0605. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  CMS lists it as corrected on June 5, 2026.
- Citation F0688. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on June 5, 2026.
- Citation F0689. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on June 5, 2026.
  CMS has cited this home for F0689 3 times since 2025.
- Citation F0690. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  CMS lists it as corrected on June 5, 2026.
  CMS has cited this home for F0690 2 times since 2025.
- Citation F0770. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide timely, quality laboratory services/tests to meet the needs of residents.
  CMS lists it as corrected on June 5, 2026.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on June 5, 2026.
  CMS has cited this home for F0880 3 times since 2024.
- Citation F0881. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Implement a program that monitors antibiotic use.
  CMS lists it as corrected on June 5, 2026.
  CMS has cited this home for F0881 2 times since 2025.
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Fire safety inspection on May 7, 2026
4 citations
CMS lists this as a standard inspection.
Show the 4 citations
- Citation K0342. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
  CMS lists it as corrected on May 11, 2026.
- Citation K0353. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on May 11, 2026.
  CMS has cited this home for K0353 2 times since 2025.
- Citation K0372. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  CMS lists it as corrected on May 11, 2026.
- Citation K0511. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have properly installed electrical wiring and gas equipment.
  CMS lists it as corrected on May 29, 2026.
  CMS has cited this home for K0511 2 times since 2025.
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Health inspection on April 22, 2026
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0550. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  CMS lists it as corrected on April 27, 2026.
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Health inspection on January 16, 2026
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on January 22, 2026.
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Health inspection on November 26, 2025
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0689. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on November 28, 2025.
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CMS update of November 20, 2025
- Star rating
  The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on November 18, 2025
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0698. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.
  CMS lists it as corrected on November 20, 2025.
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CMS update of July 30, 2025
- Star rating
  The CMS overall star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 1 of 5.
- Star rating
  The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on June 24, 2025
1 citation
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $14,901 on June 24, 2025.
Show the 1 citation
- Citation F0689. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on March 27, 2025.
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CMS update of April 30, 2025
- Star rating
  The CMS overall star rating changed from 3 of 5 to 4 of 5.
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on March 19, 2025
13 citations
CMS lists this as a standard inspection and a complaint inspection.
Show the 13 citations
- Citation F0558. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.
  CMS lists it as corrected on April 15, 2025.
- Citation F0695. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on April 15, 2025.
  CMS has cited this home for F0695 3 times since 2024.
- Citation F0755. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  CMS lists it as corrected on April 15, 2025.
- Citation F0761. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on April 15, 2025.
  CMS has cited this home for F0761 2 times since 2024.
- Citation F0921. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  CMS lists it as corrected on April 15, 2025.
- Citation F0561. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  CMS lists it as corrected on April 15, 2025.
- Citation F0641. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on April 15, 2025.
  CMS has cited this home for F0641 2 times since 2024.
- Citation F0677. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on April 15, 2025.
  CMS has cited this home for F0677 2 times since 2024.
- Citation F0690. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  CMS lists it as corrected on April 15, 2025.
- Citation F0693. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on April 15, 2025.
- Citation F0757. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.
  CMS lists it as corrected on April 15, 2025.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on April 15, 2025.
- Citation F0881. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Implement a program that monitors antibiotic use.
  CMS lists it as corrected on April 15, 2025.
See this home on CMS Care Compare
Fire safety inspection on March 19, 2025
4 citations
CMS lists this as a standard inspection.
Show the 4 citations
- Citation K0363. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Install corridor and hallway doors that block smoke.
  CMS lists it as corrected on April 18, 2025.
- Citation K0321. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  CMS lists it as corrected on April 18, 2025.
- Citation K0353. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on April 18, 2025.
- Citation K0511. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have properly installed electrical wiring and gas equipment.
  CMS lists it as corrected on April 18, 2025.
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Health inspection on September 17, 2024
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0573. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
  CMS lists it as corrected on October 2, 2024.
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CMS update of July 31, 2024
- Star rating
  The CMS overall star rating changed from 2 of 5 to 3 of 5.
- Star rating
  The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on June 27, 2024
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0695. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on July 12, 2024.
See this home on CMS Care Compare
CMS update of April 25, 2024
- Star rating
  The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on January 31, 2024
10 citations
CMS lists this as a standard inspection and a complaint inspection.
Show the 10 citations
- Citation F0656. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  CMS lists it as corrected on February 26, 2024.
- Citation F0695. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on February 26, 2024.
- Citation F0880. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on February 26, 2024.
- Citation F0550. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  CMS lists it as corrected on February 26, 2024.
- Citation F0584. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on February 26, 2024.
- Citation F0641. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on February 26, 2024.
- Citation F0677. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on February 26, 2024.
- Citation F0761. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on February 26, 2024.
- Citation F0940. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Develop, implement, and/or maintain an effective training program for all new and existing staff members.
  CMS lists it as corrected on February 26, 2024.
- Citation F0942. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
  CMS lists it as corrected on February 26, 2024.
See this home on CMS Care Compare
CMS update of January 31, 2024
- Star rating
  The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
- Changed ownership in the last 12 months
  CMS no longer shows a change of ownership in the past 12 months.
- Fine
  CMS changed the fine from June 12, 2023 from $11,450 to $7,443.

CMS star ratings

2 of 5CMS overall star rating
2 of 5CMS health inspection star rating
1 of 5CMS staffing star rating
5 of 5CMS quality measures star rating

Facts from CMS

Phone: (903) 657-1923
Last standard health inspection: May 7, 2026 (6 months ago)
Certified beds: 125
Residents per day, on average: 106.7
Ownership type: Government - Hospital district
Legal business name: Frio Hospital District
Chain: Ml Healthcare
Takes part in: Medicare and Medicaid

More health citations than the Texas average (42 vs 28).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

FRIO HOSPITAL DISTRICT5% or greater direct ownership interest · 100% · since 12/01/2022
ML-HENDERSON LLCOperational/managerial control · not applicable · since 12/01/2022
LANGSDALE, TROYOperational/managerial control · not applicable · since 12/01/2022
MILLER, LAURAOperational/managerial control · not applicable · since 12/01/2022
VOZZA, BRENDAOperational/managerial control · not applicable · since 12/01/2022

Questions

When was Autumn Leaves Nursing and Rehab INC last inspected?

CMS lists May 7, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Autumn Leaves Nursing and Rehab INC have?

CMS lists 42 health citations since January 31, 2024. CMS also calls these deficiencies.

Has Autumn Leaves Nursing and Rehab INC been fined?

CMS lists 1 fine in the past three years, $14,901 in total.

What is the CMS star rating of Autumn Leaves Nursing and Rehab INC?

Its CMS overall star rating is 2 of 5.

Is Autumn Leaves Nursing and Rehab INC a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

Other nursing homes in Henderson

Henderson Health & Rehabilitation Center

At a glance

Get an email when CMS publishes something new about this home

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CMS flags

Inspections, fines and changes

CMS update of October 8, 2026

CMS update of July 29, 2026

Health inspection on May 7, 2026

Fire safety inspection on May 7, 2026

Health inspection on April 22, 2026

Health inspection on January 16, 2026

Health inspection on November 26, 2025

CMS update of November 20, 2025

Health inspection on November 18, 2025

CMS update of July 30, 2025

Health inspection on June 24, 2025

CMS update of April 30, 2025

Health inspection on March 19, 2025

Fire safety inspection on March 19, 2025

Health inspection on September 17, 2024

CMS update of July 31, 2024

Health inspection on June 27, 2024

CMS update of April 25, 2024

Health inspection on January 31, 2024

CMS update of January 31, 2024

CMS star ratings

Facts from CMS

Owners and managers

Questions

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