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Autumn Leaves Nursing and Rehab

Nursing Home Facility

321 Kilgore Drive, Henderson, TX 75652

Nursing Home Care Senior Living

Autumn Leaves Nursing and Rehab is a senior care community located in Henderson, TX. It provides nursing home care and senior living for older adults in the Henderson area. To learn more or schedule a tour, call (903) 657-1923.

With 125 beds, Autumn Leaves Nursing and Rehab is one of the larger communities in the area, senior care communities in Henderson average about 73 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in May 2026 and recorded 15 deficiencies.

Residents receive about 2.8 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 57%.

The community is located in Rusk County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 42 problems at Autumn Leaves Nursing and Rehab. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 15 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $14,901.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, widespread Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected May 2026. Corrected by June 5, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected May 2026. Corrected by June 5, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected May 2026. Corrected by June 5, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    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.

    Inspected May 2026. Corrected by June 5, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected May 2026, after a complaint. Corrected by June 5, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Inspected May 2026. Corrected by June 5, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    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.

    Inspected May 2026. Corrected by June 5, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected May 2026. Corrected by June 5, 2026.

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  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected May 2026. Corrected by June 5, 2026.

  • Could cause more than minimal harm, one or a few residents Administration

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Inspected May 2026. Corrected by June 5, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected May 2026. Corrected by June 5, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Implement a program that monitors antibiotic use.

    Inspected May 2026. Corrected by June 5, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected April 2026, after a complaint. Corrected by April 27, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected January 2026, after a complaint. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected November 2025, after a complaint. Corrected by November 28, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Inspected November 2025, after a complaint. Corrected by November 20, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Autumn Leaves Nursing and Rehab offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 125
  • Nursing hours per resident/day 2.8
  • Annual staff turnover 57%
  • Last health inspection May 2026

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