Nursing homes › Texas › Autumn Leaves Nursing and Rehab Inc
321 Kilgore Drive, Henderson, TX 75652 · 9036571923 · 125 certified beds
Per CMS filings, this facility is affiliated with Ml Healthcare, a group operating 6 facilities in 1 states. Group record: average rating 2.3/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $272,019 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 2.79 (Texas median: 3.27). RN hours: 0.23. Weekend total: 2.44. Nursing staff turnover: 57%.
All-time on record: 42 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Health | corrected 2026-06-05 |
| 2026-05-07 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2026-06-05 |
| 2026-05-07 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2026-06-05 |
| 2026-05-07 | 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 | Health | corrected 2026-06-05 |
| 2026-05-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-06-05 |
| 2026-05-07 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-06-05 |
| 2026-05-07 | 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. | D | Health | corrected 2026-06-05 |
| 2026-05-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-06-05 |
| 2026-05-07 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2026-06-05 |
| 2026-05-07 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Health | corrected 2026-06-05 |
| 2026-05-07 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-06-05 |
| 2026-05-07 | Implement a program that monitors antibiotic use. | D | Health | corrected 2026-06-05 |
| 2026-04-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-04-27 |
| 2026-01-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-01-22 |
| 2025-11-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-11-28 |
| 2025-11-18 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | complaint | corrected 2025-11-20 |
| 2025-06-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-03-27 |
| 2025-03-19 | Reasonably accommodate the needs and preferences of each resident. | E | complaint | corrected 2025-04-15 |
| 2025-03-19 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2025-04-15 |
| 2025-03-19 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2025-04-15 |
| 2025-03-19 | 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. | E | Health | corrected 2025-04-15 |
| 2025-03-19 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | complaint | corrected 2025-04-15 |
| 2025-03-19 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2025-04-15 |
| 2025-03-19 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-04-15 |
| 2025-03-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-04-15 |
| 2025-03-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-04-15 |
| 2025-03-19 | 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. | D | Health | corrected 2025-04-15 |
| 2025-03-19 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-04-15 |
| 2025-03-19 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-04-15 |
| 2025-03-19 | Implement a program that monitors antibiotic use. | D | Health | corrected 2025-04-15 |
| 2024-09-17 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | complaint | corrected 2024-10-02 |
| 2024-06-27 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | corrected 2024-07-12 |
| 2024-01-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-02-26 |
| 2024-01-31 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | corrected 2024-02-26 |
| 2024-01-31 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-02-26 |
| 2024-01-31 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-02-26 |
| 2024-01-31 | 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. | D | Health | corrected 2024-02-26 |
| 2024-01-31 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-02-26 |
| 2024-01-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-02-26 |
| 2024-01-31 | 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. | D | complaint | corrected 2024-02-26 |
| Date | Type | Amount |
|---|---|---|
| 2025-06-24 | Fine | $22,925 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FRIO HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 12/01/2022 |
| RUFF, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 12/01/2022 |
| ML-HENDERSON LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2022 |
| LANGSDALE, TROY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2022 |
| MILLER, LAURA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2022 |
| VOZZA, BRENDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676025. Corrections: data@carerecords.org.