Home›Browse›Texas›Henderson›Autumn Leaves Nursing and Rehab

Nursing homeFAID #14436

Autumn Leaves Nursing and Rehab

321 KILGORE DRIVE, HENDERSON, TX, 75652

(903) 657-1923

www.ml-healthcare.net/autumnleaves

125 licensed beds

★★★★★2/5CMS Five-Star overall2/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of AUTUMN LEAVES NURSING AND REHAB INC

Photo via Google · Autumn Leaves Nursing Home

Address

321 Kilgore Drive

Henderson, TX 75652

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Public record summary

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Bed capacity

125

CMS facility ID

676025

Care type

Nursing home

County

Rusk

Facility name

Autumn Leaves Nursing and Rehab

Street address

321 KILGORE DRIVE

City / state / ZIP

Henderson, TX 75652

Phone

(903) 657-1923

Website

www.ml-healthcare.net/autumnleaves

About this facility — Autumn Leaves Nursing and Rehab

Autumn Leaves Nursing and Rehab is a Medicare/Medicaid-certified skilled nursing facility in Henderson, Texas. It is licensed for 125 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 8 senior care facilities in Henderson and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Autumn Leaves Nursing and Rehab 50 times across 17 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $14,901 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Ml Healthcare

Ownership type

Government - Hospital district

Registered owners & officers

Frio Hospital District

Direct owner — 100% stake — since 2022

Langsdale, Troy

Mortgage holder · Operational control · Additional disclosable party — since 2022

Miller, Laura

Mortgage holder · Operational control · Additional disclosable party — since 2022

Ml Real Estate-henderson, Llc

Mortgage holder · Additional disclosable party — since 2022

Ml-henderson Llc

Operational control · Additional disclosable party — since 2022

Ruff, Michael

Officer — since 2022

Turner, Victor

Additional disclosable party — since 2022

Vozza, Brenda

Operational control · Additional disclosable party — since 2022

Regulatory standing

Licensed / certified since

2004-06-18

CMS overall rating

2 of 5 stars

Health deficiencies

15 at the last standard inspection

Federal fines

$14,901 total

Last standard inspection

2026-05-07

Nurse staffing

2.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$304 per day (≈ $9,240/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

58% Medicaid · 18% Medicare · 24% private/other

Occupancy

67% (fiscal year 2023)

Vs. state median

10% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

125

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-05-07Health inspectionComplaint-triggered12 citations

F-0550

D · No harm foundFrom a complaint

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

Corrected 2026-06-05

F-0605

D · No harm found

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

Corrected 2026-06-05

F-0656

E · No harm found

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

Corrected 2026-06-05

F-0688

D · No harm found

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.

Corrected 2026-06-05

F-0689

D · No harm found

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

Corrected 2026-06-05

F-0690

D · No harm found

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

Corrected 2026-06-05

F-0755

F · No harm found

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

Corrected 2026-06-05

F-0756

E · No harm found

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

Corrected 2026-06-05

F-0770

D · No harm found

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

Corrected 2026-06-05

F-0809

E · No harm foundFood safety

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.

Corrected 2026-06-05

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-06-05

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2026-06-05

2026-04-22Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

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

Corrected 2026-04-27

10 earlier / fire-safety inspections (37 citations)

2026-01-16Health inspectionComplaint-triggered1 citation

F-0656

D · No harm foundFrom a complaint

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

Corrected 2026-01-22

2025-11-26Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

Corrected 2025-11-28

2025-11-18Health inspectionComplaint-triggered1 citation

F-0698

E · No harm foundFrom a complaint

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

Corrected 2025-11-20

2025-06-24Health inspectionComplaint-triggered1 citation

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2025-03-27

2025-03-19Health inspectionComplaint-triggered13 citations

F-0558

E · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-04-15

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-04-15

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-04-15

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-15

F-0690

D · No harm found

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

Corrected 2025-04-15

F-0693

D · No harm found

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.

Corrected 2025-04-15

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-15

F-0755

E · No harm found

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

Corrected 2025-04-15

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-04-15

F-0761

E · No harm found

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.

Corrected 2025-04-15

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-15

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2025-04-15

F-0921

E · No harm foundFrom a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-04-15

2024-09-17Health inspectionComplaint-triggered1 citation

F-0573

D · No harm foundFrom a complaint

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2024-10-02

2024-06-27Health inspectionComplaint-triggered1 citation

F-0695

E · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-07-12

2024-01-31Health inspectionComplaint-triggered10 citations

F-0550

D · No harm foundFrom a complaint

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

Corrected 2024-02-26

F-0584

D · No harm found

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.

Corrected 2024-02-26

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-02-26

F-0656

E · No harm found

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

Corrected 2024-02-26

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-02-26

F-0695

E · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-26

F-0761

D · No harm foundFrom a complaint

Corrected 2024-02-26

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-02-26

F-0940

D · No harm found

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2024-02-26

F-0942

D · No harm found

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Corrected 2024-02-26

2026-05-07Fire-safety inspection4 citations

K-0342

E · No harm found

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2026-05-11

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-05-11

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-05-11

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-05-29

2025-03-19Fire-safety inspection4 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-18

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-18

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-04-18

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-18

Federal penalties

2025-06-24Fine$14,901

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676025.

Visitor reviews

What people say on Google.

4.480 ratings on Google

★★★★★Clark Yoquelet · 2026-01-22 · via Google
“Crazy thing. I am a licensed nursing home administrator myself. I was visiting my son in Henderson, Tx. I fell down while getting a bottle of water out of his refrigerator and fractured my left hip. I ended up choosing Autumn Leaves for recovery from hip surgery. Keep in mind I am a licensed nursing and rehab administrator myself, and I can honestly say without a doubt, my decision to admit to Aut…”

★★★★★Beverly Kinsey · 2025-09-30 · via Google
“My sister and I drove an hour to come visit our 97 year old aunt. She was sitting up in a wheelchair for the first day since she broke her back and came to tour facility. She was clean, dressed and in good spirits although she didn’t know we were coming. The staff was very nice. You served her a beautiful delicious looking nutritious meal while we were there. The building smelled fresh at 5:00 in …”

★kat Maxx · 2026-03-24 · via Google
“Facility has many issues. Meds left ungiven , beds left dirty , facilities management seen yell in g and cussing on my visit. I wouldn’t put my parents in this facility after what we gone thru. Check your parents if they are there you’ll see”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 50 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered