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Nursing HomeMedicaid

Autumn Leaves Nursing and Rehab

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

321 Kilgore Dr., Henderson, TX 75652125 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 80 Google reviews

5
4
3
2
1
Autumn Leaves Nursing and Rehab Nursing Home in Henderson, TX — Street View
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What this means for your family

This facility is highly regarded for its cleanliness and the warmth of its front-office staff, making it a pleasant place for visits. However, families should be extremely vigilant regarding medication administration and hygiene, as recent reviews have raised serious concerns about neglect and inconsistent nursing care.

Google Reviews

Google Reviews

80 reviews analyzed
Families considering Autumn Leaves will find a facility widely praised for its cleanliness, friendly atmosphere, and welcoming reception staff. However, there are serious, documented allegations regarding medication errors, neglectful hygiene practices, and inconsistent communication between nursing shifts that should be investigated.

Quality Themes

Tap a score for details
Food5.0Staff7.0Clean9.0Activities5.0Meds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Exceptionally clean and well-maintained building
  • Friendly and welcoming front-desk/reception staff
  • Compassionate and attentive nursing and rehab staff
  • Pleasant and inviting atmosphere for visitors

Concerns

  • Inconsistent nursing care and neglect (mentioned by 3 reviewers)
  • Staffing shortages and slow response times (mentioned by 2 reviewers)
  • Poor communication between shifts or administration (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.0'18(1)5.03.5'21(8)3.05.0'23(11)4.44.6'25(24)3.7'26(3)

Distribution

5
48
4
1
3
2
2
1
1
8

How They Respond to Reviews

87%response rate
Good

The owner provides highly personalized responses to positive reviews, often addressing specific family members or staff members mentioned. For negative or critical reviews, they use a consistent, professional template to move the conversation to a private email channel.

Questions for Your Tour

  • 1It is so lovely to see how clean and well-maintained the building is; what specific cleaning protocols do you have in place to keep the facility looking this nice?
  • 2We noticed the front desk staff is so welcoming; how does the administration ensure that this same level of friendliness is felt by the nursing and rehab teams during their shifts?
  • 3How do you manage communication between nursing shifts to ensure that important details about a resident's care aren't missed during handoffs?
  • 4Could you walk us through your process for medication management to ensure everything is administered accurately and on time?
  • 5What is the protocol for handling medical emergencies or urgent care needs during the overnight hours?
  • 6What kind of daily activities or social events are planned to help residents enjoy the pleasant atmosphere you've created here?

Personalized based on this facility's data


Key Review Excerpts

I am a licensed nursing and rehab administrator myself, and I can honestly say without a doubt, my decision to admit to Autumn Leaves for rehab was the best decision I could have possibly made!

Rehab patient (Professional Administrator) · 2026★★★★★

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.

Long-term resident's family · 2025★★★★★

The place was clean and the receptionist was awesome 👌 my only issue was when asking someone for help they were on their phone!

Visitor · 2024☆☆☆☆
Source: 80 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.21hrs
28%
Registered nurses for medical care
Total Nursing
2.98hrs
73%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

13

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
19.4%
TX
14.2%
Rusk
21.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.4%
Better than Avg
Here
6.4%
US
15.4%
TX
9.4%
Rusk
18.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.1%
Better than Avg
Here
4.1%
US
15.3%
TX
14.9%
Rusk
16.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.7%
Mixed vs Avgs
Here
0.7%
US
12.1%
TX
2.5%
Rusk
0.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.9%
Better than Avg
Here
7.9%
US
14.4%
TX
16.1%
Rusk
17.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
TX
96.9%
Rusk
99.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
79.7%
TX
88.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Rusk
89.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
TX
1.5%
Rusk
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
2penalties
Well above state avg (9.1)
13 complaint-triggered
$30,368 in fines

Families have filed multiple complaints triggering 13 deficiencies at this facility, indicating ongoing concerns about care quality and safety. The most recurring issues involve respiratory care (appearing across multiple surveys), medication management, and accident prevention/safety hazards. While most violations have been corrected, the pattern shows persistent problems with basic care areas, and one recent care planning deficiency remains without a correction plan, suggesting families should carefully evaluate current conditions before choosing this facility.

Jan 16, 2026Complaint
1
0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

Nov 26, 2025Complaint
1
0689MinorCorrected

Quality of Life and Care Deficiencies

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

Nov 18, 2025Complaint
1
0698ModerateCorrected

Quality of Life and Care Deficiencies

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

Mar 19, 2025Routine
15
0363ModerateCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0695ModerateCorrected

Quality of Life and Care Deficiencies

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

0755ModerateCorrected

Pharmacy Service Deficiencies

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

0761ModerateCorrected

Pharmacy Service Deficiencies

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.

0321ModerateCorrected

Smoke Deficiencies

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

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0561MinorCorrected

Resident Rights Deficiencies

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

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0677MinorCorrected

Quality of Life and Care Deficiencies

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

0690MinorCorrected

Quality of Life and Care Deficiencies

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

0693MinorCorrected

Quality of Life and Care Deficiencies

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.

0757MinorCorrected

Pharmacy Service Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881MinorCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Mar 19, 2025Complaint
2
0558ModerateCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0921ModerateCorrected

Environmental Deficiencies

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

Sep 17, 2024Complaint
1
0573MinorCorrected

Resident Rights Deficiencies

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

Federal Penalties

Fine

Jun 24, 2025

$22,925

Fine

Jun 12, 2023

$7,443

Ownership & Operations

Who Operates This Facility

Owner / Operator

Frio Hospital District

Organization Type

for profit

Management Company

MLHENDERSON LLC

Administrator

KENNETH B BENISON

Chain Affiliation

Chain Name

Ml Healthcare

Chain Size

6 facilities nationwide

Chain avg rating: 3.0/5 · Rank 3 of 6

Ownership & Management

Owners

Frio Hospital District

Owner · Organization

100%

Key personnel

Miller, Laura5% or Greater Mortgage InterestRuff, MichaelOfficer / DirectorMl-henderson LLCManagerLangsdale, TroyManagerMiller, LauraManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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