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.
based on 80 Google reviews

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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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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!”
“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 place was clean and the receptionist was awesome 👌 my only issue was when asking someone for help they were on their phone!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
13
measures
4
measures
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents whose walking got worse
Residents with depression symptoms
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint1
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, 2025Complaint1
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, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Mar 19, 2025Routine15
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
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.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Mar 19, 2025Complaint2
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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, 2024Complaint1
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
Frio Hospital District
for profit
MLHENDERSON LLC
KENNETH B BENISON
Chain Affiliation
Ml Healthcare
6 facilities nationwide
Chain avg rating: 3.0/5 · Rank 3 of 6
Ownership & Management
Owners
Frio Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
80 reviews from families & visitors
Official Website
Visit ml-healthcare.net
Medicare data downloads
Original nursing home datasets
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