AUTUMN LEAVES NURSING AND REHAB INC
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-06-24 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.56
state median 2.67
Weekend staffing gap
−9%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.14
registered nurses only
Contract (agency) staff
16%
share of all nursing hours
Days with zero RN hours reported
6
with residents present
Nursing staff turnover
57%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $22,925 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-06-24 | Fine | $22,925 |
Ownership
Ownership type: Government - Hospital district. Part of the ML HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- The Springs Healthcare and Rehabilitation (Cedar Park, TX) —
- Cypress Pointe Health & Wellness (Houston, TX) —
- Sylan Shores Health and Wellness (La Porte, TX) —
- Lakeside Health and Wellness (Kemp, TX) —
- THE LODGE OF SAGINAW HEALTH AND WELLNESS (SAGINAW, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-07 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-05-07 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-05-07 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-05-07 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-05-07 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-05-07 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-05-07 | F0755 | Pharmacy Service Deficiencies | F | not recorded |
| 2026-05-07 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-05-07 | F0770 | Administration Deficiencies | D | not recorded |
| 2026-05-07 | F0809 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-05-07 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-05-07 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2026-04-22 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-16 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-11-26 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-11-18 | F0698 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-06-24 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-03-19 | F0558 | Resident Rights Deficiencies | E | not recorded |
| 2025-03-19 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-19 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-19 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-19 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-19 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-19 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-03-19 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-03-19 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-03-19 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-03-19 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-03-19 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2025-03-19 | F0921 | Environmental Deficiencies | E | not recorded |
| 2024-09-17 | F0573 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-27 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-01-31 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-31 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-31 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-01-31 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-01-31 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-31 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-01-31 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-01-31 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-01-31 | F0940 | Administration Deficiencies | D | not recorded |
| 2024-01-31 | F0942 | Resident Rights Deficiencies | D | not recorded |