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Complaint Investigation

Autumn Leaves Nursing And Rehab Inc

November 18, 2025 · Henderson, TX · 321 Kilgore Drive
Citations 1
CMS Rating 3/5
Beds 125
Provider ID 676025
Healthcare Facility
Autumn Leaves Nursing And Rehab Inc
Henderson, TX  ·  View full profile →
Inspection Summary

AUTUMN LEAVES NURSING AND REHAB INC in HENDERSON, TX — inspection on November 18, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0698
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

During an interview on 10/13/25 at 3:35 p.m., the RP said she frequently visited Resident #1 in the facility.

The RP said she usually noticed a dressing in place on the resident's access port, she said the facility began removing the dressing when the resident started having increased swelling in her arm.

The RP said Resident #1 discharged home with home health and her phone was broken.

Record review of the facility's, undated, policy titled Hemodialysis - Care of Resident, indicated .Provide routine AV Shunt (a medical device created by surgically connecting an artery to a vein) Care and Monitoring per physician orders.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HENDERSON, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AUTUMN LEAVES NURSING AND REHAB INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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