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Complaint Investigation

Autumn Leaves Nursing And Rehab Inc

Inspection Date: November 18, 2025
Total Violations 1
Facility ID 676025
Location HENDERSON, TX
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Inspection Findings

F-Tag F0698

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

F 0698 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

dialysis. RN A said she told the facility staff that leaving the dressings on the access site could cause clotting problems. RN A said she noted multiple occurrences of the same dressing that was applied at the dialysis center still in place when Resident #1 returned for her next appointment. Attempted telephone interviews with Resident #1 on 10/13/25 at 10:30 a.m. and 1:45 p.m., the telephone number indicated the number was disconnected or no longer in service. 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.

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📋 Inspection Summary

AUTUMN LEAVES NURSING AND REHAB INC in HENDERSON, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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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