De Leon Nursing And Rehabilitation
809 EAST NAVARRO AVENUE, De Leon, TX, 76444
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Creative Solutions In Healthcare
- Certified beds
- 98 · avg 47 residents/day
- Total nursing staff turnover
- 18.5% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 0% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308643
- Service type
- Medicare/medicaid
- Licensed capacity
- 98 beds
- Bed type breakdown
- 39 Medicare-only · 59 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- July 17, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- De Leon I Enterprises, Llc
- Administrator
- Starla C Dyson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (18 on record)
- de Leon i Enterprises Llc
Adp of The Snf · since 2025
- Starla c Dyson
Adp of The Snf · since 2025
- Dwayne c Miller
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
June 2022 (3 years ago) · acquired from de Leon Nursing And Rehabilitation
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 15)
- F0812·Nov 19, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0880·Aug 20, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0839·Aug 20, 2024Complaint
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
- F0812·Aug 20, 2024Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0805·Aug 20, 2024Complaint
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- C0732·Aug 20, 2024Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- E0695·Aug 20, 2024Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0644·Aug 20, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Nov 19, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
De Leon Nursing And Rehabilitation is a 98-bed Medicare/Medicaid nursing home in De Leon, Comanche County, operated under a hospital district license. CMS rates it 5 stars overall, with a 5-star quality-of-care rating and 4-star health inspection rating. Staffing earns 3 stars. The facility is running at roughly 47% of licensed capacity. Managed by De Leon I Enterprises, LLC; licensed through June 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing 3 stars here. Each resident receives about 169 minutes of nursing care per day — roughly 72 minutes less than at a 4-star-staffing facility in Texas, and below the Texas 1-star threshold of 186 minutes. Residents here require more hands-on care than at a typical facility — sicker, or less mobile on average — so those staffing hours stretch thinner than the raw number suggests.
Roughly 2 in 10 nursing staff left in the past year — well below the Texas 25th-percentile cutoff of 42%, meaning turnover here is better than about three-quarters of nursing homes in the state. RN turnover is also exceptionally low: zero departures reported in the past year.
The facility is operating at roughly 47% of its 98 licensed beds, with an average of 46 residents per day. Only a family council is in place; there is no resident council.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.35 hours per resident per day — lower than the already-below-average weekday figure; ask how many nurses and aides are on duty overnight and on Saturdays and Sundays.
Why occupancy is near half capacity
With roughly 47 of 98 beds filled, ask whether the low census reflects a recent change in admissions policy, a referral shortage, or something else affecting operations.
Absence of a resident council
A family council exists but no resident council; ask how residents currently raise concerns or flag care issues with staff and management.
Relationship between licensee and management company
The license is held by West Wharton County Hospital District while day-to-day management runs through De Leon I Enterprises, LLC; ask which entity is responsible for staffing decisions and complaint resolution.
RN coverage hours
Reported RN time averages about 30 minutes per resident per day; ask how many hours a registered nurse is physically on-site each day and who covers clinical decisions overnight.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.