Autumn Leaves Nursing And Rehab
321 KILGORE DR., Henderson, TX, 75652
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: Ml Healthcare
- Certified beds
- 125 · avg 99 residents/day
- Total nursing staff turnover
- 53.6% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 37.5% — 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
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $30,368 total
State licensing & capacity
- License number
- 310556
- Service type
- Medicare/medicaid
- Licensed capacity
- 125 beds
- Bed type breakdown
- 2 Medicare-only · 123 Medicaid/Medicare
- Current license effective
- December 1, 2025
- Current license expires
- December 1, 2028
- Initial license date
- February 1, 1975
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Frio Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Mlhenderson Llc
- Administrator
- Kenneth B Benison
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the ml Healthcare chain — 6 facilities. Chain-wide average overall rating 3.0 / 5.
Disclosed owners (8 on record)
- Ml-henderson Llc
Adp of The Snf · since 2025
- Brenda Marie Vozza
Adp of The Snf · since 2022
- Frio Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2022
- Laura Miller
5% or Greater Mortgage Interest · 50% · since 2022
- Michael Ruff
Corporate Officer · since 2022
- ml Real Estate-henderson, Llc
5% or Greater Mortgage Interest · 100% · since 2022
+ 2 additional owners on the federal record.
Recent change of ownership
December 2022 (3 years ago) · acquired from Autumn Leaves Nursing And Rehab Inc
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 33)
- D0656·Jan 16, 2026Complaint
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.
- D0689·Nov 26, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0698·Nov 18, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E0921·Mar 19, 2025Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0558·Mar 19, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0881·Mar 19, 2025
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
- D0880·Mar 19, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0761·Mar 19, 2025
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.
Federal penalties
By year
- 20251 fine · $23K
- 20231 fine · $7,443
Most recent events
- Jun 24, 2025Fine · $23K
- Jun 12, 2023Fine · $7,443
Largest single fine on record: $23K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Mar 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
Autumn Leaves Nursing And Rehab is a 125-bed Medicare/Medicaid nursing home in Henderson, TX, licensed since 1975 and managed by Ml Healthcare under government ownership through Frio Hospital District. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Quality-of-care measures rate 5 stars for long-stay residents. Two CMS fines totaling $30,368 have been issued.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier. Each resident receives about 179 minutes of nursing care per day, roughly 62 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 179 minutes stretch thinner than the raw number suggests. Registered nurse coverage is 14 minutes per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility.
CMS issued 2 fines totaling $30,368 against this facility. The state median for fines among facilities that receive any is $20,699, and about 30% of Texas nursing homes have received no fines at all.
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 2.64 per resident per day — below the already-low weekday figure; ask how many nurses and aides are scheduled overnight and on weekends.
What the two fines covered
CMS issued two fines totaling $30,368; ask what deficiencies triggered them and what changes were made in response.
How care plans are monitored
Quality-of-care measures rate 5 stars while staffing rates 1 star; ask how the clinical team tracks and adjusts individual care plans given the staffing hours available.
Registered nurse presence each day
Reported RN coverage is 14 minutes per resident per day; ask how many hours a registered nurse is physically on the floor each day and who covers when the RN is off-site.
Role of the Resident Council
The facility has a Resident Council but no Family Council; ask how family members can raise concerns and how frequently the Resident Council meets.
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.