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Skilled nursing facility · CMS certified · CCN 676025

Autumn Leaves Nursing and Rehab Inc

321 Kilgore Drive, Henderson, TX 75652 · Rusk County · one of 1,177 skilled nursing facilities in Texas
Its Medicare cost report, line by line ↓
125
certified beds
2 / 5
overall CMS rating
Government
ownership type
79.1%
occupancy, Oct 2026: 99 residents a day · Texas 67.5%
1.46
case mix, 1.04x the national average
2.79
nurse hours per resident day · Texas 3.39
What if · this building’s own numbers
Medicare cost report, FY2025, and the state rate file

Every slider starts where this building’s FY2025 Medicare cost report left it. Drag occupancy, the Medicaid rate or the costs, and see what the change does to revenue, cost and operating income.

00.0%
00%
$000
$000
$000
0.00
From this change, a year
+$000,000
profit from patient care, before rent, loan interest and depreciation
Where that leaves the building, a year
Patient revenue
$00,000,000
Cost to run it
$00,000,000
Profit from patient care (EBITDAR)
$0,000,000 to $0,000,000

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How Autumn Leaves Nursing and Rehab Inc compares

Better than most of Rusk County on 2 of 8 lines.

Occupancy, Oct 202679.1%Better than mostHigher than all 3 other buildings in Rusk County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 47.3%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day2.79Behind mostLower than all 3 other buildings in Rusk County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.58. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating2 / 5Mid-packLevel with 2 of the 3 other buildings in Rusk County; the other 1 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Mid-packHigher than 1 of the 3 other buildings in Rusk County, level with 1

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLower than all 3 other buildings in Rusk County

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating5 / 5Better than mostHigher than 2 of the 3 other buildings in Rusk County, level with 1

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.26Behind mostLower than all 3 other buildings in Rusk County

Registered nurse hours for each resident, each day. The middle of the set: 0.34. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited19Behind mostMore than all 3 other buildings in Rusk County

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 12. Source: CMS Provider Information, Oct 2026 file.

Better than most of Texas on 2 of 8 lines.

Occupancy, Oct 202679.1%Better than mostHigher than 817 of the 1,163 other buildings in Texas

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 68.5%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day2.79Behind mostHigher than 82 of the 1,147 other buildings in Texas, level with 3

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.27. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating2 / 5Behind mostHigher than 288 of the 1,165 other buildings in Texas, level with 253

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 211 of the 1,165 other buildings in Texas, level with 311

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLevel with 507 of the 1,163 other buildings in Texas; the other 656 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating5 / 5Better than mostHigher than 801 of the 1,162 other buildings in Texas, level with 361

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.26Behind mostHigher than 211 of the 1,151 other buildings in Texas, level with 32

Registered nurse hours for each resident, each day. The middle of the set: 0.39. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited19Behind mostFewer than 139 of the 1,176 other buildings in Texas, the same as 29

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 10. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Texas
Net margin00.0%

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Medicaid share of days00.0%

Opens with a free account

Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Autumn Leaves Nursing and Rehab Inc
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Street View
321 Kilgore Drive, Henderson, TX
Map around Autumn Leaves Nursing and Rehab Inc
Map · Rusk County
Rusk County, Texas
4 skilled nursing facilities; average overall rating 2.5, Texas 2.8.
See how Rusk County compares ›
Cost report, against Texas
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Texas. The rank counts from the top: 1st is the highest figure among Texas's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

What this building filed with Medicare for FY2025 (the year ending 2025-12-31), against the middle Texas building.

Line
This building
Rank in state
Texas median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
65.9%
1,143
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
6.6%
1,146
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
66.8%
1,132
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$0000.0 ptsFY0000: 00.0%
00th of 000
$268
1,144
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$0000.0 ptsFY0000: 00.0%
00th of 000
$279
1,143
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$0000.0 ptsFY0000: 00.0%
00th of 000
$12
1,122
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
4.2%
1,111

See this building's own numbers

Free account. What it filed, and where it ranks.

Quality and staffing
CMS Care Compare · Oct 2026
Overall rating2 / 5 · state 2.8
Health inspection2 / 5 · state 2.8
Staffing1 / 5 · state 1.9
RN hours per resident per day0.26 · state 0.44
Overall rating, last 8 quarters
053Q3’243Q4’243Q1’254Q2’252Q3’253Q4’253Q1’263Q2’26latest
back to 3 / 5 over the 8 quarters shown, having been as low as 2 / 5

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingTexasnationrecent quarters
Needed more help with daily activities7.7%better than state15.8%13.5%2025Q2: 5.1%2025Q3: 4.8%2025Q4: 8.7%2026Q1: 12.7%2026Q2: 4.7%
5.1% → 4.7%
Q2’25 to Q2’26
Catheter inserted and left in0.0%better than state0.3%0.7%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Urinary tract infection1.6%worse than state0.8%1.5%2025Q2: 0.0%2025Q3: 2.5%2025Q4: 0.0%2026Q1: 3.8%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Fall with major injury0.6%better than state3.2%3.2%2025Q2: 1.4%2025Q3: 1.2%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 1.1%
1.4% → 1.1%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)0.0%better than state1.4%1.5%2025Q2: 1.5%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
1.5% → 0.0%
Q2’25 to Q2’26
Ability to walk independently worsened0.0%better than state12.9%12.7%2025Q4: 0.0%2026Q1: 0.0%
0.0% → 0.0%
Q4’25 to Q1’26
Pressure ulcers1.9%better than state3.7%4.5%2025Q2: 1.1%2025Q3: 1.0%2025Q4: 2.8%2026Q1: 1.9%2026Q2: 1.8%
1.1% → 1.8%
Q2’25 to Q2’26
Given an antipsychotic8.0%better than state9.8%15.4%2025Q2: 4.2%2025Q3: 8.5%2025Q4: 10.0%2026Q1: 8.5%2026Q2: 5.1%
4.2% → 5.1%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
May 2026
last standard survey
19
deficiencies cited · Texas avg 11.4
$14,901
fines, last 3 years
2022
last change of ownership on the federal file
Reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Rusk County
buildingbedsoverallHenderson Health & Rehabilitation Center1734 / 5Arbor Grace Guest Care Center1272 / 5Autumn Leaves Nursing and Rehab Inc1252 / 5Avir at Overton1002 / 5
All Texas buildings in Rusk County ›
Also in Henderson, TX
1 other certified skilled nursing facility in Henderson
buildingbedsoverallHenderson Health & Rehabilitation Center1734 / 5
Texas at a glance
1,177
buildings
133,481
licensed beds
67%
occupancy
70%
for-profit
Texas market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyHenderson Health & Rehabilitation CenterHenderson · 2.0 mi1734 / 5under 70%Avir at OvertonOverton · 12.8 mi1002 / 5under 70%Arbor Grace Guest Care CenterKilgore · 14.0 mi1272 / 570-85%Willow Rehab & NursingKilgore · 14.3 mi1182 / 570-85%Highland Pines Nursing HomeLongview · 23.5 mi1712 / 5under 70%Whispering Pines LodgeLongview · 24.3 mi1161 / 5under 70%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Autumn Leaves Nursing and Rehab Inc?
Autumn Leaves Nursing and Rehab Inc in Henderson, TX carries an overall CMS rating of 2 out of 5 stars in the Oct 2026 CMS file.
How many beds does Autumn Leaves Nursing and Rehab Inc have?
Autumn Leaves Nursing and Rehab Inc is certified for 125 beds in the Oct 2026 CMS file.
How full is Autumn Leaves Nursing and Rehab Inc?
CMS's reported average residents put Autumn Leaves Nursing and Rehab Inc's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.

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