Autumn Leaves Nursing Home

    321 Kilgore Dr, Henderson, TX, 75652
    4.3 · 78 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Beautiful facility, inconsistent neglectful care

    I'm conflicted: the facility is beautiful, home-like, with nice activities, private rooms, and several genuinely kind, professional staff, but my family's experience was marred by inconsistent, sometimes neglectful care. Staffing seemed below average, aides at times rude or rough, hygiene and basic duties were occasionally ignored, and official inspections/ratings were poor. A few nurses and therapists were excellent, yet management felt unresponsive. Verify staffing, oversight, and care quality carefully-I would not trust it for high-acuity needs.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.32 · 78 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      4.3
    • Meals

      4.0
    • Amenities

      4.5
    • Value

      4.3

    Pros

    • Clean and well-maintained facility (many reports)
    • Friendly, kind, and compassionate staff (frequent mention)
    • Home-like decor with personalizable private rooms
    • Private rooms with private showers and baths (reported)
    • Engaging activities and holiday events (games, music, parties)
    • Chef/dietary director provides custom diet plans
    • Plentiful meals and on-site dining
    • Good physical therapy and rehab in some cases
    • Short-term rehab and long-term care offered
    • Well-kept grounds and attractive building/setting
    • Helpful and attentive front desk/reception (many reports)
    • Hands-free/simple entry system that saves time
    • Supportive staff who form family-like relationships with residents
    • Additional caregivers hired (noted as a response to concerns)
    • Positive first impressions from visitors and families

    Cons

    • Understaffing and below-average staffing levels reported
    • Inattentive, rude, or lazy CNAs and aides (frequent complaints)
    • Slow responses to call lights and delayed doctor order responses
    • Poor shift-to-shift communication and inconsistent documentation
    • Delays and coordination problems with lab draws and UA testing
    • Hygiene neglect: infrequent diaper checks, few or no baths, soiled clothing
    • Some nurses described as arrogant or disrespectful
    • Reports of disrespectful treatment, including handling of a deceased resident
    • Office/administrative staff described as unhelpful or inattentive
    • Mixed cleanliness reports; some reviewers called rooms disgusting
    • Health inspection and Medicare ratings noted as below average by some reviewers
    • Inconsistent rehab delivery: some residents received no rehab despite expectations
    • Families sometimes performing care tasks (changing sheets, cleaning)
    • Argumentative or forceful behavior by some staff toward residents
    • Management concerns, including claims that the director of nursing is unresponsive

    Summary review

    The reviews for Autumn Leaves Nursing Home are highly polarized, producing a mix of strong praise and urgent complaints. Many reviewers highlight a modern, attractive facility with private, home-like rooms, pleasant décor, and well-kept grounds. Numerous comments praise friendly, compassionate caregivers, supportive front-desk staff, and an activities program that includes games, music, and holiday events. Several families describe staff who become like family, an attentive rehabilitation team in some cases (notably excellent physical therapy mentioned), a chef/dietary director who can create custom meal plans, and generally plentiful meals. Practical conveniences such as a hands-free entry system and an easy transition process were also noted positively by multiple visitors and families.

    Counterbalancing these positive reports are consistent and serious operational complaints. A recurring theme is understaffing and inadequate CNA coverage, which reviewers link to slow call-light responses, delayed implementation of physician orders, and inconsistent care practices. Several reviews describe poor shift-to-shift communication and failures in documentation that result in information not being captured or shared between shifts. Specific incidents cited include unavailable urine collection cups leading to delayed UAs, uncoordinated lab pickups, and family members stepping in to change sheets or assist with hygiene because staff were unavailable or unwilling.

    Hygiene and dignity concerns appear frequently and are among the most serious criticisms. Multiple reviewers reported infrequent diaper checks, lack of baths, soiled clothing, and neglect of basic hygiene needs. There are also reports of rough or disrespectful treatment by certain staff members, including aides and some nurses described as arrogant or argumentative. One particularly disturbing account described staff reluctance to use equipment or lifts for a deceased resident and a lack of compassion around end-of-life handling. These reports point to variability in staff behavior and training that can compromise resident dignity and safety.

    Facility quality and cleanliness are described in both glowing and condemning terms, suggesting inconsistent standards across units, wings, or shifts. Many visitors called the building beautiful, clean, and inviting, with nice linens and a pleasant, non-hospital atmosphere. Other reviews, however, described rooms as disgusting and staff as untrained, indicating that experience may depend heavily on which staff are on duty or which part of the facility a resident occupies. Similarly, rehab services are praised by some families and described as lacking or absent by others, highlighting inconsistent delivery of clinical programs.

    Management and oversight issues are reflected in comments about administrative staff being unhelpful, a director of nursing perceived as unresponsive, and references to below-average health inspection and Medicare ratings. While some reviewers noted that additional caregivers were hired in response to problems, others advised against placing family members at the facility and warned that oversight and quality are not reliably consistent.

    In summary, Autumn Leaves elicits strong, split impressions. Positive reviewers emphasize a caring culture, attractive environment, private rooms, robust activities, and good food options, with some high marks for therapy and personalized attention. Negative reviewers report systemic problems tied to staffing, inconsistent clinical care and hygiene, poor communication, and isolated but serious incidents of disrespect and negligence. The overall pattern suggests a facility capable of delivering excellent, home-like care under certain conditions but one whose quality is uneven and dependent on staffing, shift, and specific personnel. Prospective families should weigh both sets of experiences, tour multiple times (including different shifts), ask detailed questions about staffing ratios, hygiene protocols, lab collection procedures, and communication practices, and review recent inspection reports to evaluate current performance and consistency.

    Location

    Map showing location of Autumn Leaves Nursing Home

    About Autumn Leaves Nursing Home

    Autumn Leaves Nursing Home sits at 321 Kilgore Dr in Henderson, Texas, and it's a nursing home and rehabilitation center with 125 licensed beds that're both Medicare and Medicaid certified, so people who need skilled nursing care, rehabilitation after a hospital stay, or help with chronic conditions can find a range of support services here, and the staff includes registered nurses, licensed vocational nurses, and certified nursing assistants who deliver around-the-clock care, plus you'll find physical, occupational, and speech therapists who help with recovery and mobility. Folks who stay get personalized care plans, and there's support for both long-term residents and those who only need short respite care, and the place manages medication, offers help with daily activities, and even provides transportation for appointments, discharge planning, and diet help, so there doesn't tend to be confusion about next steps.

    The facility's managed by Mr. Douglas E. Hudson, COO, and Mr. Jeff Miller, CEO, and it's licensed through both the Texas Department of Aging & Disability and the Smith County Medical Society. Autumn Leaves focuses on skilled nursing, rehabilitation, long-term care, short-term transitional care, chronic care management, and also offers some specialized memory care for Alzheimer's and dementia, which isn't something you see everywhere, and when it comes to making it feel homelike, there are independently temperature-controlled rooms, private bathrooms, a therapy gym, a chapel, and a beauty/barber shop, so residents can take care of themselves and maybe enjoy some comfort. The main building's set in the piney woods of East Texas, and with the warm fireplace, cheerful dining room, and waterfall feature, it tries to have a cozy, peaceful feeling, and community activities help residents stay engaged and social.

    Residents get access to onsite pharmacy, X-ray, and lab services, plus physician, dental, mental health, and podiatric care, so a lot of needs can be met in-house, and there's plenty of housekeeping and meal preparation, too. Autumn Leaves scores 8.8 on Community Reviews, has a 3-star CMS nursing home rating, and a 9 out of 10 for overall quality, which folks around here seem to notice. The BBB gives it an A+ rating, and though it isn't BBB accredited, it's recognized for high standards and compassionate staff, and it keeps a local BBB file in Central East Texas. There's a full range of room layouts, community wellness programs, organized resident groups, and the staff's trained to deliver exceptional care, and all of this comes together to help folks feel comfortable and cared for, whether they're here for a while or just need support while recovering.

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