Autumn Leaves Nursing Home

    321 Kilgore Dr, Henderson, TX 75652
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate staff and excellent care

    I placed my loved one here and I'm very pleased - professional, courteous staff who became like family, wonderful nursing, and attentive, compassionate care in a spotless, modern facility with private rooms and baths. Meals are plentiful, activities (games, piano, holiday parties) keep residents engaged, and rehab/long-term services are excellent. Check-in is easy, staff communicate well, and it truly feels like a warm, home-away-from-home; I would recommend it.

    Loved one of resident
    Jul 2026

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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

    Reviews

    4.32·(93)

    Overall rating

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

      3.6
    • Staff

      4.3
    • Meals

      4.3
    • Amenities

      4.5
    • Value

      4.3

    Pros

    • Excellent physical and occupational therapy services
    • Compassionate and friendly caregiving staff
    • Clean, well-maintained interior and grounds
    • Private rooms with in-suite bathrooms and home-like décor
    • Engaging activities program (games, music, holiday events)
    • Custom diet planning and varied meal options
    • Professional dietary and kitchen services
    • Welcoming front-desk and reception operations
    • Modern facility design and amenities
    • Effective infection-control practices
    • Successful short-term rehab and discharge outcomes
    • Accessible family involvement and visitation
    • Attentive concierge-style amenities and linens
    • Hands-free/simplified entry system
    • Coordinated care meetings and family communication
    • Supportive therapy and administrative leadership in some units

    Cons

    • Inconsistent staffing levels and shift coverage
    • Variable responsiveness to call bells and clinical requests
    • Gaps in intershift communication and documentation
    • Delays in medication administration and physician-order execution
    • Inefficient clinical coordination and supply management
    • Inconsistent personal-care routines (bathing and continence checks)
    • Variable staff conduct and communication tone
    • Occasional sanitation and localized odor concerns
    • Mixed administrative responsiveness and front-office support
    • Inconsistent dining quality and meal delivery timing
    • Below-average regulatory and Medicare quality metrics

    Summary of reviews

    Autumn Leaves presents as a modern, well-appointed facility with many features families find attractive: private rooms with in-suite bathrooms, home-like décor, clean common areas, and a visible emphasis on infection control. Therapy and rehabilitation are frequently cited strengths — physical and occupational therapy teams are described as effective, and short-term rehab outcomes and discharges are commonly characterized as successful. The dining program shows strengths as well, with a chef-driven approach, custom diet planning, substitute menu options, and generally positive feedback on meals and dietary responsiveness.

    Care quality and staffing patterns appear to be uneven. While many accounts praise kind and attentive CNAs, nurses, and therapists, others describe understaffing on particular shifts, slow responses to call bells, and delays in carrying out physician orders or medication administration. These operational inconsistencies are reflected in gaps in intershift communication and documentation, which can lead to variability in how care plans are followed from one shift to the next. Several families also raised concerns about personal-care routines — including bath schedules and continence checks — indicating that these tasks may not be performed consistently across the facility.

    Staff culture and management elicit mixed impressions. Numerous reviewers highlight compassionate, friendly staff and instances of strong administrative or therapy leadership; however, there are also descriptions of variable staff demeanor and communication tone, and specific criticism of front-office responsiveness. Operational issues such as unavailable supplies, uncoordinated lab pickups, and delays in diagnostic testing point to weaknesses in clinical coordination and supply-chain processes. These operational shortcomings are compounded for some families by perceived shortfalls in communication following clinical incidents or end-of-life events. The facility’s publicly posted metrics were also noted as below average by some families, which may warrant review alongside on-site observations.

    Activities and family engagement are frequently cited positives. The facility runs a range of social programming — games, music, holiday events, and family dinners — and many families describe a welcoming atmosphere for visits and involvement. The physical plant, including easy entry systems and well-kept grounds, contributes to a non-institutional, comfortable setting for residents.

    Taken together, the pattern is one of a facility with strong physical resources, therapy capabilities, and many dedicated staff, but with operational variability that affects day-to-day care consistency for some residents. Prospective residents and families should consider an in-person visit that includes observing a shift change, asking for current staffing ratios, reviewing recent inspection and Medicare reports, and discussing specific protocols for medication administration, supply management, personal-care schedules, and family communication. These steps can help determine whether the facility’s strengths align with a particular resident’s needs and whether the operational gaps described align with current performance on a given unit or shift.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Autumn Leaves Nursing Home

    Autumn Leaves Nursing Home is located at 321 Kilgore Dr, Henderson, TX, 75652.

    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.

    People often ask...

    Autumn Leaves Nursing Home offers assisted living, memory care, and skilled nursing.

    There are 3 photos of Autumn Leaves Nursing Home on Mirador.

    The full address for this community is 321 Kilgore Dr, Henderson, TX 75652.

    No, Autumn Leaves Nursing Home does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Autumn Leaves Nursing Home. The information above has not been verified or approved by the owner or operator. For exact information, please contact Autumn Leaves Nursing Home directly. There is no cost for this service. We are compensated by the community you select.

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