nursing home in De Leon, TX
De Leon Nursing and Rehabilitation
809 East Navarro Avenue, De Leon, TX 76444 · (254) 893-2075
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
De Leon Nursing and Rehabilitation at a glance
De Leon Nursing and Rehabilitation is a 98-bed government nursing home in De Leon, Texas (Comanche County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 2.9 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (November 19, 2025) found 1 health citation. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 98
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- March 30, 1994
- Resident/family council
- Resident
- County
- Comanche County
- CMS Certification Number
- 675319
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.95 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.48 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.58 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.66 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 1 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 25 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 98 | 113 | 107 | |
| Average residents per day | 48 | 76 | 86 | |
| Occupancy | 48.7% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.1% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0.9% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 2.6% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 5.3% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 2% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 5.5% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 23.4% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 13.9% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.4% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 19, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected December 27, 2025 |
| November 19, 2025 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | E Potential harm, pattern | Corrected December 27, 2025 |
| November 19, 2025 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | D Potential harm, isolated | Corrected December 27, 2025 |
| November 19, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected December 27, 2025 |
| November 19, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 20, 2025 |
| August 20, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected August 21, 2024 |
| August 20, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected September 15, 2024 |
| August 20, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected September 30, 2024 |
| August 20, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected August 21, 2024 |
| August 20, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected August 21, 2024 |
| August 20, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 21, 2024 |
| August 20, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected August 21, 2024 |
| August 20, 2024 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | E Potential harm, pattern | Corrected August 21, 2024 |
| August 20, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 21, 2024 |
| August 20, 2024 Complaint | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected August 21, 2024 |
| August 20, 2024 Complaint | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Tag F0839 | D Potential harm, isolated | Corrected August 21, 2024 |
| August 20, 2024 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected August 21, 2024 |
| August 20, 2024 Complaint | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | B No harm, pattern | Corrected August 21, 2024 |
| November 15, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 16, 2023 |
| June 28, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected August 4, 2023 |
| June 28, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected August 4, 2023 |
| June 28, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 29, 2023 |
| June 28, 2023 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected June 29, 2023 |
| June 28, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 29, 2023 |
| June 28, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 29, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BLAKE, GARY Individual | adp of the snf | NOT APPLICABLE | 06/01/2022 |
| DE LEON I ENTERPRISES LLC Organization | adp of the snf | NOT APPLICABLE | 05/07/2025 |
| DYSON, STARLA Individual | adp of the snf | NOT APPLICABLE | 04/14/2025 |
| MILLER, DWAYNE Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| HUGGINS, LINDA Individual | corporate director | NOT APPLICABLE | 06/01/2022 |
| WILLIG, ZACHARY Individual | corporate director | NOT APPLICABLE | 01/01/2025 |
| THOMPSON, JOHNNY Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| BOWERS, SEAN Individual | managing control - governing body | NOT APPLICABLE | 07/01/2024 |
| CISNEROS, ALFRED Individual | managing control - governing body | NOT APPLICABLE | 02/18/2008 |
| COBB, TRAVIS Individual | managing control - governing body | NOT APPLICABLE | 10/05/2022 |
| COOPER, STEPHEN Individual | managing control - governing body | NOT APPLICABLE | 11/11/2022 |
| HARDIN, SHERRIE Individual | managing control - governing body | NOT APPLICABLE | 09/04/2024 |
| KERZEE, RICHARD Individual | managing control - governing body | NOT APPLICABLE | 09/24/2007 |
| KORENEK, PATRICIA Individual | managing control - governing body | NOT APPLICABLE | 05/05/2018 |
| SOECHTING, PAUL Individual | managing control - governing body | NOT APPLICABLE | 11/22/2024 |
| STRACK, JOE Individual | managing control - governing body | NOT APPLICABLE | 02/11/2022 |
| BLAKE, GARY Individual | operational/managerial control | NOT APPLICABLE | 06/01/2022 |
| BLAKE, MALISA Individual | operational/managerial control | NOT APPLICABLE | 06/01/2022 |
| DE LEON I ENTERPRISES LLC Organization | operational/managerial control | NOT APPLICABLE | 06/01/2022 |
Other nursing homes near De Leon Nursing and Rehabilitation
- ★★★★★4Above average
Western Hills Healthcare Residence
400 Old Sidney Rd, Comanche, TX 76442 · 15.7 mi
For-profit · 158 beds · Part of Coryell County Memorial Hospital Authority
★★★★★2Below averageStephenville Nursing and Rehabilitation
2311 West Washington Street, Stephenville, TX 76401 · 18.6 mi
For-profit · 46 beds
★★★★★5Much above averageAvir at Stephenville
1670 Lingleville Rd, Stephenville, TX 76401 · 19.2 mi
For-profit · 102 beds · Part of Avir Health Group
★★★★★1Much below averageLone Star Rehabilitation & Wellness Center
2601 Senator Robert J Glasgow Loop, Stephenville, TX 76401 · 19.6 mi
For-profit · 122 beds
★★★★★4Above average- ★★★★★4Above average
Frequently asked questions
What is De Leon Nursing and Rehabilitation's rating?
De Leon Nursing and Rehabilitation has 5 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did De Leon Nursing and Rehabilitation receive?
Its most recent standard health inspection found 1 citation, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does De Leon Nursing and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns De Leon Nursing and Rehabilitation?
It is government - hospital district and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is De Leon Nursing and Rehabilitation and how do I contact it?
De Leon Nursing and Rehabilitation is at 809 East Navarro Avenue, De Leon, TX 76444. Phone: (254) 893-2075.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.