Autumn Leaves Nursing & Rehab Center, LLC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

50.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 80 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 72 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.27 therapist hours per resident per day in 2026Q1 — more than 39% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 124 beds and averages 99.6 residents a day — about 80% occupied, or roughly 24 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.98 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.30 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.31 hrs/resident/day on weekends vs 4.25 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.35 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · Ecited before2025-08-20 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to implement a comprehensive person-centered care plan for 1 (Resident #27) of 40 sampled residents. The facility failed to monitor and document daily meal consumption for Resident #27, who had weight loss, as stated in the current plan of care. Findings: Review of an undated facility policy on 08/19/2025 at 2:14 p.m. titled, Comprehensive Resident Care Plans revealed the following in part.Purpose: The resident's comprehensive care plan will be developed utilizing the results of the comprehensive resident assessment instrument (RAI) plus information gained from resident and family interviews, care conferencing and health care professional data to determine daily care needs, ad to attain, or maintain, the resident's highest functional capacity. Review of Resident #27's medical record revealed an admission date of 10/02/2023, with diagnoses that included in part.Schizoaffective Disorder, Delusional Disorders, Moderate Protein-Calorie Malnutrition, and Generalized Anxiety Disorder. Review of Resident #27's active physician's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-20 · tag F0732 — pattern
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to:1. Ensure nurse staffing data was displayed daily in a prominent location readily accessible to all residents, staff, and visitors for viewing;2. Ensure nurse staffing data requirements for all shifts were documented on the daily posting; and 3. Ensure nurse staffing data included the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift.This deficient practice had the potential to affect all 101 residents residing in the facility. Findings: Observation on 08/18/2025 at 2:06 p.m. of the facility entrance revealed no display of the nurse staffing posting. 1.Observation on 08/18/2025 at 2:08 p.m. revealed the facility nurse staffing posting was displayed at the end of 1 (Hall W) of 6 (Hall A, Hall B, Hall C, Hall D, Hall E, and Hall W) hallways at 1 (Nurse Station Y) of 2 (Nurse Station Y and Nurse Station Z) nurse's stations. Due to the staffing posting displayed only on Nurse Station Y's desk and at the end of Hall W, this made it difficult for all…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-20 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development of communicable diseases and infection by failing to ensure the resident was placed on contact precautions in a timely manner for 1 (#4) resident out of 2 (#4 and #87) residents investigated for infection control.Findings:A review of the facility's undated infection control precautions (isolation) policy, revealed under the title of Procedure: Placement In Isolation: 1) If there is reason to believe that a resident has a communicable disease, the attending physician or alternate shall be notified immediately of such condition and permission requested to initiate the appropriate isolation precautions.On 08/18/2025 at 8:55 a.m., Resident #4 was out of the facility at the mental health intensive outpatient program until his anticipated return at 3:00 p.m. the same day. There were no transmission-based precautions noted in his electronic health record.On…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-20 · tag F0638 — isolated
  Assure that each resident’s assessment is updated at least once every 3 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a quarterly assessment was completed timely for 1 (Resident #12) of 2 (Resident #12 and Resident # 97) Residents reviewed for Resident Assessments. The total sample size was 40. Findings:Review of an undated facility policy on 08/19/2025 at 2:14 p.m. titled Resident Assessment Instrument (RAI) read in part. Quarterly review assessments will be completed no less than once every 92 days. Review of Resident #12's medical record revealed an admission date of 12/10/2024. Resident #12 had the following diagnoses that included in part . Idiopathic Gout, Urinary Tract Infection, Repeated Falls, Chronic Pain Syndrome, Dementia, Major Depressive Disorder, and Generalized Anxiety Disorder. Review of Resident #12's MDS assessments revealed a quarterly assessment was completed on 04/30/2025, with no MDS quarterly assessments completed and/or accepted since that time. Interview on 08/19/2025 at 2:50 p.m. with S3MDSLPN revealed a review of Resident #12's MDS assessments. S3MDSLPN confirmed that the last completed and/or accepted…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-20 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to provide respiratory care consistent with professional standards for 2 (Resident #31 and Resident #48) 2 Residents reviewed for respiratory care. The facility failed to:1. Ensure Resident #31 received oxygen therapy as ordered;2. Provided Resident #48, who required continuous oxygen therapy, with portable oxygen while out of her room.Findings:Review of an undated facility policy on 08/19/2025 at 2:14 p.m. titled “Oxygen Administration (Concentrator or Tank) read in part… If a resident is ambulatory and requires oxygen, portable oxygen tanks should be considered to avoid restricting the resident to his/her room. Resident #31 Review of Resident #31’s medical record revealed an admission date of 02/24/2022. Resident #31 had diagnoses that included in part… Hemiplegia and Hemiparesis following Cerebral Vascular Accident- affecting Left Non Dominant Side, Cough, Shortness of Breath, and Dependence on Supplemental Oxygen. Review of Resident #31’s Significant Change MDS with an ARD of 07/11/2025 revealed Resident #31…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-20 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview the facility failed to ensure a resident's food and drink were palatable, attractive, and at a safe and appetizing temperature for 1 (#70) of 40 sampled residents. The facility failed to ensure Resident #70 received a meal tray which was served at an appropriate, appetizing temperature. Findings:Review of Resident #70's medical record revealed an admit date of 07/12/2024 .with diagnoses that included in part. Restlessness and Agitation, Vascular Dementia, moderate, with Agitation, Pain-Unspecified, Major Depressive Disorder, Recurrent, Severe With Psychotic Symptoms, Other Specified Anxiety Disorders, Other Schizophrenia, and Other Insomnia.Review of Resident #70's Quarterly MDS with an ARD of 07/17/2025 revealed a BIMS was not completed because resident was rarely/never understood. Further review of MDS revealed Resident #70 was dependent on staff assistance with bathing, toileting, eating, and bed mobility, and required substantial/maximal assistance with transfers. Observation of Meal Cart (#X) right outside of kitchen area on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-20 · tag F0947 — failed to train nurse aides adequately — isolated
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: Number of residents cited: Based on interview and record review, the facility failed to ensure a Certified Nursing Assistant (CNA) received 12 hours of in-service training annually which included Dementia management and abuse prevention trainings for 1 (S11CNA) of 5 (S7CNA, S8CNA, S9CNA, S10CNA and S11CNA) CNAs' personnel files reviewed.Review of the facility assessment with review date of [DATE] revealed in part, Staff training/education and competencies: 3.3. Staff training/education and competencies necessary to provide the level and types of support and care needed for our resident population will be completed on hire and annually. Required in-service training for nurse aides. In-service training must: be sufficient to ensure the continuing competence of nurse aides, but must be no less than 12 hours per year. Include Dementia management training and resident abuse prevention training.Review of S11 CNA's personnel record revealed a hire date of [DATE] and no documentation that…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-08 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview the facility failed to ensure that each Resident was treated with respect and dignity in a manner and in an environment that promotes maintenance or enhancement of his quality of life for 1 (Resident #59) out of a total sample of 26 Residents by failing to ensure a resident did not wear eyeglasses in disrepair. Findings: Review of Resident #59's medical record revealed an admit date of 11/10/2020 with diagnoses which included in part .Type II Diabetes Mellitus, Pain Unspecified, Aphasia, Cognitive Communication Deficit, and Need for Assistance with Personal Care. Review of Resident #59's Quarterly MDS with an ARD of 03/27/2024 revealed he had a BIMS score of 15 (indicating intact cognition). The MDS revealed Resident #59 was independent with: eating, personal hygiene, toileting and dressing; required partial/moderate assistance with bathing. Observation and interview on 05/06/2024 at 9:30 a.m. revealed Resident #59 sitting on the side of his bed with a pair of eyeglasses on, which were crooked on his face. The left template of the eyeglasses were…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-08 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain a safe, clean, comfortable and homelike environment for 1 (Resident #251) of 26 sampled residents by failing to ensure the resident and her room was free of odor. Findings: Review of Resident #251's medical record revealed an admit date of 08/02/2018 with diagnoses which included in part .Disorientation, Vascular Dementia, Type II Diabetes Mellitus, Major Depressive Disorder and Functional Diarrhea. Review of Resident #251's Quarterly MDS with an ARD of 02/26/2024 revealed she had a BIMS score of 6 (indicating severe cognitive impairment). The MDS revealed Resident #251 required partial/moderate assistance with dressing; supervision or touching assistance with personal hygiene; and independent with toileting. Observation on 05/06/2024 at 9:43 a.m. of Resident #251's room revealed a malodorous scent of onion was detected. Resident #251 was lying in bed, there were no visible signs of being soiled. Resident stated she did not feel well enough to talk at this time. Observation revealed Resident #251's bathroom had…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-08 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to ensure that Resident's comprehensive care plan was reviewed and revised by the interdisciplinary team composed of individuals who have knowledge of the Resident's needs for 3 (#21, #49, and #51) of 26 sampled Residents. Findings: Review of the facility's undated policy titled Care Plans: Initial and Comprehensive on 05/07/2024 at 3:43 p.m. revealed in part . A comprehensive care plan will be developed for each resident, according to the OBRA mandated dates. The comprehensive care plan will be revised as often as necessary to provide the information necessary to provide appropriate care and services for the resident. Review/Revise: After a MDS is completed, the Resident's plan of care will be completed or revised, if necessary. The care plan is to be reviewed at least quarterly, and revised as necessary to address the current needs of the resident. Updates: Any change that would require an alteration in the normal, daily care routine of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CENTRAL MANAGEMENT COMPANY — 21 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.7M paid to related parties — landlords or management companies under common ownership — equal to about 24% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in LA