Government - Hospital district · 98 certified beds · CMS number 675319

De Leon Nursing and Rehabilitation, De Leon, TX

CMS records 14 health deficiencies at De Leon Nursing and Rehabilitation in De Leon, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Nov 19, 2025. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for De Leon Nursing and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and De Leon Nursing and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (1 deficiency)

Standard inspection Nov 19, 2025. CMS counts 1 health deficiency and 4 fire safety deficiencies in this cycle.

Nov 19, 2025 · Standard inspection

1 deficiency, highest F

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Nov 20, 2025
Previous cycle: 8 deficiencies (standard inspection Aug 20, 2024)

Standard inspection Aug 20, 2024. CMS counts 8 health deficiencies and 5 fire safety deficiencies in this cycle.

Aug 20, 2024 · Standard + complaint inspection

8 deficiencies, highest F

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 21, 2024

F839 · Licensed and qualified staff

Requirement cited (CMS): Employ staff that are licensed, certified, or registered in accordance with state laws.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 21, 2024

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Aug 21, 2024

F805 · Food prepared for individual needs

Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 21, 2024

F732 · Daily posting of nurse staffing

Requirement cited (CMS): Post nurse staffing information every day.

Severity
C No actual harm, potential for minimal harm, widespread
Status
Correction date Aug 21, 2024

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 21, 2024

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 21, 2024

F582 · Notice of covered and extra charges

Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Severity
B No actual harm, potential for minimal harm, pattern
Status
Correction date Aug 21, 2024
Earlier cycle: 5 deficiencies (standard inspection Jun 28, 2023)

Standard inspection Jun 28, 2023. CMS counts 5 health deficiencies and 2 fire safety deficiencies in this cycle.

Nov 15, 2023 · Complaint inspection

1 deficiency, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 16, 2023

Jun 28, 2023 · Standard inspection

4 deficiencies, highest F

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 29, 2023

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jun 29, 2023

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 29, 2023

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 29, 2023

Tags cited in more than one inspection

2 tags cited on more than one inspection date at De Leon Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F812 Food safety and sanitation3Nov 19, 2025; Aug 20, 2024; Jun 28, 2023
F880 Infection prevention and control program2Aug 20, 2024; Nov 15, 2023

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
2.95 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.48 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.66 h
Nursing staff turnover
not reported
Administrators who left
1
CMS overall rating
5 of 5
Health inspection rating
5 of 5
Staffing rating
1 of 5
Quality measure rating
5 of 5

CMS figures for De Leon Nursing and Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
809 East Navarro Avenue, De Leon, TX 76444
Phone
(254) 893-2075
County
Comanche
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Creative Solutions in Healthcare
Certified beds
98
Average residents per day
47.7
In Medicare/Medicaid since
Mar 30, 1994
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
  • How do staff track and report infections among residents? (F880, cited 2 times)
  • Which services and supplies are included in the daily rate, and which are billed separately? (F582, cited 1 time)
  • If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 1 time)

Other nursing homes in De Leon and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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