De Leon Nursing And Rehabilitation
809 East Navarro Avenue, De Leon, TX 76444 · Comanche County
Government · 98 certified beds · 49% occupancy · (254) 893-2075
De Leon Nursing And Rehabilitation reviews: what the government record shows
The U.S. government (CMS) rates De Leon Nursing And Rehabilitation 5 out of 5 stars overall, much above average. Its nurse staffing is 10% below the Texas median.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 5 of 5 stars
- Nurse staffing
- 2.95 hrs/resident/day (-10% vs TX median)
- Antipsychotic drug use
- 2.6% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4.1% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- None on record
- Inspection findings
- 14 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A strong option on the record. Still worth a visit to confirm it fits your parent.
Strengths
- ✓Earns 5 of 5 stars overall from CMS.
- ✓No federal fines on record in roughly the last three years.
Concerns
- !Nurse staffing of 2.95 hrs/resident/day is below the Texas median of 3.27.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about De Leon Nursing And Rehabilitation
Is De Leon Nursing And Rehabilitation a good nursing home?
De Leon Nursing And Rehabilitation in De Leon, Texas holds a 5 of 5 star CMS overall rating. A strong option on the record. Still worth a visit to confirm it fits your parent.
How is De Leon Nursing And Rehabilitation staffed?
De Leon Nursing And Rehabilitation reports 2.95 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has De Leon Nursing And Rehabilitation been fined or flagged for abuse?
De Leon Nursing And Rehabilitation has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
2.95 nurse hours per resident per day. 10% below the Texas median of 3.27.
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0812 · Nov 19, 2025Corrected Nov 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0812 · Aug 20, 2024ComplaintCorrected Aug 21, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0644 · Aug 20, 2024ComplaintCorrected Aug 21, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0695 · Aug 20, 2024ComplaintCorrected Aug 21, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0805 · Aug 20, 2024ComplaintCorrected Aug 21, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0839 · Aug 20, 2024ComplaintCorrected Aug 21, 2024
Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies
- Potential for harmTag F0880 · Aug 20, 2024ComplaintCorrected Aug 21, 2024
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Minimal harmTag F0732 · Aug 20, 2024ComplaintCorrected Aug 21, 2024
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
- Minimal harmTag F0582 · Aug 20, 2024ComplaintCorrected Aug 21, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
- Potential for harmTag F0812 · Jun 28, 2023Corrected Jun 29, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Showing the 10 most recent and serious of 14 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is government (government - hospital district). It is part of the Creative Solutions In Healthcare chain, which operates 149 facilities, with a chain-average CMS rating of 2.1 stars.