Autumn Leaves Nursing & Rehab Center, LLC
Winnfield, Louisiana · CCN 195412
14 surveys since 2011. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 53
- Surveys
- 14
- Harm or worse
- 3
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 124
- Ownership
- For profit - Corporation
- Chain
- CENTRAL MANAGEMENT COMPANY
- County
- Winn · rural
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 4
- Health inspection
- 5
- Staffing
- 4
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 82 for-profit facilities of 100–127 beds in Louisiana.
Last survey on record
Aug 20, 2025
446 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.98 | 3.57 |
| Registered-nurse hours per resident day | 0.30 | — |
| Annual nurse turnover | 39.1% | 45.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1482.4% | E317.6% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6952×
Provide safe and appropriate respiratory care for a resident when needed.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5841×
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.
- F6381×
Assure that each resident’s assessment is updated at least once every 3 months.
In the surveyor’s words
From the most serious findings on record at Autumn Leaves Nursing & Rehab Center, LLC, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF880Sep 28, 2022
Based on interview and record review the facility failed to develop and implement written standards, policies and procedures for a water management program, to reduce the risk of growth and spread of Legionella and other opportunistic pathogens in the facility's water systems. This deficient practice had the potential to affect all residents who reside in the facility. The total resident census was 81. Findings: Review of a Boil Advisory Declaration Form for the municipality in which the facility is located, revealed a water main break occurred on 08/13/2022, and a Boil Advisory was issued for the area on 08/14/2022. The time of the water main that occurred on 08/13/2022 was not documented on the form. Interview with S2 TNA on 09/28/2022 at 1:40 p.m. […]
- No harm, potential for more than minimal, patternF656Aug 20, 2025
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… […]
- No harm, potential for more than minimal, patternF732Aug 20, 2025
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. […]
- No harm, potential for more than minimal, patternF880Aug 20, 2025
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… […]
- No harm, potential for more than minimal, patternF888Apr 12, 2022
Based on observation, record review and interview the facility failed to ensure their policy and procedures included a process for ensuring the implementation of additional precautions intended to mitigate the transmission and spread of COVID-19, for all staff who were not fully vaccinated for COVID-19. The facility failed to ensure unvaccinated employees wore an approved N95 mask or equivalent, or higher-level respirator for source control while in the facility. Findings: Review of the facility's COVID-19 Vaccine Policy and Procedures for Staff with last update date of 02/10/2022 revealed in part Staff who receive an exemption to the COVID-19 vaccine will be subject to additional precautions to migrate the transmission and spread of COVID-19, which include the following: 3. […]
Read 23 findings in full →The most serious and the most recent: 23 of 53 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 20, 2025Standard7 findings
- May 8, 2024Standard5 findings
- Apr 12, 2023Standard5 findings
- Sep 28, 2022Complaint1 finding
- Apr 12, 2022Standard and complaint4 findings
- Apr 12, 2019Standard4 findings
- Oct 18, 2017Complaint1 finding
- Apr 27, 2017Standard1 finding
Show the 6 earlier surveys
- Jul 9, 2015Standard2 findings
- May 12, 2015Complaint3 findings · 3 harm
- Jun 27, 2014Standard7 findings
- May 17, 2013—2 findings
- Apr 20, 2012—6 findings
- Jun 24, 2011—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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