Texas ›De Leon

De Leon Nursing and Rehabilitation

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809 East Navarro Avenue, De Leon, TX 76444 (opens Google Maps) · Comanche County · (254) 893-2075· 98 certified beds · avg 48 residents/day · certified since Mar 30, 1994 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)

5/5
Health inspection rating (on-site)
inspected Nov 19, 2025
0
Serious findings on record
$0
Fines, last 3 years
2.89
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812

  2. F · Potential for more than minimal harm, widespread

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint F-0812

  3. E · Potential for more than minimal harm, pattern

    The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint F-0644

View all 14 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Nov 19, 2025F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 20, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Aug 20, 2024E · Potential for more than minimal harm, patternThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint · F-0644
Aug 20, 2024E · Potential for more than minimal harm, patternThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint · F-0695
Aug 20, 2024D · Potential for more than minimal harm, isolatedThe facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint · F-0805
Aug 20, 2024D · Potential for more than minimal harm, isolatedThe facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint · F-0839
Aug 20, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Aug 20, 2024C · Potential for minimal harm, widespreadThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint · F-0732
Aug 20, 2024B · Potential for minimal harm, patternThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint · F-0582
Nov 15, 2023E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jun 28, 2023F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jun 28, 2023E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Jun 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jun 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 1).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 5
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202350F
202480F
202510F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.89
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.47
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.61
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.893.463.95bottom 16% in Texas; bottom 10% in the U.S.
Registered Nurse hours0.470.440.69top 30% in Texas; bottom 34% in the U.S.
Weekend total nurse staffing2.613.043.50bottom 22% in Texas; bottom 13% in the U.S.
Weekend RN hours (not acuity-adjusted)0.360.340.48top 32% in Texas; bottom 44% in the U.S.
Total nursing staff turnover (%)—55.345.8—
RN turnover (%)—54.642.9—

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.95, RN 0.48, weekend 2.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.95 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for De Leon Nursing and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - Hospital district

Owner / managerTypeRoleStakeSince
Blake, GaryIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2022
Blake, GaryIndividualADP of the SNFNOT APPLICABLE06/01/2022
Blake, MalisaIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2022
Bowers, SeanIndividualManaging Control - Governing BodyNOT APPLICABLE07/01/2024
Cisneros, AlfredIndividualManaging Control - Governing BodyNOT APPLICABLE02/18/2008
Cobb, TravisIndividualManaging Control - Governing BodyNOT APPLICABLE10/05/2022
Cooper, StephenIndividualManaging Control - Governing BodyNOT APPLICABLE11/11/2022
De Leon I Enterprises LLCOrganizationOperational/Managerial ControlNOT APPLICABLE06/01/2022
De Leon I Enterprises LLCOrganizationADP of the SNFNOT APPLICABLE05/07/2025
Dyson, StarlaIndividualADP of the SNFNOT APPLICABLE04/14/2025
Hardin, SherrieIndividualManaging Control - Governing BodyNOT APPLICABLE09/04/2024
Huggins, LindaIndividualCorporate DirectorNOT APPLICABLE06/01/2022
Kerzee, RichardIndividualManaging Control - Governing BodyNOT APPLICABLE09/24/2007
Korenek, PatriciaIndividualManaging Control - Governing BodyNOT APPLICABLE05/05/2018
Miller, DwayneIndividualADP of the SNFNOT APPLICABLE01/01/2025
Soechting, PaulIndividualManaging Control - Governing BodyNOT APPLICABLE11/22/2024
Strack, JoeIndividualManaging Control - Governing BodyNOT APPLICABLE02/11/2022
Thompson, JohnnyIndividualCorporate OfficerNOT APPLICABLE01/01/2024
Willig, ZacharyIndividualCorporate DirectorNOT APPLICABLE01/01/2025

All 19 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Creative Solutions in Healthcare — 149 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 148 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
  • "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
  • "How do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Where do you post your daily staffing numbers, and can I see today's?"
  • "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Legacy Estate Long Term Care8.5 miComanche, TX★★★★☆4/5
Western Hills Healthcare Residence15.7 miComanche, TX★★☆☆☆2/5
Stephenville Nursing and Rehabilitation18.6 miStephenville, TX★★★★★5/5
Avir at Stephenville19.2 miStephenville, TX★☆☆☆☆2/5
Lone Star Rehabilitation & Wellness Center19.6 miStephenville, TX★★★★☆4/5

Compare this facility with the 3 closest →

All facilities in De Leon →

Facility data as of CMS processing date 2026-08-01. CCN 675319.

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