De Leon Nursing and Rehabilitation
809 East Navarro Avenue, De Leon, TX 76444 · Comanche County · 98 certified beds · avg 48 residents/day · certified since Mar 30, 1994
Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 self-reported quality measures.
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 19, 2025 | F · Potential for harm, facility-wide | 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. |
| Aug 20, 2024 | F · Potential for harm, facility-wide | 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 |
| Aug 20, 2024 | E · Potential for harm, repeated | 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 |
| Aug 20, 2024 | E · Potential for harm, repeated | The 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 |
| Aug 20, 2024 | D · Potential for harm, one-off | The 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 |
| Aug 20, 2024 | D · Potential for harm, one-off | The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint |
| Aug 20, 2024 | D · Potential for harm, one-off | The 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 |
| Aug 20, 2024 | C · Minimal risk, facility-wide | The 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 |
| Aug 20, 2024 | B · Minimal risk, repeated | The 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 |
| Nov 15, 2023 | E · Potential for harm, repeated | The 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 |
| Jun 28, 2023 | F · Potential for harm, facility-wide | 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. |
| Jun 28, 2023 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jun 28, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 28, 2023 | D · Potential for harm, one-off | The 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 8 | 0 | F |
| 2025 | 1 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.89 | 3.46 | 3.95 | bottom 16% in Texas; bottom 10% in the U.S. |
| Registered Nurse hours | 0.47 | 0.44 | 0.69 | top 30% in Texas; bottom 34% in the U.S. |
| Weekend total nurse staffing | 2.61 | 3.04 | 3.50 | bottom 22% in Texas; bottom 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.34 | 0.48 | top 32% in Texas; bottom 44% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 55.3 | 45.8 | — |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
Hours are per resident per day, 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. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Blake, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2022 |
| Blake, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Blake, Malisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2022 |
| Bowers, Sean | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2024 |
| Cisneros, Alfred | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/18/2008 |
| Cobb, Travis | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/05/2022 |
| Cooper, Stephen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/11/2022 |
| De Leon I Enterprises LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2022 |
| De Leon I Enterprises LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/07/2025 |
| Dyson, Starla | Individual | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Hardin, Sherrie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/04/2024 |
| Huggins, Linda | Individual | Corporate Director | NOT APPLICABLE | 06/01/2022 |
| Kerzee, Richard | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/24/2007 |
| Korenek, Patricia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/05/2018 |
| Miller, Dwayne | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Soechting, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/22/2024 |
| Strack, Joe | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/11/2022 |
| Thompson, Johnny | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Willig, Zachary | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Legacy Estate Long Term Care | 8.5 mi | Comanche, TX | ★★★★☆ | 4/5 | |
| Western Hills Healthcare Residence | 15.7 mi | Comanche, TX | ★★☆☆☆ | 2/5 | |
| Stephenville Nursing and Rehabilitation | 18.6 mi | Stephenville, TX | ★★★★★ | 5/5 | |
| Avir at Stephenville | 19.2 mi | Stephenville, TX | ★☆☆☆☆ | 2/5 | |
| Lone Star Rehabilitation & Wellness Center | 19.6 mi | Stephenville, TX | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675319.