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De Leon Nursing And Rehabilitation

809 East Navarro Avenue, De Leon, TX 764442548932075Ownership: Government - Hospital districtCertified beds: 98Avg. daily residents: 48Chain: Creative Solutions In Healthcare (149 facilities)County: Comanche

The complete public record on De Leon Nursing And Rehabilitation, a Medicare & Medicaid–certified nursing home in De Leon, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★★★
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★★★★★
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★★
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
De Leon Nursing And Rehabilitation holds a 5-star overall rating, in the top tier CMS assigns. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

2.95 total nurse staff hours per resident per day
below the state average (3.39)
0.48 RN hours per resident per day
above the state average (0.43)
2.66 weekend nurse staff hours per resident per day
Not reported total nursing staff turnover
Not reported RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

November 19, 2025 most recent standard health inspection
1 health deficiencies cited in the most recent inspection cycle
below the state average (9.3)
9 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

14 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
November 19, 20250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…F · Potential for more than minimal harm
August 20, 20240812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with… ComplaintF · Potential for more than minimal harm
August 20, 20240644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. ComplaintE · Potential for more than minimal harm
August 20, 20240695Provide safe and appropriate respiratory care for a resident when needed. ComplaintE · Potential for more than minimal harm
August 20, 20240805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. ComplaintD · Potential for more than minimal harm
August 20, 20240839Employ staff that are licensed, certified, or registered in accordance with state laws. ComplaintD · Potential for more than minimal harm
August 20, 20240880Provide and implement an infection prevention and control program. ComplaintD · Potential for more than minimal harm
August 20, 20240732Post nurse staffing information every day. ComplaintC · Minimal harm potential
August 20, 20240582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. ComplaintB · Minimal harm potential
November 15, 20230880Provide and implement an infection prevention and control program. ComplaintE · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.