Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Autumn Leaves Nursing And Rehab Ctr, Llc during CMS and state inspections, most recent first.
A resident with intact cognition was observed wearing eyeglasses in disrepair, with the left temple replaced by elastic strings from face masks. Despite expressing a need for new eyeglasses, the facility staff had not addressed this issue, compromising the resident's dignity and quality of life.
The facility failed to maintain a clean and odor-free environment for a resident with severe cognitive impairment. The resident's room had a persistent malodorous scent of onions, attributed to hoarded dirty clothes. Despite staff awareness and discussions, the issue remained unresolved, affecting the resident's living conditions.
The facility failed to update the comprehensive care plans for three residents to reflect current medical orders and treatments. One resident's care plan did not include prophylactic antibiotics for chronic UTIs, another's did not reflect a change in feeding rate, and a third's did not include treatment for pneumonia. Staff confirmed these lapses, indicating a failure to adhere to the facility's policy on care plan revisions.
The facility failed to ensure residents' drug regimens were free from unnecessary psychotropic medications. A resident had a PRN order for Ativan extended without proper assessment, another was prescribed Risperidone for Vascular Dementia without an appropriate diagnosis, and a third was given Seroquel and Abilify for Vascular Dementia without proper justification. The DON did not follow up on the pharmacist's recommendations for gradual dose reductions and alternative therapies.
The facility failed to meet the nutritional needs of nine residents on mechanically altered diets by not following the menu's portion sizes. The dietary aide, who was not trained on portion sizes, served incorrect amounts, and the dietary manager confirmed the use of wrong scoop sizes, leading to inadequate portions of pureed foods.
Failure to Address Resident's Eyeglasses in Disrepair
Penalty
Summary
The facility failed to ensure that Resident #59 was treated with respect and dignity by not addressing the disrepair of his eyeglasses. Resident #59, who has a BIMS score of 15 indicating intact cognition, was observed wearing eyeglasses with a missing left temple, which he had replaced with elastic strings from face masks. Despite being independent in most activities of daily living, Resident #59 had to improvise a solution for his broken eyeglasses, indicating a lack of attention to his personal needs by the facility staff. During multiple observations and interviews, Resident #59 expressed that no one had asked him if he needed new eyeglasses and that he would appreciate a new pair. The Social Service Director confirmed the disrepair of the eyeglasses and acknowledged that Resident #59 should not have been wearing them in such a condition. This oversight demonstrates a failure to maintain the resident's quality of life and dignity, as required by regulatory standards.
Failure to Maintain a Clean and Odor-Free Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for Resident #251 by not ensuring her room was free of odor. Resident #251, who has severe cognitive impairment and multiple diagnoses including Vascular Dementia and Type II Diabetes Mellitus, was observed in a room with a strong malodorous scent of onions. The room contained dirty clothes in a basket in the bathroom and clothes thrown on the bed and chair. The odor was also detected in the hallway outside the resident's room. Despite the resident not showing visible signs of being soiled, the scent persisted. Interviews with the Director of Nursing (DON), housekeeper, and Certified Nursing Assistants (CNAs) confirmed the ongoing issue of the malodorous scent in Resident #251's room. The DON acknowledged that the problem had been discussed in a meeting the previous week, and both CNAs and the housekeeper attributed the odor to the resident hoarding dirty clothes. The issue had been recognized by multiple staff members, indicating a failure to address the cleanliness and odor in the resident's living environment effectively.
Failure to Update Comprehensive Care Plans
Penalty
Summary
The facility failed to ensure that the comprehensive care plans for three residents were reviewed and revised by the interdisciplinary team as required. Resident #49, who had a history of urinary tract infections (UTIs) and was receiving antibiotics prophylactically, did not have her care plan updated to reflect the use of these antibiotics. This was confirmed by the Care Plan Coordinator, who acknowledged that the care plan should have been revised to include the antibiotic treatment. Additionally, Resident #21, who was receiving Jevity 1.2 via a peg tube, had a care plan that was not updated to reflect a change in the feeding rate from 30 ml/hr to 25 ml/hr, as ordered by the physician in March 2024. This discrepancy was confirmed by both the Assistant Director of Nursing (ADON) and the Director of Nursing (DON). Resident #51, who was diagnosed with pneumonia and receiving Cefalexin, also had a care plan that did not include the diagnosis or the antibiotic treatment. The Care Plan Coordinator admitted that she does not update care plans to reflect new orders for antibiotics or treatments for pneumonia, a practice that was confirmed as incorrect by the DON. These deficiencies indicate a failure in the facility's process for updating and revising comprehensive care plans to reflect current medical orders and treatments. The lack of updates in the care plans for these residents could potentially lead to inadequate care and oversight. The facility's policy mandates that care plans be reviewed and revised as necessary to address the current needs of the residents, but this was not adhered to in these cases. The Care Plan Coordinator and other staff members acknowledged the lapses in updating the care plans, confirming that the necessary revisions were not made.
Failure to Ensure Appropriate Use of Psychotropic Medications
Penalty
Summary
The facility failed to ensure residents' drug regimens were free from unnecessary psychotropic medications for three residents. Resident #71 had a PRN order for Ativan that was not limited to 14 days as required. Despite the pharmacist's recommendation to evaluate the necessity of continuing the medication, the physician extended the order without proper assessment or rationale. The Director of Nursing (DON) acknowledged that the PRN order should have been discontinued or reassessed after 14 days, but this was not done, leading to non-compliance with the facility's policy and federal guidelines. Resident #85 was prescribed Risperidone for Vascular Dementia, which is considered inappropriate according to CMS interpretive guidelines. The pharmacist recommended a gradual dose reduction and an alternative therapy, but the physician chose to continue the medication, citing the resident's status as a hospice patient. The DON admitted that she did not follow up with the physician to ensure compliance with the pharmacist's recommendations, resulting in the continued use of an antipsychotic medication without an appropriate diagnosis. Resident #87 was prescribed Seroquel and Abilify for Vascular Dementia, which also lacked appropriate diagnoses for the use of these antipsychotic medications. The pharmacist recommended a gradual dose reduction and alternative therapies, but the physician continued the medications, stating they were effective for the resident's agitation. The DON confirmed that she did not follow up with the physician to address the pharmacist's recommendations, leading to the continued use of psychotropic medications without proper justification or documentation in the resident's medical record.
Failure to Meet Nutritional Needs for Mechanically Altered Diets
Penalty
Summary
The facility failed to meet the nutritional needs of residents in accordance with established national guidelines. Specifically, the facility did not follow the menu regarding portion sizes for mechanically altered diets for nine residents. The facility's policy required specific portion sizes for pureed foods, but during an observation, it was found that the dietary aide served incorrect portion sizes. The dietary aide admitted to not being trained on portion sizes, and the dietary manager confirmed that the wrong scoop sizes were used, resulting in residents receiving inadequate portions of pureed beans and meat. This deficiency was observed during a lunch service, where the dietary aide served 4 oz scoops instead of the required 3/4 cup for pureed beans and meat, and similar discrepancies for other food items.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 33 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Winnfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Winnfield Nursing And Rehabilitation Center, Llc | 2.3 mi | — | 23 | 0 |
| Wyatt Manor Nursing And Rehab Ctr, Inc | 16.8 mi | — | 10 | 1 |
| Forest Haven Nursing & Rehab Ctr, Llc | 21.9 mi | — | 0 | 0 |
| Natchitoches Community Care Center | 25.4 mi | — | 0 | 0 |
| Courtyard Of Natchitoches | 26.5 mi | — | 12 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Autumn Leaves Nursing And Rehab Ctr, Llc.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.