Average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Autumn Leaves Nursing & Rehab Center, Llc during CMS and state inspections, most recent first.
Failure to implement a comprehensive care plan for a resident with schizoaffective disorder, delusional thoughts about poisoned food, malnutrition, and weight loss. The care plan required meal intake monitoring and alternate food if less than 50% was eaten, but CNA documentation was missing for many breakfast, lunch, and dinner meals. The resident reported a poor appetite and eating less than 50% of lunch, and the DON confirmed the meal intake monitoring was not completed as required.
Nurse staffing data was not displayed in a prominent, readily accessible location and the posting was incomplete. The staffing form was only posted at one nurse station and at the end of one hallway, making access difficult for many residents, visitors, and staff. The posting also lacked evening and night shift documentation and did not include the actual hours worked by licensed and unlicensed nursing staff. The DON confirmed the deficiencies and stated she was unaware of the requirements.
A resident with a UTI and urine culture showing E. coli consistent with probable ESBL was not placed on contact precautions in a timely manner. The resident returned from an outpatient mental health program with no transmission-based precautions documented in the EHR, later was observed with an IV access, and was only found in contact isolation after staff confirmed the isolation status was tied to the culture results and IV antibiotic order.
Late Quarterly Resident Assessment: A resident with diagnoses including dementia, chronic pain syndrome, repeated falls, gout, UTI, MDD, and GAD did not have a quarterly MDS assessment completed within the required 92-day timeframe. Record review showed the last completed and/or accepted quarterly assessment had been done previously, and an LPN confirmed the assessment was overdue.
Failure to provide ordered oxygen therapy for two residents. One resident with COPD and respiratory failure was observed with O2 settings below the ordered 4 L NC continuous, and an LPN confirmed the setting was incorrect. Another resident with COPD, CHF, and dependence on supplemental oxygen required continuous O2 and portable oxygen on excursions, but was not provided portable oxygen while out of the room.
A resident with dementia, agitation, psychotic symptoms, anxiety, schizophrenia, and insomnia received a lunch tray that had remained on a meal cart for over an hour before being brought to the room for feeding. An LPN confirmed the tray was cold and stated staff should have microwaved it before serving it, but did not.
A CNA did not have documentation of the required annual 12 hours of in-service training, including dementia management and abuse prevention. Record review showed the CNA’s training was expired and past due, and HR confirmed the required annual trainings had not been completed.
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 Monitor Meal Intake for Resident With Weight Loss
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan for Resident #27, who had diagnoses including Schizoaffective Disorder, Delusional Disorders, Moderate Protein-Calorie Malnutrition, and Generalized Anxiety Disorder. The resident had an active physician order identifying her as high risk for malnutrition, and her annual MDS showed intact cognition with a BIMS score of 14, independence with eating, and weight loss of 5% or more in the last month or 10% or more in the last 6 months. Her current care plan identified a potential for altered nutrition and dehydration related to Schizoaffective Disorder, noted that she consumed less than 50% of meals, and stated she had delusional thoughts that her food was poisoned. The care plan directed staff to monitor percentage of meal intake and offer an alternate if 50% was consumed, and CNA tasks were entered to document breakfast, lunch, and dinner intake each day. However, review of the meal intake tasks showed repeated missing documentation over the review period, including 16 days with no breakfast monitoring/documentation, 15 days with no lunch monitoring/documentation, and 17 days with no dinner monitoring/documentation. The resident stated she ate her meals but had a poor appetite and ate less than 50% of lunch that day, and an LPN confirmed her appetite varied and had declined due to delusional thoughts about poisoned food. The DON reviewed the record and confirmed the CNAs did not monitor/document Resident #27's meal consumption as required and that the plan of care was not implemented because meal consumption was not documented daily.
Nurse Staffing Posting Not Displayed or Completed Correctly
Penalty
Summary
The facility failed to ensure nurse staffing data was displayed daily in a prominent location readily accessible to all residents, staff, and visitors, and failed to ensure the posting included required information for all shifts and the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care. On observation at the facility entrance, no nurse staffing posting was displayed. A later observation found the staffing posting only at the end of Hall W at Nurse Station Y, one of two nurse stations and one of six hallways, making it difficult for all visitors, residents, and staff to access. Review of the nurse staffing postings from 08/04/2025 through 08/17/2025 showed no daily documentation for the evening shift or night shift and no documentation of the actual hours worked by licensed and unlicensed nursing staff for all shifts. The DON stated she was responsible for overseeing the ward clerk's completion of the staffing forms and confirmed the findings. She stated she was unaware the posting had to include all shifts, that the actual hours worked were required, and that the staffing data should have been posted in an area accessible to all visitors, residents, and staff upon entering the facility.
Delayed Contact Precautions for Resident with ESBL UTI
Penalty
Summary
The facility failed to maintain an infection prevention and control program by not ensuring Resident #4 was placed on contact precautions in a timely manner. The facility’s undated infection control precautions policy stated that if there is reason to believe a resident has a communicable disease, the attending physician or alternate must be notified immediately and permission requested to initiate the appropriate isolation precautions. Resident #4 was out of the facility at a mental health intensive outpatient program on 08/18/2025 and returned later that afternoon. At that time, there were no transmission-based precautions documented in the electronic health record. The resident was observed with an intravenous access in the lower right arm. On 08/19/2025, the resident was observed in the room under contact precautions, and staff confirmed the resident was in isolation due to urine culture results showing E. coli consistent with probable ESBL, a multi-drug resistant organism. The physician order for contact isolation due to E. coli/ESBL in urine was dated 08/18/2025, and the ADON/IP confirmed the resident should have been placed on contact precautions on 08/13/2025 when the physician ordered IV antibiotics for the urinary tract infection identified by the culture results, but was not.
Late Quarterly Resident Assessment
Penalty
Summary
Failure to complete a quarterly resident assessment within 92 days was identified for Resident #12. The resident was admitted on 12/10/2024 and had diagnoses including idiopathic gout, urinary tract infection, repeated falls, chronic pain syndrome, dementia, major depressive disorder, and generalized anxiety disorder. Review of the resident’s MDS assessments showed a quarterly assessment completed on 04/30/2025, with no subsequent quarterly assessment completed and/or accepted after that date. The facility policy titled Resident Assessment Instrument stated that quarterly review assessments are to be completed no less than once every 92 days. During interview, the S3MDSLPN reviewed the record and confirmed that the last completed and/or accepted quarterly assessment was on 04/30/2025 and that a quarterly assessment had not been completed within 92 days as required.
Failure to Provide Ordered Oxygen Therapy
Penalty
Summary
Safe and appropriate respiratory care was not provided for two residents. Resident #31 had diagnoses including hemiplegia and hemiparesis following a CVA, cough, shortness of breath, and dependence on supplemental oxygen. Her physician ordered oxygen at 4 liters per nasal cannula continuously for respiratory failure and COPD, but observations on multiple occasions showed her oxygen set at 2 liters, 2 liters, and later 1.5 liters per nasal cannula. An LPN confirmed the resident was ordered 4 liters continuously, stated she did not tolerate being off oxygen well, and acknowledged that the observed 1.5-liter setting was incorrect and not as ordered. Resident #48 had diagnoses including COPD exacerbation, vascular dementia, wheezing, shortness of breath, CHF, atrial fibrillation, and dependence on supplemental oxygen. Her care plan identified impaired gas exchange related to COPD and included oxygen at 2 liters per nasal cannula continuously, portable oxygen on excursions, and a note that she refused oxygen at times. The facility policy stated that if a resident is ambulatory and requires oxygen, portable oxygen tanks should be considered to avoid restricting the resident to the room. The report states that Resident #48 required continuous oxygen therapy and was not provided portable oxygen while out of her room.
Cold Meal Tray Served to Dependent Resident
Penalty
Summary
The facility failed to ensure Resident #70 received a meal tray that was palatable, attractive, and at a safe and appetizing temperature. Resident #70 was admitted on 07/12/2024 and had diagnoses including restlessness and agitation, vascular dementia with agitation, pain, major depressive disorder with psychotic symptoms, anxiety disorder, schizophrenia, and insomnia. The quarterly MDS dated 07/17/2025 showed the resident was rarely or never understood, and required staff assistance with bathing, toileting, eating, and bed mobility, with substantial to maximal assistance needed for transfers. During observation, a lunch meal cart was seen outside the kitchen with disposable trays on top, and staff later moved the cart toward Hall X. A CNA stated the cart had just been prepared and that she had to pass out a few trays to rooms outside Hall X before entering the hall. Resident #70's lunch tray, which had remained on top of the meal cart in a disposable tray for over an hour, was then brought to the resident's room for feeding. An LPN confirmed the tray was cold and stated staff should have heated it in the microwave before giving it to the resident, but did not.
CNA Training Deficiency
Penalty
Summary
The facility failed to ensure that one Certified Nursing Assistant (CNA) received the required 12 hours of annual in-service training, including dementia management and abuse prevention. Review of the facility assessment showed that staff training and competencies were to be completed on hire and annually, and that nurse aide in-service training had to be sufficient to ensure continuing competence and include dementia management and resident abuse prevention. Review of the CNA’s personnel record showed a hire date and no documentation that the CNA had completed the required yearly 12 hours of training since hire. During interview, the HR staff member reviewed the CNA’s training record and confirmed that all required annual trainings had expired and were past due, and acknowledged that the CNA did not complete the required annual trainings, including dementia management and abuse prevention, as required.
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.
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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.
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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 | ★★★★★ | 25 | 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 | ★★★★★ | 14 | 0 |
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