Deleon Nursing And Rehabilitation
Nursing Home · 809 E Navarro, De Leon, TX 76444 · 2548932075
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 4.0 / 5 | high |
| Staffing | 1.7 / 5 | high |
| Clinical outcomes | 4.5 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 4.3 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 98 |
| Ownership | Government - Hospital District |
| Operator | West Wharton County Hospital District |
| Chain size | 149 facilities |
| Certified since | 1994-03-30 |
| CMS overall star | 3 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$ of 5 · ~$285/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 13 potential for harm · 2 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-11-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Nutrition and Dietary Deficiencies, tag 0812) | F | corrected 2025-11-20 |
| 2024-08-20 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Resident Rights Deficiencies, tag 0582) | B | corrected 2024-08-21 |
| 2024-08-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Resident Assessment and Care Planning Deficiencies, tag 0644) | E | corrected 2024-08-21 |
| 2024-08-20 | Provide safe and appropriate respiratory care for a resident when needed. (Quality of Life and Care Deficiencies, tag 0695) | E | corrected 2024-08-21 |
| 2024-08-20 | Post nurse staffing information every day. (Nursing and Physician Services Deficiencies, tag 0732) | C | corrected 2024-08-21 |
| 2024-08-20 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Nutrition and Dietary Deficiencies, tag 0805) | D | corrected 2024-08-21 |
| 2024-08-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Nutrition and Dietary Deficiencies, tag 0812) | F | corrected 2024-08-21 |
| 2024-08-20 | Employ staff that are licensed, certified, or registered in accordance with state laws. (Administration Deficiencies, tag 0839) | D | corrected 2024-08-21 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 2.99 hrs/resident/day (expected 3.91 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.50 hrs/resident/day (expected 0.69 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.50 · LPN 0.98 hrs/resident/day
- Weekend total staffing: 2.65 hrs/resident/day (expected 3.47 for this facility's resident acuity — below expected)
- Resident acuity (nursing case-mix index): 1.41 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 5.3% | 12.2 → 7 → 0 → 2.3 | worse than 83% of US homes · TX median 3% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 6.2% | 12.9 → 6.3 → 0 → 6.1 | better than 82% of US homes · TX median 14.8% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 4.6% | · → 4.3 → 0 → 0 | better than 89% of US homes · TX median 13% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 0.9% | 0 → 0 → 1.8 → 1.7 | better than 95% of US homes · TX median 3.4% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 1.9% | 0 → 0 → 0 → 6.9 | better than 96% of US homes · TX median 8.1% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0% | not reported | better than 100% of US homes · TX median 0.7% |
What this costs
- This facility's reported avg daily charge: $285/day · $$$ (price tier 3 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2025-03. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 65% Medicaid · 7% Medicare · 28% other/private · 46% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Comanche County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Comanche County Medical Center | Comanche | Yes | 3★ | Critical access |
Compare nearby
- B+ Legacy Estate Long Term Care · Comanche
- C Western Hills Healthcare Residence · Comanche
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Comanche County nursing homes coverage. Spot an error? Tell us.