nursing home in Floresville, TX
Prairie Meadows Rehabilitation and Healthcare Cent
1615 Eleventh St, Floresville, TX 78114 · (830) 216-7090
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Prairie Meadows Rehabilitation and Healthcare Cent at a glance
Prairie Meadows Rehabilitation and Healthcare Cent is a 120-bed for-profit nursing home in Floresville, Texas (Wilson County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.9 hours of nursing care per day (0.4 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (August 29, 2025) found 15 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $33,059.
Nursing staff turnover is 30.6% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Nexion Health
- Medicare-certified since
- February 9, 1995
- Resident/family council
- Resident
- County
- Wilson County
- CMS Certification Number
- 675446
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.87 hrs | 3.39 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.38 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.53 hrs | 2.01 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.56 hrs | 2.98 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 30.6% | 55.3% | 45.8% | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 15 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 10 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 218 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $33,059 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 60 | 76 | 86 | |
| Occupancy | 49.8% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.2% | 3.3% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 1.2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 13.8% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 22.6% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.2% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.5% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.9% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 12.6% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92.7% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 92.1% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 48.7% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 27 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 26, 2026 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 3, 2026 |
| June 26, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 3, 2026 |
| February 20, 2026 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected February 21, 2026 |
| February 20, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected February 21, 2026 |
| February 20, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected February 21, 2026 |
| January 4, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | J Immediate jeopardy, isolated | Corrected January 24, 2026 |
| January 4, 2026 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | J Immediate jeopardy, isolated | Corrected January 5, 2026 |
| January 4, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | J Immediate jeopardy, isolated | Corrected January 5, 2026 |
| January 4, 2026 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected January 5, 2026 |
| January 4, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 5, 2026 |
| August 29, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected September 19, 2025 |
| August 29, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected September 5, 2025 |
| August 29, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected September 5, 2025 |
| August 29, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected September 19, 2025 |
| August 29, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected September 5, 2025 |
| August 29, 2025 Standard | 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 F0812 | F Potential harm, widespread | Corrected August 30, 2025 |
| August 29, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected August 30, 2025 |
| August 29, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected August 30, 2025 |
| August 29, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 30, 2025 |
| August 29, 2025 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | C No harm, widespread | Corrected August 30, 2025 |
| June 6, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected July 6, 2025 |
| June 6, 2025 Complaint | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Tag F0839 | D Potential harm, isolated | Corrected July 6, 2025 |
| November 27, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected November 28, 2024 |
| November 27, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 28, 2024 |
| November 27, 2024 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected November 28, 2024 |
| July 26, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected September 1, 2024 |
| July 26, 2024 Complaint | 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 F0812 | E Potential harm, pattern | Corrected September 7, 2024 |
| July 26, 2024 Complaint | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | E Potential harm, pattern | Corrected September 7, 2024 |
| July 26, 2024 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected September 7, 2024 |
| July 26, 2024 Complaint | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 5, 2024 |
| July 26, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 7, 2024 |
| June 9, 2023 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected August 5, 2023 |
| June 9, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected July 23, 2023 |
| June 9, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected July 23, 2023 |
| June 9, 2023 Standard | 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 F0812 | E Potential harm, pattern | Corrected July 27, 2023 |
| June 9, 2023 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected July 27, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $33,059 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 4, 2026 | Fine | $19,432 |
| November 27, 2024 | Fine | $13,627 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| NEXION HEALTH AT FLORESVILLE, INC. Organization | 5% or greater indirect ownership interest | — | 04/01/2021 |
| BOWERS, SEAN Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| CISNEROS, ALFRED Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| COBB, TRAVIS Individual | adp of the snf | NOT APPLICABLE | 10/05/2022 |
| COOPER, STEPHEN Individual | adp of the snf | NOT APPLICABLE | 11/11/2022 |
| GRAFF, RICK Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| HARDIN, SHERRIE Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| KERZEE, RICHARD Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| KORENEK, PATRICIA Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| NEXION HEALTH AT FLORESVILLE, INC. Organization | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| OZUNA, SUSANNA Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| STRACK, JOE Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| THOMPSON, JOHNNY Individual | adp of the snf | NOT APPLICABLE | 05/16/2024 |
| WEST WHARTON COUNTY HOSPITAL DISTRICT Organization | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| WIATREK, EMILY Individual | adp of the snf | NOT APPLICABLE | 04/01/2017 |
| BOWERS, SEAN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| BRENDE, MARTI Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| CISNEROS, ALFRED Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| COBB, TRAVIS Individual | operational/managerial control | NOT APPLICABLE | 10/05/2022 |
| COOPER, STEPHEN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| FALLON, JOHN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| GRAFF, RICK Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| HARDIN, SHERRIE Individual | operational/managerial control | NOT APPLICABLE | 04/21/2021 |
| HERDRICH, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| KERZEE, RICHARD Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| KIRLEY, FRANCIS Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| KORENEK, PATRICIA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| LEE, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| NEXION HEALTH AT FLORESVILLE, INC. Organization | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| OZUNA, SUSANNA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| REID, JOHN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| RINER, MEERA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| STRACK, JOE Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| THOMPSON, JOHNNY Individual | operational/managerial control | NOT APPLICABLE | 05/16/2024 |
| WEST WHARTON COUNTY HOSPITAL DISTRICT Organization | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| WIATREK, EMILY Individual | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
Other nursing homes near Prairie Meadows Rehabilitation and Healthcare Cent
Harmony Care at Floresville
1811 6th St, Floresville, TX 78114 · under 1 mi
For-profit · 144 beds · Part of Harmony Care Group
★★★★★2Below averageFrank M. Tejeda Texas State Veterans Home
200 Veterans Drive, Floresville, TX 78114 · under 1 mi
Government · 160 beds · Part of Texvet
- Abuse citation
★★★★★3AverageCountry Care Manor
2736 Fm 775, La Vernia, TX 78121 · 14.4 mi
Government · 91 beds · Part of Touchstone Communities
★★★★★4Above averageBluebonnet Nursing & Rehabilitation
696 Fm 99, Karnes City, TX 78118 · 22.7 mi
For-profit · 120 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below averageSoutheast Nursing & Rehabilitation Center
4302 East Southcross Blvd, San Antonio, TX 78222 · 22.7 mi
Government · 116 beds · Part of Ruby Healthcare
★★★★★3AveragePecan Valley Rehabilitation and Healthcare
3838 E Southcross Blvd, San Antonio, TX 78222 · 23.1 mi
For-profit · 124 beds · Part of The Ensign Group
★★★★★4Above average
Frequently asked questions
What is Prairie Meadows Rehabilitation and Healthcare Cent's rating?
Prairie Meadows Rehabilitation and Healthcare Cent has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Prairie Meadows Rehabilitation and Healthcare Cent receive?
Its most recent standard health inspection found 15 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Prairie Meadows Rehabilitation and Healthcare Cent accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Prairie Meadows Rehabilitation and Healthcare Cent?
It is for profit - limited liability company and part of Nexion Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Prairie Meadows Rehabilitation and Healthcare Cent and how do I contact it?
Prairie Meadows Rehabilitation and Healthcare Cent is at 1615 Eleventh St, Floresville, TX 78114. Phone: (830) 216-7090.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.