Nursing HomeInspections

Pearsall Nursing and Rehabilitation Center

Nursing home in Pearsall, TX

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
169 Medical Dr, Pearsall, TX 78061
Phone
(830) 334-3371
Listed under
Nonprofit, 4–5 star overall rating
Medicare CCN
455797
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
150
Average residents per day
105
Ownership
Nonprofit, corporation
Legal business name
Val Verde County Hospital District
Chain
Wellsential Health (67 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 23, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455797. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 16, 2026. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 8, 2024 to Jul 16, 2026): 3 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 16, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 16, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jul 16, 2026Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jul 16, 2026Arrange 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		D
Potential for more than minimal harm, isolated
Jul 16, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 5, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
May 23, 2025Provide 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 · complaint inspection		D
Potential for more than minimal harm, isolated
May 9, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 9, 2025Develop 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		D
Potential for more than minimal harm, isolated
May 9, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 9, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 9, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 24. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $14,255 in the last three years.

May 9, 2025Fine: $14,255

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.06 hours
Registered nurse (RN) time per resident per day
0.41 hours
Nurse aide time per resident per day
1.86 hours
Total nurse staffing on weekends
2.68 hours
Nursing staff turnover (yearly)
27%
RN turnover (yearly)
30%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error