Nursing HomeInspections

Prairie Meadows Rehabilitation and Healthcare Cent

Nursing home in Floresville, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (830) 216-7090Send a messageMap ↗

Public-record details

Address
1615 Eleventh St, Floresville, TX 78114
Phone
(830) 216-7090
Listed under
For-profit
Medicare CCN
675446
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
120
Average residents per day
60
Ownership
For-profit, limited Liability company
Legal business name
West Wharton County Hospital District
Chain
Nexion Health (51 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 9, 1995
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 675446. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 29, 2025. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 9, 2023 to Jun 26, 2026): 20 from complaint inspections, 4 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 26, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 26, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 20, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 20, 2026Provide 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		E
Potential for more than minimal harm, pattern
Feb 20, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 4, 2026Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 4, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 4, 2026Develop 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 · complaint inspection		J
Immediate jeopardy, isolated
Jan 4, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Jan 4, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection		J
Immediate jeopardy, isolated
Aug 29, 2025Dispose of garbage and refuse properly.
Nutrition and Dietary		C
Potential for minimal harm, widespread
Aug 29, 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

Showing the 12 most recent of 27. 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 Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $33,059 in the last three years.

Jan 4, 2026Fine: $19,432
Nov 27, 2024Fine: $13,627

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

Staffing

Total nurse staffing per resident per day
3.87 hours
Registered nurse (RN) time per resident per day
0.38 hours
Nurse aide time per resident per day
2.53 hours
Total nurse staffing on weekends
3.56 hours
Nursing staff turnover (yearly)
31%

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.

Other nursing homes in Floresville

Frank M. Tejeda Texas State Veterans Home200 Veterans Dr · Floresville, TX 78114 · (830) 216-9456 · Government-owned22 health citations in 3 inspection cycles · last standard inspection Mar 6, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)CMS abuse iconHarmony Care at Floresville1811 6th St · Floresville, TX 78114 · (830) 393-2561 · For-profit40 health citations in 3 inspection cycles · last standard inspection May 8, 2026 · $87,066 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

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