Prairie Meadows Rehabilitation And Healthcare Cent
1615 Eleventh St, Floresville, TX 78114 · Wilson County
For-profit · 120 certified beds · 50% occupancy · (830) 216-7090
Prairie Meadows Rehabilitation And Healthcare Cent reviews: what the government record shows
The U.S. government (CMS) rates Prairie Meadows Rehabilitation And Healthcare Cent 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 4 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.87 hrs/resident/day (+18% vs TX median)
- Antipsychotic drug use
- 13.8% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.2% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $33,059
- Inspection findings
- 27 cited, 4 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓Nurse staffing of 3.87 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Cited for 4 immediate-jeopardy findings (the most serious category) in recent inspections.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Prairie Meadows Rehabilitation And Healthcare Cent
Is Prairie Meadows Rehabilitation And Healthcare Cent a good nursing home?
Prairie Meadows Rehabilitation And Healthcare Cent in Floresville, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Prairie Meadows Rehabilitation And Healthcare Cent staffed?
Prairie Meadows Rehabilitation And Healthcare Cent reports 3.87 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Prairie Meadows Rehabilitation And Healthcare Cent been fined or flagged for abuse?
Prairie Meadows Rehabilitation And Healthcare Cent has paid approximately $33,059 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.87 nurse hours per resident per day. 18% above the Texas median of 3.27.
Nursing staff turnover: 30.6%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0656 · Jan 4, 2026ComplaintCorrected Jan 5, 2026
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
- Immediate jeopardyTag F0686 · Jan 4, 2026ComplaintCorrected Jan 24, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0925 · Jan 4, 2026ComplaintCorrected Jan 5, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
- Potential for harmTag F0812 · Aug 29, 2025Corrected Aug 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0684 · Feb 20, 2026ComplaintCorrected Feb 21, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Potential for harmTag F0690 · Feb 20, 2026ComplaintCorrected Feb 21, 2026
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
- Potential for harmTag F0842 · Feb 20, 2026ComplaintCorrected Feb 21, 2026
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
- Potential for harmTag F0690 · Aug 29, 2025Corrected Aug 30, 2025
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
- Potential for harmTag F0695 · Aug 29, 2025Corrected Aug 30, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0641 · Jun 26, 2026ComplaintCorrected Jul 3, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 27 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Nexion Health chain, which operates 51 facilities, with a chain-average CMS rating of 2.2 stars.