For profit - Limited Liability company · 120 certified beds · CMS number 675446
Prairie Meadows Rehabilitation and Healthcare Cent, Floresville, TX
CMS records 27 health deficiencies at Prairie Meadows Rehabilitation and Healthcare Cent in Floresville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 29, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $33,059 in the last three years.
- 27deficiencies, 3 cycles (TX median 25)
- 15in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $33,059fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Prairie Meadows Rehabilitation and Healthcare Cent as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Prairie Meadows Rehabilitation and Healthcare Cent may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (15 deficiencies)
Standard inspection Aug 29, 2025. CMS counts 15 health deficiencies and 5 fire safety deficiencies in this cycle.
Jun 26, 2026 · Complaint inspection
2 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 3, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 3, 2026
Feb 20, 2026 · Complaint inspection
3 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 21, 2026
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 21, 2026
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 21, 2026
Jan 4, 2026 · Complaint inspection
5 deficiencies, highest J
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 5, 2026
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2026
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 24, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 5, 2026
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2026
Aug 29, 2025 · Standard inspection
5 deficiencies, highest F
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Aug 30, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 30, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 30, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 30, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 30, 2025
Previous cycle: 10 deficiencies (standard inspection Jul 26, 2024)
Standard inspection Jul 26, 2024. CMS counts 10 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 6, 2025 · Complaint inspection
2 deficiencies, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 6, 2025
F839 · Licensed and qualified staff
Requirement cited (CMS): Employ staff that are licensed, certified, or registered in accordance with state laws.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 6, 2025
Nov 27, 2024 · Complaint inspection
3 deficiencies, highest J
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Nov 28, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Nov 28, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 28, 2024
Jul 26, 2024 · Standard + complaint inspection
5 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 7, 2024
F801 · Qualified dietitian and food staff
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 7, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 5, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 7, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 7, 2024
Earlier cycle: 2 deficiencies (standard inspection Jun 9, 2023)
Standard inspection Jun 9, 2023. CMS counts 2 health deficiencies and 3 fire safety deficiencies in this cycle.
Jun 9, 2023 · Standard inspection
2 deficiencies, highest E
F849 · Hospice services
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 27, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 27, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Prairie Meadows Rehabilitation and Healthcare Cent; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F812 Food safety and sanitation | 3 | Aug 29, 2025; Jul 26, 2024; Jun 9, 2023 |
| F690 Bladder, bowel, and catheter care | 2 | Feb 20, 2026; Aug 29, 2025 |
| F695 Respiratory and oxygen care | 2 | Aug 29, 2025; Jul 26, 2024 |
| F761 Drug labeling and secure storage | 2 | Aug 29, 2025; Jul 26, 2024 |
| F842 Complete, confidential medical records | 2 | Feb 20, 2026; Jun 6, 2025 |
| F880 Infection prevention and control program | 2 | Jun 26, 2026; Jan 4, 2026 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jan 4, 2026 | Fine | $19,432 |
| Nov 27, 2024 | Fine | $13,627 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.87 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.38 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.56 h
- Nursing staff turnover
- 30.6% (Texas median 52.1%)
- Administrators who left
- not reported
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 3 of 5
CMS figures for Prairie Meadows Rehabilitation and Healthcare Cent, copied as published; Texas medians are ours.
Facility details
- Address
- 1615 Eleventh St, Floresville, TX 78114
- Phone
- (830) 216-7090
- County
- Wilson
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Nexion Health
- Certified beds
- 120
- Average residents per day
- 59.8
- In Medicare/Medicaid since
- Feb 9, 1995
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How does the home support residents who need help with toileting or incontinence? (F690, cited 2 times)
- How are oxygen equipment and breathing treatments managed and checked? (F695, cited 2 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
Other nursing homes in Floresville and the same chain
- Harmony Care at Floresville
Floresville · 41 deficiencies - Frank M. Tejeda Texas State Veterans Home
Floresville · 22 deficiencies - Terrell Healthcare Center
Terrell · 93 deficiencies - North Star Ranch Rehabilitation and Healthcare Cen
Bonham · 61 deficiencies - Duncanville Healthcare and Rehabilitation Center
Duncanville · 58 deficiencies - Lily Springs Rehabilitation and Healthcare Center
Lampasas · 52 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.