Pearsall, TX

Pearsall Nursing And Rehabilitation Center

5-star overall rating with 4-star inspections with $21,530 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

169 Medical Dr, Pearsall, TX

(830) 334-3371

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

150

Certified beds

Average residents

102

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Wellsential Health

Operator or chain grouping

Approved since

1989-03-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing

LPN hours / resident day

0.82

Licensed practical nurse staffing

Aide hours / resident day

1.88

Nurse aide staffing

Weekend hours

2.85

Weekend nurse staffing

RN turnover

27%

Annual RN turnover

Total nurse turnover

34%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.1%
2.9 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
97.9%
2.1 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.4%
3.3%
0.9 pts better
3.3%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.5%
2.7%
2.2 pts better
11.4%
10.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.3%
3.3%
1 pts better
5.4%
3.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 37.4%
18.9%
18.5 pts worse
19.6%
17.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 6.9%
10.8%
3.9 pts better
16.7%
9.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 12.6%
15.4%
2.8 pts better
16.3%
3.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 19.5%
16.1%
3.4 pts worse
14.9%
4.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.5%
0.5 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.2%
0.8%
0.6 pts better
1.7%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 11.1%
15.0%
3.9 pts better
19.8%
8.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.4%
4.2%
0.8 pts better
5.1%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.7%
89.7%
8 pts better
81.7%
16 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 1.0%
1.5%
0.5 pts better
1.6%
0.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.0%
88.0%
10 pts better
79.7%
18.3 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-09 · Fire 2025-05-09

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-03-29 · Fire 2024-03-29

10 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-01-27 · Fire 2023-01-27

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

K · Immediate jeopardy 2025-05-09

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-05-09

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-16

E · Potential for more than minimal harm 2024-03-29

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-03-30

F · Potential for more than minimal harm 2023-01-27

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2023-02-27

F · Potential for more than minimal harm 2023-01-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-02-27

D · Potential for more than minimal harm 2023-01-27

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-02-27

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-05

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-12-06

D · Potential for more than minimal harm 2025-05-23

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-05-24

E · Potential for more than minimal harm 2025-05-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-05-09

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-05-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-05-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-05-09

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-05-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-16

E · Potential for more than minimal harm 2024-03-29

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-03-30

E · Potential for more than minimal harm 2024-03-29

F728 · Nursing and Physician Services Deficiencies

Health

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2024-03-30

D · Potential for more than minimal harm 2024-03-29

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-03-30

D · Potential for more than minimal harm 2024-03-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-03-30

D · Potential for more than minimal harm 2024-03-29

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-03-30

D · Potential for more than minimal harm 2024-03-29

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-03-30

D · Potential for more than minimal harm 2024-03-29

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-03-30

D · Potential for more than minimal harm 2024-03-29

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-03-30

D · Potential for more than minimal harm 2024-03-29

F801 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-03-30

D · Potential for more than minimal harm 2024-03-29

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-03-30

E · Potential for more than minimal harm 2024-02-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-09

D · Potential for more than minimal harm 2023-01-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-01-28

D · Potential for more than minimal harm 2023-01-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-01-28

Penalties and ownership

What sits behind the stars

$21,530 2025-05-09

Fine

Fine · fine $21,530

Fine

Ownership

Val Verde County Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 19 facilities 2022-04-01
Chagoya, Javier

Operational/Managerial Control · Individual

0% 1 facilities 2022-04-01
Dekowski, Donovan

Operational/Managerial Control · Individual

0% 59 facilities 2022-04-01
Jurado, Jorge

Corporate Officer · Individual

0% 19 facilities 2023-10-13
Regency Ihs Of Pearsall, LLC

Operational/Managerial Control · Organization

0% 1 facilities 2022-04-01
Regency Integrated Health Services LLC

Operational/Managerial Control · Organization

0% 55 facilities 2022-04-01
Val Verde County Hospital District

Operational/Managerial Control · Organization

0% 19 facilities 2022-04-01

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Health
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Staffing
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1-star overall rating with 2-star inspections with $70,725 in total fines with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
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Staffing
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Fines
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#3

Community Care Center of Hondo

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1-star overall rating with 2-star inspections with $18,889 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$18,889

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