Federal inspection record · CMS data as of October 1, 2026
Prairie Meadows Rehabilitation and Healthcare Cent
1615 Eleventh St, Floresville, TX · (830) 216-7090
- Certified beds
- 120
- Residents per day
- 67
- Ownership
- For-Profit
- Chain
- Nexion Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 9, 1995
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Prairie Meadows Rehabilitation and Healthcare Cent carries 218 inspection points. That is fewer than 8% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
J
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care5E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- C
Dispose of garbage and refuse properly.
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning3E
- D
Ensure each resident receives an accurate assessment.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Rights2E
- D
Keep residents' personal and medical records private and confidential.
- E
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.
Pharmacy Service2D
- D
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.
- D
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.
Administration2D
- D
Employ staff that are licensed, certified, or registered in accordance with state laws.
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2025-08-29
15 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-07-26
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2023-06-09
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Administration (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 31 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 31 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$33,059 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-04 | Fine | $19,432 |
| 2024-11-27 | Fine | $13,627 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 2.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts worse | 3.7 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9 pts worse | 87.4% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts worse | 94.7% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better | 1.4% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts better | 1.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts worse | 6.3% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2 pts better | 15.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.3 pts worse | 12.1% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened13.4 pts worse | 26.3% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.2 pts worse | 28.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts better | 10.7% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts better | 1.5% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine40.7 pts worse | 48.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12 pts worse | 24.2% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine49.2 pts worse | 36.2% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6 pts worse | 31.5% | 25.5% | 23.4% |
·
Who owns and runs it
32 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bowers, Sean | Operational/Managerial Control · Individual | 0% | 40 facilities |
| Bowers, Sean | Adp Of The SNF · Individual | 0% | 40 facilities |
| Cisneros, Alfred | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Cisneros, Alfred | Adp Of The SNF · Individual | 0% | 42 facilities |
| Cobb, Travis | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Cobb, Travis | Adp Of The SNF · Individual | 0% | 42 facilities |
| Cooper, Stephen | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Cooper, Stephen | Adp Of The SNF · Individual | 0% | 45 facilities |
| Fallon, John | Operational/Managerial Control · Individual | 0% | 20 facilities |
| Graff, Rick | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Graff, Rick | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hardin, Sherrie | Operational/Managerial Control · Individual | 0% | 40 facilities |
| Hardin, Sherrie | Adp Of The SNF · Individual | 0% | 40 facilities |
| Kerzee, Richard | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Kerzee, Richard | Adp Of The SNF · Individual | 0% | 42 facilities |
| Kirley, Francis | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Korenek, Patricia | Operational/Managerial Control · Individual | 0% | 40 facilities |
| Korenek, Patricia | Adp Of The SNF · Individual | 0% | 40 facilities |
| Nexion Health At Floresville, Inc. | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Nexion Health At Floresville, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Nexion Health At Floresville, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ozuna, Susanna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ozuna, Susanna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Riner, Meera | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Strack, Joe | Operational/Managerial Control · Individual | 0% | 40 facilities |
| Strack, Joe | Adp Of The SNF · Individual | 0% | 40 facilities |
| Thompson, Johnny | Operational/Managerial Control · Individual | 0% | 79 facilities |
| Thompson, Johnny | Adp Of The SNF · Individual | 0% | 79 facilities |
| West Wharton County Hospital District | Operational/Managerial Control · Organization | 0% | 21 facilities |
| West Wharton County Hospital District | Adp Of The SNF · Organization | 0% | 21 facilities |
| Wiatrek, Emily | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Wiatrek, Emily | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- E
Have simulated fire drills held at unexpected times.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness1F
- F
Provide emergency officials' contact information.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
-
Harmony Care At Floresville
Floresville, TX · Harmony Care Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 13 min
- Fines
- $87,066
-
Frank M. Tejeda Texas State Veterans Home
Floresville, TX · Texvet · Abuse icon
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 1 min
- Fines
- $0
-
Country Care Manor
La Vernia, TX · Touchstone Communities
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 21 min
- Fines
- $22,143