Pearsall Nursing and Rehabilitation Center

169 Medical Dr · Pearsall, TX · 78061 · 8303343371

150 certified beds Non profit - Corporation Chain: Wellsential Health

  • Inspection results have improved across recent cycles.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 61
Serious harm & abuse 20% 100
Staffing 20% 58
Federal penalties 15% 71
Trend 10% 77
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.093.48 min · 4.1 strong
RN hours / resident-day0.410.55–0.75
Weekend hours / resident-day2.72≈ weekday level
Nursing turnover / year30%median 45%
Fines (3-yr window)1 · $21,930

Inspection citations (21 in the current record)

  • Potential for harm · D December 5, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected December 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 23, 2025 · found via complaint

    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 May 24, 2025 · Quality of Life and Care

  • Potential for harm · D May 9, 2025

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

    Corrected May 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 9, 2025

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

    Corrected May 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 9, 2025

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

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · D May 9, 2025

    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 May 16, 2025 · Pharmacy Service

  • Potential for harm · E May 9, 2025

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

    Corrected May 16, 2025 · Nutrition and Dietary

  • Potential for harm · D May 9, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 16, 2025 · Infection Control

  • Potential for harm · E March 29, 2024

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

    Corrected March 30, 2024 · Resident Rights

  • Potential for harm · D March 29, 2024

    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 March 30, 2024 · Resident Rights

  • Potential for harm · D March 29, 2024

    Ensure each resident receives an accurate assessment.

    Corrected March 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 29, 2024

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

    Corrected March 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 29, 2024

    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 March 30, 2024 · Quality of Life and Care

  • Potential for harm · E March 29, 2024

    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 March 30, 2024 · Nursing and Physician Services

  • Potential for harm · D March 29, 2024

    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 March 30, 2024 · Pharmacy Service

  • Potential for harm · D March 29, 2024

    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 March 30, 2024 · Pharmacy Service

  • Potential for harm · D March 29, 2024

    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 March 30, 2024 · Nutrition and Dietary

  • Potential for harm · D March 29, 2024

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

    Corrected March 30, 2024 · Nutrition and Dietary

  • Potential for harm · E February 8, 2024 · found via complaint

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

    Corrected February 9, 2024 · Quality of Life and Care

  • Potential for harm · D January 27, 2023

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

    Corrected January 28, 2023 · Quality of Life and Care

  • Potential for harm · D January 27, 2023

    Provide and implement an infection prevention and control program.

    Corrected January 28, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
May 9, 2025Fine$21,930

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455797 · certified since March 23, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.