Prairie Meadows Rehabilitation and Healthcare Cent
1615 Eleventh St · Floresville, TX · 78114 · 8302167090
120 certified beds For profit - Limited Liability company Chain: Nexion Health
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 3.28 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 2 · $43,522 |
Inspection citations (25 in the current record)
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Potential for harm · E February 20, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 21, 2026 · Quality of Life and Care
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Potential for harm · E February 20, 2026 · 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 February 21, 2026 · Quality of Life and Care
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Potential for harm · E February 20, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 21, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · J January 4, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 5, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · J January 4, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 24, 2026 · Quality of Life and Care
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Immediate jeopardy · J January 4, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 5, 2026 · Environmental
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Potential for harm · D January 4, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected January 5, 2026 · Resident Rights
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Potential for harm · D January 4, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 5, 2026 · Infection Control
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Potential for harm · E August 29, 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.
Corrected August 30, 2025 · Quality of Life and Care
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Potential for harm · E August 29, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 30, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 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 August 30, 2025 · Pharmacy Service
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Potential for harm · F August 29, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 30, 2025 · Nutrition and Dietary
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No harm found · C August 29, 2025
Dispose of garbage and refuse properly.
Corrected August 30, 2025 · Nutrition and Dietary
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Potential for harm · D June 6, 2025 · found via complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected July 6, 2025 · Administration
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Potential for harm · D June 6, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 6, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J November 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 28, 2024 · Quality of Life and Care
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Potential for harm · D November 27, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C November 27, 2024 · found via complaint
Post nurse staffing information every day.
Corrected November 28, 2024 · Nursing and Physician Services
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Potential for harm · E July 26, 2024 · found via complaint
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.
Corrected September 7, 2024 · Resident Rights
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Potential for harm · D July 26, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 7, 2024 · Quality of Life and Care
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Potential for harm · D July 26, 2024 · found via complaint
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 September 5, 2024 · Pharmacy Service
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Potential for harm · E July 26, 2024 · found via complaint
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 September 7, 2024 · Nutrition and Dietary
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Potential for harm · E July 26, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 7, 2024 · Nutrition and Dietary
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Potential for harm · E June 9, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 27, 2023 · Nutrition and Dietary
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Potential for harm · D June 9, 2023
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.
Corrected July 27, 2023 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 4, 2026 | Fine | $29,895 |
| November 27, 2024 | Fine | $13,627 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675446 · certified since February 9, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.