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Prairie Meadows Rehabilitation and Healthcare Cent

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Prairie Meadows Rehabilitation and Healthcare Cent is a for profit - limited liability company facility in Floresville, TX with 120 certified beds and a 1-star overall CMS rating. The facility has 17 deficiency records on file. Total penalties: $44K.

1615 Eleventh St, Floresville, TX 78114

Phone: 8302167090

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
675446
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
57
In Hospital
No
County
Wilson
Last Inspection
Aug 29, 2025

Staffing Data

RN Hours
0.29 (nat'l avg: 0.68)
LPN Hours
0.86
CNA Hours
2.48
Total Nursing Hours
3.63 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
37.5%

What the CMS Record Reveals About Prairie Meadows Rehabilitation and Healthcare Cent

Prairie Meadows Rehabilitation and Healthcare Cent operates 120 certified beds in Floresville, TX with approximately 57 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 17 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $44K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.63 total nursing hours per resident day (national average 3.89), with RN coverage at 0.29 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Prairie Meadows Rehabilitation and Healthcare Cent falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 37.5%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (17 most recent)

C — Widespread - No harm Aug 29, 2025 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 30, 2025

F — Widespread - Minimal harm Aug 29, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 30, 2025

D — Isolated - Minimal harm Aug 29, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 30, 2025

E — Pattern - Minimal harm Aug 29, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 30, 2025

E — Pattern - Minimal harm Aug 29, 2025 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 30, 2025

D — Isolated - Minimal harm Jun 6, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 6, 2025

D — Isolated - Minimal harm Jun 6, 2025 Tag: 0839

Employ staff that are licensed, certified, or registered in accordance with state laws.

Category: Administration Deficiencies

Corrected: Jul 6, 2025

C — Widespread - No harm Nov 27, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 28, 2024

J — Isolated - Jeopardy Nov 27, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 28, 2024

D — Isolated - Minimal harm Nov 27, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 28, 2024

E — Pattern - Minimal harm Jul 26, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 7, 2024

E — Pattern - Minimal harm Jul 26, 2024 Tag: 0801

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 7, 2024

D — Isolated - Minimal harm Jul 26, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 5, 2024

D — Isolated - Minimal harm Jul 26, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 7, 2024

E — Pattern - Minimal harm Jul 26, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Sep 7, 2024

D — Isolated - Minimal harm Jun 9, 2023 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Jul 27, 2023

E — Pattern - Minimal harm Jun 9, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 27, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 18.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 68.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 92.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 12.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.4% Yes

Penalty History 2 penalties totaling $44K

Date Type Amount
Jan 4, 2026 Fine $22K
Nov 27, 2024 Fine $14K

Frequently Asked Questions

What is the overall CMS rating for Prairie Meadows Rehabilitation and Healthcare Cent?
Prairie Meadows Rehabilitation and Healthcare Cent has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (3★).
What are the staffing levels at Prairie Meadows Rehabilitation and Healthcare Cent?
Prairie Meadows Rehabilitation and Healthcare Cent reports 3.63 total nursing hours per resident day (national average: 3.89). RN hours are 0.29 per resident day (national average: 0.68). Nursing staff turnover is 37.5%.
How many beds does Prairie Meadows Rehabilitation and Healthcare Cent have?
Prairie Meadows Rehabilitation and Healthcare Cent has 120 certified beds with approximately 57 residents. The facility is located at 1615 Eleventh St, Floresville, TX 78114.
Does Prairie Meadows Rehabilitation and Healthcare Cent have any deficiencies on record?
Yes, Prairie Meadows Rehabilitation and Healthcare Cent has 17 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Prairie Meadows Rehabilitation and Healthcare Cent received any fines or penalties?
Yes, Prairie Meadows Rehabilitation and Healthcare Cent has received 2 penalties totaling $44K.
Who owns Prairie Meadows Rehabilitation and Healthcare Cent?
Prairie Meadows Rehabilitation and Healthcare Cent is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Prairie Meadows Rehabilitation and Healthcare Cent last inspected?
The most recent health inspection for Prairie Meadows Rehabilitation and Healthcare Cent was on Aug 29, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Prairie Meadows Rehabilitation and Healthcare Cent?
Prairie Meadows Rehabilitation and Healthcare Cent is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial