Prairie Meadows Rehabilitation and Healthcare Cent
1615 Eleventh St, Floresville, TX 78114
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Follow this homePrairie Meadows Rehabilitation and Healthcare Cent is a nursing home in Floresville, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionAugust 29, 2025 (1 year ago)
- Health citations since June 9, 202327 (Texas average 28)
- Fines in the past three years2, $33,059 in total
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of October 8, 2026
Fine
CMS changed the fine from January 4, 2026 from $29,895 to $19,432.
Health inspection on June 26, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on July 3, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 3, 2026.
CMS has cited this home for F0880 2 times since 2026.
CMS update of March 25, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 1 of 5.
Fine
CMS changed the fine from January 4, 2026 from $21,645 to $29,895.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Health inspection on February 20, 2026
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0684. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on February 21, 2026.
Citation F0690. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on February 21, 2026.
CMS has cited this home for F0690 2 times since 2025.
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on February 21, 2026.
CMS has cited this home for F0842 2 times since 2025.
CMS update of January 14, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Health inspection on January 4, 2026
5 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
129 of 1,177 Texas homes (11%) got a citation at the immediate jeopardy level in 2026.
CMS fine of $19,432 on January 4, 2026.
Show the 5 citations
Citation F0656. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on January 5, 2026.
Citation F0686. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on January 24, 2026.
Citation F0925. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on January 5, 2026.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on January 5, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 5, 2026.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Health inspection on August 29, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 30, 2025.
CMS has cited this home for F0812 3 times since 2023.
Citation F0690. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on August 30, 2025.
Citation F0695. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on August 30, 2025.
CMS has cited this home for F0695 2 times since 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 30, 2025.
CMS has cited this home for F0761 2 times since 2024.
Citation F0814. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on August 30, 2025.
Fire safety inspection on August 29, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on September 19, 2025.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on September 5, 2025.
CMS has cited this home for K0712 2 times since 2023.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on September 5, 2025.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on September 19, 2025.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on September 5, 2025.
Health inspection on June 6, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0839. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Employ staff that are licensed, certified, or registered in accordance with state laws.
CMS lists it as corrected on July 6, 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on July 6, 2025.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Fine
CMS changed the fine from November 27, 2024 from $20,965 to $13,627.
CMS update of February 26, 2025
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on November 27, 2024
3 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $13,627 on November 27, 2024.
Show the 3 citations
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on November 28, 2024.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on November 28, 2024.
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on November 28, 2024.
Health inspection on July 26, 2024
5 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on September 7, 2024.
Citation F0801. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on September 7, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on September 7, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on September 7, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on September 5, 2024.
Fire safety inspection on July 26, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 1, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on June 9, 2023
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 27, 2023.
Citation F0849. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 27, 2023.
Fire safety inspection on June 9, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation E0031. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide emergency officials' contact information.
CMS lists it as corrected on August 5, 2023.
Citation K0712. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on July 23, 2023.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on July 23, 2023.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (830) 216-7090
- Last standard health inspection
- August 29, 2025 (1 year ago)
- Certified beds
- 120
- Residents per day, on average
- 66.5
- Ownership type
- For profit - Limited Liability company
- Legal business name
- West Wharton County Hospital District
- Chain
- Nexion Health
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (27 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- NEXION HEALTH AT FLORESVILLE, INC.5% or greater indirect ownership interest · no percentage provided · since 04/01/2021
- NEXION HEALTH AT FLORESVILLE, INC.Operational/managerial control · not applicable · since 04/01/2021
- WEST WHARTON COUNTY HOSPITAL DISTRICTOperational/managerial control · not applicable · since 04/01/2021
- BOWERS, SEANOperational/managerial control · not applicable · since 04/01/2021
- CISNEROS, ALFREDOperational/managerial control · not applicable · since 04/01/2021
Show 13 more
- COBB, TRAVISOperational/managerial control · not applicable · since 10/05/2022
- COOPER, STEPHENOperational/managerial control · not applicable · since 04/01/2021
- FALLON, JOHNOperational/managerial control · not applicable · since 04/01/2021
- GRAFF, RICKOperational/managerial control · not applicable · since 04/01/2021
- HARDIN, SHERRIEOperational/managerial control · not applicable · since 04/21/2021
- KERZEE, RICHARDOperational/managerial control · not applicable · since 04/01/2021
- KIRLEY, FRANCISOperational/managerial control · not applicable · since 04/01/2021
- KORENEK, PATRICIAOperational/managerial control · not applicable · since 04/01/2021
- OZUNA, SUSANNAOperational/managerial control · not applicable · since 04/01/2021
- RINER, MEERAOperational/managerial control · not applicable · since 04/01/2021
- STRACK, JOEOperational/managerial control · not applicable · since 04/01/2021
- THOMPSON, JOHNNYOperational/managerial control · not applicable · since 05/16/2024
- WIATREK, EMILYOperational/managerial control · not applicable · since 04/01/2017
Questions
When was Prairie Meadows Rehabilitation and Healthcare Cent last inspected?
CMS lists August 29, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Prairie Meadows Rehabilitation and Healthcare Cent have?
CMS lists 27 health citations since June 9, 2023. CMS also calls these deficiencies.
Has Prairie Meadows Rehabilitation and Healthcare Cent been fined?
CMS lists 2 fines in the past three years, $33,059 in total.
What is the CMS star rating of Prairie Meadows Rehabilitation and Healthcare Cent?
Its CMS overall star rating is 1 of 5.
Is Prairie Meadows Rehabilitation and Healthcare Cent a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.