Pearsall Nursing and Rehabilitation Center
169 Medical Dr, Pearsall, TX 78061
Pearsall Nursing and Rehabilitation Center is a nursing home in Pearsall, 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 rating4 of 5
- Last standard health inspectionJuly 16, 2026 (3 months ago)
- Health citations since February 8, 202424 (Texas average 28)
- Fines in the past three years1, $14,255 in total
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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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 staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Fine
CMS changed the fine from May 9, 2025 from $21,930 to $14,255.
Health inspection on July 16, 2026
5 citationsCMS lists this as a standard inspection.
Show the 5 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 17, 2026.
CMS has cited this home for F0641 3 times since 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on July 17, 2026.
Citation F0810. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
CMS lists it as corrected on July 17, 2026.
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 17, 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 17, 2026.
CMS has cited this home for F0880 2 times since 2025.
Fire safety inspection on July 16, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0222. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on July 17, 2026.
CMS has cited this home for K0222 2 times since 2024.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Fine
CMS changed the fine from May 9, 2025 from $21,530 to $21,930.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health citation
CMS removed citation F0801 from the health inspection on May 9, 2025.
Health inspection on December 5, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
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 December 6, 2025.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of May 28, 2025
Health citation
CMS removed citation F0758 from the health inspection on March 29, 2024.
Health inspection on May 23, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0690. Severity D: potential for more than minimal harm, isolated.
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 May 24, 2025.
CMS has cited this home for F0690 2 times since 2024.
Health inspection on May 9, 2025
6 citationsCMS lists this as a standard inspection.
CMS fine of $14,255 on May 9, 2025.
Show the 6 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 May 16, 2025.
CMS has cited this home for F0812 2 times since 2024.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on May 16, 2025.
Citation F0656. Severity D: potential for more than minimal harm, 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 May 16, 2025.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on May 16, 2025.
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 May 16, 2025.
CMS has cited this home for F0761 2 times since 2024.
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 May 16, 2025.
Fire safety inspection on May 9, 2025
2 citationsCMS lists this as a standard inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
Show the 2 citations
Citation K0211. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on May 16, 2025.
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on May 16, 2025.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5.
CMS update of June 26, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Ownership
CMS lists this home under a new chain.
Health inspection on March 29, 2024
10 citationsCMS lists this as a standard inspection.
Show the 10 citations
Citation F0552. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on March 30, 2024.
Citation F0728. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on March 30, 2024.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 30, 2024.
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 March 30, 2024.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on March 30, 2024.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
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 March 30, 2024.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 30, 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 March 30, 2024.
Citation F0801. Severity D: potential for more than minimal harm, isolated.
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 March 30, 2024.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
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 March 30, 2024.
Fire safety inspection on March 29, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0222. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on March 30, 2024.
Health inspection on February 8, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0689. Severity E: potential for more than minimal harm, pattern.
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 February 9, 2024.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of December 21, 2023
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (830) 334-3371
- Last standard health inspection
- July 16, 2026 (3 months ago)
- Certified beds
- 150
- Residents per day, on average
- 105.4
- Ownership type
- Non profit - Corporation
- Legal business name
- Val Verde County Hospital District
- Chain
- Wellsential Health
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (24 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- VAL VERDE COUNTY HOSPITAL DISTRICT5% or greater direct ownership interest · 100% · since 04/01/2022
- REGENCY IHS OF PEARSALL, LLCDirect ownership interest · not applicable · since 04/01/2022
- CSV RHEA MANAGEMENT HOLDCO, LLCIndirect ownership interest · not applicable · since 04/01/2022
- DWD TX HOLDINGS LLCIndirect ownership interest · not applicable · since 04/01/2022
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCIndirect ownership interest · not applicable · since 04/01/2022
Show 10 more
- REG HG OPCO 1, LLCIndirect ownership interest · not applicable · since 04/01/2022
- REG HG OPCO LLCIndirect ownership interest · not applicable · since 04/01/2022
- REG OPERATOR HOLDCO LLCIndirect ownership interest · not applicable · since 04/01/2022
- REGENCY INTEGRATED HEALTH SERVICES LLCIndirect ownership interest · not applicable · since 04/01/2022
- REGENCY TEXAS HOLDINGS LLCIndirect ownership interest · not applicable · since 04/01/2022
- REGENCY IHS OF PEARSALL, LLCOperational/managerial control · not applicable · since 04/01/2022
- REGENCY INTEGRATED HEALTH SERVICES LLCOperational/managerial control · not applicable · since 04/01/2022
- VAL VERDE COUNTY HOSPITAL DISTRICTOperational/managerial control · not applicable · since 04/01/2022
- CHAGOYA, JAVIEROperational/managerial control · not applicable · since 04/01/2022
- DEKOWSKI, DONOVANOperational/managerial control · not applicable · since 04/01/2022
Questions
When was Pearsall Nursing and Rehabilitation Center last inspected?
CMS lists July 16, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Pearsall Nursing and Rehabilitation Center have?
CMS lists 24 health citations since February 8, 2024. CMS also calls these deficiencies.
Has Pearsall Nursing and Rehabilitation Center been fined?
CMS lists 1 fine in the past three years, $14,255 in total.
What is the CMS star rating of Pearsall Nursing and Rehabilitation Center?
Its CMS overall star rating is 4 of 5.
Is Pearsall Nursing and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.