Prairie Meadows Rehabilitation and Healthcare Cent
Nursing Home · Floresville, TX
CMS certification number675446
Contact & location
1615 Eleventh StFloresville, TX 78114
Wilson County
- Phone
- (830) 216-7090
- ZIP code
- 78114 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 59.8 (50% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- West Wharton County Hospital District
- Chain
- Nexion Health (51 facilities, avg 2.2★)
- Medicare certified since
- February 9, 1995
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.87 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.38 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.96 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.53 (state 2.00 · U.S. 2.32)
- Weekend total
- 3.56 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 30.6 (state 55.3 · U.S. 45.8)%
- RN turnover
- —
Inspections
- Last standard inspection
- August 29, 2025
- Health deficiencies (last cycle)
- 15.0 (state 9.3 · U.S. 9.3)
- From complaints
- 10
- Citations on record (3 years)
- 27 health · 9 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-26 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-03 |
| 2026-06-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-03 |
| 2026-02-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-21 |
| 2026-02-20 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-21 |
| 2026-02-20 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-21 |
| 2026-01-04 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-01-05 |
| 2026-01-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-01-24 |
| 2026-01-04 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-01-05 |
| 2026-01-04 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-05 |
| 2026-01-04 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-05 |
| 2025-08-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-08-30 |
| 2025-08-29 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-30 |
| 2025-08-29 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-30 |
| 2025-08-29 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-30 |
| 2025-08-29 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2025-08-30 |
| 2025-06-06 | Employ staff that are licensed, certified, or registered in accordance with state laws. F0839 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-06 |
| 2025-06-06 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-06 |
| 2024-11-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-11-28 |
| 2024-11-27 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-28 |
| 2024-11-27 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection |
C No actual harm, potential for minimal harm |
Corrected 2024-11-28 |
| 2024-07-26 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-07 |
| 2024-07-26 | 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. F0801 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-07 |
| 2024-07-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-07 |
| 2024-07-26 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-07 |
| 2024-07-26 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-05 |
| 2023-06-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-27 |
| 2023-06-09 | 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. F0849 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-27 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $33,059 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-01-04 | Fine | $19,432 |
| 2024-11-27 | Fine | $13,627 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Mak, David (individual) | Corporate Officer · NOT APPLICABLE | |
| Brende, Marti (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Fallon, John (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Herdrich, William (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kirley, Francis (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lee, Brian (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Mak, David (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Nexion Health at Floresville, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Reid, John (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Riner, Meera (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Brende, Marti (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Prairie Meadows Rehabilitation and Healthcare Cent?
Prairie Meadows Rehabilitation and Healthcare Cent has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Prairie Meadows Rehabilitation and Healthcare Cent have?
It has 120 certified beds and cares for about 60 residents per day.
Has Prairie Meadows Rehabilitation and Healthcare Cent been fined?
Yes. CMS lists 2 penalties totaling $33,059 in the last three years.
Who owns Prairie Meadows Rehabilitation and Healthcare Cent?
It is part of Nexion Health and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Prairie Meadows Rehabilitation and Healthcare Cent?
(830) 216-7090. The facility is located at 1615 Eleventh St, Floresville, TX 78114.
Other nursing homes in Floresville
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Harmony Care at Floresville
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.