Nursing homes › Texas › Prairie Meadows Rehabilitation and Healthcare Cent
1615 Eleventh St, Floresville, TX 78114 · 8302167090 · 120 certified beds
Per CMS filings, this facility is affiliated with Nexion Health, a group operating 53 facilities in 3 states. Group record: average rating 2.3/5, 6 abuse citation icons, 2 facilities on the Special Focus list, $2,613,097 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 3.87 (Texas median: 3.27). RN hours: 0.38. Weekend total: 3.56. Nursing staff turnover: 31%.
All-time on record: 25 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | 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. | E | complaint | 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. | E | complaint | 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. | J | complaint | corrected 2026-01-05 |
| 2026-01-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | complaint | corrected 2026-01-24 |
| 2026-01-04 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | J | complaint | corrected 2026-01-05 |
| 2026-01-04 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2026-01-05 |
| 2026-01-04 | Provide and implement an infection prevention and control program. | D | complaint | 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. | F | Health | 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. | E | Health | corrected 2025-08-30 |
| 2025-08-29 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | 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. | D | Health | corrected 2025-08-30 |
| 2025-08-29 | Dispose of garbage and refuse properly. | C | Health | corrected 2025-08-30 |
| 2025-06-06 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | complaint | 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. | D | complaint | 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. | J | complaint | corrected 2024-11-28 |
| 2024-11-27 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-11-28 |
| 2024-11-27 | Post nurse staffing information every day. | C | complaint | 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. | E | complaint | 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. | E | complaint | 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. | E | complaint | corrected 2024-09-07 |
| 2024-07-26 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | 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. | D | complaint | 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. | E | Health | 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. | D | Health | corrected 2023-07-27 |
| Date | Type | Amount |
|---|---|---|
| 2026-01-04 | Fine | $29,895 |
| 2024-11-27 | Fine | $13,627 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MAK, DAVID | Corporate Officer | Individual | NOT APPLICABLE | since 05/18/2021 |
| NEXION HEALTH AT FLORESVILLE, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2021 |
| BRENDE, MARTI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2021 |
| FALLON, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2021 |
| HERDRICH, WILLIAM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2021 |
| KIRLEY, FRANCIS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2021 |
| LEE, BRIAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2021 |
| MAK, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/18/2021 |
| REID, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2021 |
| RINER, MEERA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675446. Corrections: data@carerecords.org.