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Prairie Meadows Rehabilitation and Healthcare Center

Nursing Home Facility

1615 Eleventh St, Floresville, TX 78114

Nursing Home Care Senior Living

Prairie Meadows Rehabilitation and Healthcare Center is a senior care community located in Floresville, TX. It provides nursing home care and senior living for older adults in the Floresville area. To learn more or schedule a tour, call (830) 216-7090.

Operated by Nexion Health, which runs 46 communities in our directory.

Employer rating 3.9 out of 5 428 reviews from their own employees on Indeed. See what they say.

Prairie Meadows Rehabilitation and Healthcare Center is licensed for 120 beds, about typical for the area, where senior care communities in Floresville average about 107 beds.

Federal reporting puts occupancy at about 50% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Floresville average of roughly 71%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Floresville average about 2.0 stars. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in August 2025 and recorded 15 deficiencies.

Residents receive about 3.9 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Communities in Floresville average about 3.3 hours. Nursing staff turnover over the past year was about 31%.

The community is located in Wilson County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 27 problems at Prairie Meadows Rehabilitation and Healthcare Center. 4 findings involved harm to a resident, including 4 that put residents in immediate danger. 20 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $33,059.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected January 2026, after a complaint. Corrected by January 5, 2026.

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected January 2026, after a complaint. Corrected by January 24, 2026.

  • Put residents in immediate danger, one or a few residents Environmental

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Inspected January 2026, after a complaint. Corrected by January 5, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected June 2026, after a complaint. Corrected by July 3, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected June 2026, after a complaint. Corrected by July 3, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected February 2026, after a complaint. Corrected by February 21, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

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

    Inspected February 2026, after a complaint. Corrected by February 21, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected February 2026, after a complaint. Corrected by February 21, 2026.

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  • Could cause more than minimal harm, one or a few residents Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected January 2026, after a complaint. Corrected by January 5, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected January 2026, after a complaint. Corrected by January 5, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

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

    Inspected August 2025. Corrected by August 30, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

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

    Inspected August 2025. Corrected by August 30, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

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

    Inspected August 2025. Corrected by August 30, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected August 2025. Corrected by August 30, 2025.

  • Minimal harm or the potential for it, widespread Nutrition and Dietary

    Dispose of garbage and refuse properly.

    Inspected August 2025. Corrected by August 30, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Prairie Meadows Rehabilitation and Healthcare Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 120
  • Occupancy 50%
  • Nursing hours per resident/day 3.9
  • Annual staff turnover 31%
  • Last health inspection August 2025

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