Prairie Meadows Rehabilitation And Healthcare Center
1615 ELEVENTH ST, Floresville, TX, 78114
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Nexion Health
- Certified beds
- 120 · avg 57 residents/day
- Total nursing staff turnover
- 37.5% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $43,522 total
State licensing & capacity
- License number
- 308260
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 40 Medicare-only · 80 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- February 9, 1995
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nexion Health At Floresville, Inc
- Administrator
- Marcus Hall
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (10 on record)
- David Mak
Corporate Officer · since 2021
- Brian Lee
Operational/managerial Control · since 2021
- Francis Kirley
Operational/managerial Control · since 2021
- John r Fallon
Operational/managerial Control · since 2021
- John t Reid
Operational/managerial Control · since 2021
- Marti Brende
W-2 Managing Employee · since 2021
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 22)
- J0925·Jan 4, 2026Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D0880·Jan 4, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- J0686·Jan 4, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- J0656·Jan 4, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0583·Jan 4, 2026Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- C0814·Aug 29, 2025
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
- F0812·Aug 29, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Aug 29, 2025
Pharmacy Service Deficiencies
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.
Federal penalties
By year
- 20261 fine · $30K
- 20241 fine · $14K
Most recent events
- Jan 4, 2026Fine · $30K
- Nov 27, 2024Fine · $14K
Largest single fine on record: $30K.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Aug 29, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Prairie Meadows Rehabilitation And Healthcare Center is a 120-bed nursing home in Floresville, Texas, managed by Nexion Health and licensed through 2028. CMS rates it 1 star overall, with a 1-star health inspection rating. Two CMS fines total $43,522 since the most recent inspection cycle. The facility is currently operating at roughly 48% of licensed beds — about 57 residents on an average day — well below typical occupancy for a facility this size.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Prairie Meadows 3 stars on staffing — a tier shared by about 19% of Texas nursing homes. Each resident receives roughly 218 minutes of nursing care per day, about 23 minutes less than at a 4-star-staffing facility in Texas. Of those 218 minutes, only 18 come from a registered nurse.
About 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff of 42%, meaning turnover here is better than roughly three-quarters of nursing homes in the state.
CMS recorded 2 fines totaling $43,522. The state median fine total across Texas nursing homes is $20,699, and about 30% of Texas facilities have received no fines at all.
The facility is running at roughly 48% of its licensed 120 beds — averaging about 57 residents per day. At that level, this facility is carrying far fewer residents than its licensed size would suggest.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for the 1-star inspection rating
CMS gave this facility a 1-star health inspection rating — ask what deficiencies were cited and what specific steps have been taken to address them.
Details behind the two fines
Two CMS fines totaling $43,522 are on record — ask what violations triggered each fine and whether corrective actions have been verified by inspectors.
Why occupancy is this low
The facility averages about 57 residents against 120 licensed beds — ask whether the low census reflects recent admissions holds, referral issues, or planned operational changes.
Registered nurse coverage on evenings and weekends
Reported RN hours average about 18 minutes per resident per day — ask how many registered nurses are on site during evening shifts and on weekends.
Nexion Health's management role
The facility is owned by a hospital district but managed by Nexion Health — ask how day-to-day decisions are made and who holds accountability for care quality.
How the Resident Council operates
A Resident Council is listed but no Family Council — ask how family members formally raise concerns and how often the Resident Council meets with administration.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.