Pearsall Nursing And Rehabilitation Center
169 MEDICAL DR, Pearsall, TX, 78061
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
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 150 · avg 102 residents/day
- Total nursing staff turnover
- 34.2% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 27.3% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · 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)
- 1 fine · $21,530 total
State licensing & capacity
- License number
- 308555
- Service type
- Medicare/medicaid
- Licensed capacity
- 150 beds
- Bed type breakdown
- 150 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- September 10, 1974
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Val Verde County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Pearsall, Llc
- Administrator
- Javier I Chagoya
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Parent entity
Jack And Nancy Dwyer Workforce Development Center Inc
Disclosed owners (28 on record)
- Regency Ihs of Pearsall, Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Val Verde County Hospital District
Adp of The Snf · since 2025
- Carlos Casas
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
- Lucie Hout
Adp of The Snf · since 2025
+ 22 additional owners on the federal record.
Recent change of ownership
April 2022 (4 years ago) · acquired from Pearsall Nursing And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 21)
- D0641·Dec 5, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0690·May 23, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0880·May 9, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·May 9, 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·May 9, 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.
- D0686·May 9, 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0656·May 9, 2025
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.
- D0655·May 9, 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Federal penalties
By year
- 20251 fine · $22K
Most recent events
- May 9, 2025Fine · $22K
Fire-safety citations
6 Life-Safety-Code citations on file, including 1 at severity J–L. Most recent: May 9, 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
Pearsall Nursing and Rehabilitation Center is a 150-bed Medicare/Medicaid nursing home in Pearsall, Texas, licensed since 1974 and managed by Regency IHS of Pearsall under the Wellsential Health chain. CMS rates it 5 stars overall, with a 5-star quality-of-care rating and a 3-star staffing rating. About 102 of 150 beds are occupied on an average day. The license is active through April 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 3 stars — roughly the bottom fifth of Texas nursing homes on this measure. Each resident receives about 186 minutes of nursing care per day, including 24 minutes with a registered nurse. That is 55 minutes per day less than at a 4-star-staffing facility in Texas. Residents here also need more hands-on care than at a typical facility — more dependent or medically complex on average — so those staffing hours stretch thinner than the raw minutes suggest.
Nursing staff turnover runs exceptionally low: roughly 3 in 10 nursing staff left in the past year, below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas. RN turnover also registers low at roughly 3 in 10. A long-stay resident is likely to see the same familiar faces over time.
The facility carries one CMS fine totaling $21,530. Texas's median fine total across fined facilities is $20,699, so this sits close to the state midpoint for fined facilities.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Weekend nursing hours average 2.85 minutes per resident per day — ask how many nurses and aides are scheduled on nights and weekends compared to weekday days.
Why occupancy is low
Only about 102 of 150 beds are filled on a typical day; ask whether that reflects local demand, recent changes in admissions, or something else affecting operations.
Registered nurse coverage
CMS data shows 24 minutes of RN time per resident per day — ask how many hours a registered nurse is physically on the floor each day and overnight.
Management company's role
The facility is licensed to Val Verde County Hospital District but operated by Regency IHS of Pearsall — ask which entity sets staffing levels and oversees day-to-day care decisions.
Resident Council activity
A Resident Council exists but no Family Council — ask how often the Resident Council meets and how families are kept informed of concerns it raises.
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.