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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.