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Nursing home report

Pearsall Nursing and Rehabilitation Center

Pearsall, TX · Medicare-certified · 150 beds

Needs attention
Non-profitChain member
5 of 5 overall

Pearsall Nursing and Rehabilitation Center in Pearsall, TX has a 5-star overall rating, with strong quality measures and a 4-star health inspection rating, but a low 2-star staffing rating. Reported nurse staffing is 3.09 hours per resident per day versus the 4.1 federal benchmark, and it had $21,930 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.0874 hrs/resident/day

Quality measures

Last inspection: December 5, 2025Penalties, last 24 months: $21,930recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0874.

Staffing detail

Registered nurses
0.41
Licensed practical nurses
0.80
Nurse aides
1.88
Weekend nursing
2.72

Hours per resident per day.

Total staff turnover: 30%
Registered nurse turnover: 27%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

6.9%Worsening

Residents with a fall causing major injury

1.5%Improving

Residents with pressure ulcers (bedsores)

2.9%Improving

Residents with a urinary tract infection

0.5%Worsening

Residents who lost too much weight

1.8%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

19.3%Improving

Residents whose ability to walk got worse

15.1%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

39.2%Worsening

Short-stay residents newly given an antipsychotic

2.9%Worsening

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

13.2%Worsening

Residents with depressive symptoms

0.3%Improving

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

98%Steady

Short-stay residents given the pneumonia vaccine

98.2%Steady

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The home failed to make sure residents fully understood their health status, care, and treatments. Cited March 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 552 — 42 CFR §483.10 — S/S: E

The nursing home failed to ensure nurse aides were properly trained and competent to provide safe care. Cited March 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 728 — 42 CFR §483.35(e) — S/S: E

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: E

The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited December 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. PENALTY

    A federal fine of $21,930 was recorded.

  5. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $21,930 in total fines.

  • Federal fine

    May 9, 2025

    $21,930

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of WELLSENTIAL HEALTH · 68 homes · 2.6 stars avg
Occupancy
101.6 residents on an average day (68% of 150 beds)
Resident voice
Resident council
Medicare history
Certified for 37 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.