Nursing home report
Floresville, TX · Medicare-certified · 120 beds
Prairie Meadows Rehabilitation and Healthcare Center has a 1-star overall rating, with a 1-star health inspection rating and 3-star staffing and quality ratings. Reported staffing is 3.63 hours per resident per day, below the 4.1 federal benchmark, and the facility has had $43,522 in fines in the last 24 months, including a recent federal penalty.
Health inspections
Staffing
3.6309 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6309.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited January 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 925 — 42 CFR §483.90 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
A federal fine of $29,895 was recorded.
Health inspection found 5 health deficiencies.
Health inspection found 5 health deficiencies.
A federal fine of $13,627 was recorded.
On record with Medicare: 2 fines · $43,522 in total fines.
Federal fine
Jan 4, 2026
Federal fine
Nov 27, 2024
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.
