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Frank M Tejeda Texas State Veterans Home

Strong Medicare quality ratings; families often praise impe/spotless facility cleanliness. Still worth an in-person visit.

200 Veterans Drive, Floresville, TX 78114160 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 149 Google reviews

5
4
3
2
1
Frank M Tejeda Texas State Veterans Home Nursing Home in Floresville, TX — Street View
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What this means for your family

This facility is an excellent choice if your primary concerns are cleanliness and a pleasant, social environment for veterans. However, because there are documented instances of severe medical neglect and missed appointments, you must proactively verify their protocols for wound care and transportation to medical specialists.

Google Reviews

Google Reviews

149 reviews analyzed
The Frank M. Tejeda Texas State Veterans Home is highly regarded by many families for its exceptionally clean, beautiful, and well-maintained facility. While many reviewers praise the compassionate and professional nursing staff, there are serious, recurring allegations regarding medical neglect, including the development of severe pressure sores and missed medical appointments. Families should weigh the high praise for the facility's atmosphere against critical reports of inconsistent communication and staffing shortages in specialized units.

Quality Themes

Tap a score for details
Food3.0Staff8.0Clean10.0Activities9.0MedsN/AMemory7.0Comms5.0ValueN/A

Strengths

  • Impe/Spotless facility cleanliness
  • Compassionate and friendly nursing staff
  • Welcoming and professional administrative team
  • Beautifully maintained grounds and atmosphere

Concerns

  • Severe medical neglect and pressure sores (mentioned by 2 reviewers)
  • Missed medical appointments and transportation issues (mentioned by 2 reviewers)
  • Inconsistent communication with family members (mentioned by 2 reviewers)
  • Understaffing in specialized or isolation units (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'20(1)'22(15)'24(2)'26(26)

Distribution

5
104
4
7
3
2
2
1
1
8

How They Respond to Reviews

100%response rate
Generic

The owner relies heavily on a set of pre-written templates that incorporate specific mission statements like 'Make Lives Better' and 'best-in-class, compassionate care.' While they personalize responses by including the reviewer's name, the core of the message is almost always a copy-paste variation of the same few sentences.

Questions for Your Tour

  • 1We've heard such wonderful things about how spotless and beautiful the grounds are; how often is the facility deep-cleaned to maintain that standard?
  • 2Since we value staying connected, what is the best way for us to receive regular updates on our loved one's health and daily well-being?
  • 3How does the nursing team coordinate with outside doctors to ensure no medical appointments or necessary transportation are ever missed?
  • 4What specific protocols do you have in place to ensure skin integrity and prevent pressure sores for residents with limited mobility?
  • 5With the high level of care required in the memory care unit, how do you ensure there is always enough specialized staff available during busy shifts?
  • 6What kind of daily activities or social programs are available to keep the residents engaged and active in the community?

Personalized based on this facility's data


Key Review Excerpts

The staff was amazing in the care and treatment of my uncle. He was treated like a family member and that made the difference.

Family of deceased resident · 2023★★★★★

The memory care unit here is head and shoulders above other places my dad had to stay in, before a spot could open up. Lots of room, friendly respectful caregivers.

Memory care family member · 2021★★★★★

My Father in law went in perfectly healthy and now has a gallbladder infection and a STAYE 3 BEDSORE!

Family of resident · 2021☆☆☆☆
Source: 149 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
43%
Registered nurses for medical care
Total Nursing
2.96hrs
72%
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)
RN Turnover
41%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

15

measures

Worse Than Avg

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.4%
TX
9.4%
Wilson
15.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.4%
Better than Avg
Here
7.4%
US
15.3%
TX
14.9%
Wilson
22.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Wilson
8.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.9%
Better than Avg
Here
17.9%
US
19.5%
TX
18.4%
Wilson
27.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Wilson
92.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility21.5%
Worse than Avg
Here
21.5%
US
19.4%
TX
14.2%
Wilson
19.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.0%
Better than Avg
Here
97.0%
US
81.8%
TX
89.2%
Wilson
85.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.3%
Better than Avg
Here
89.3%
US
79.7%
TX
88.0%
Wilson
84.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Wilson
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Near state avg (9.1)
28 complaint-triggered

This facility shows concerning patterns with 12 complaint-triggered deficiencies, including recent resident protection failures and infection control issues filed by families. Care planning, medication management, and fire safety systems are recurring problem areas across multiple surveys. While all violations report correction dates, the facility has faced serious complaints about abuse protection and treatment quality, suggesting families should carefully evaluate current conditions before placement.

Mar 6, 2026Routine
3
0007ModerateCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0293ModerateCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0761MinorCorrected

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.

Mar 6, 2026Complaint
6
0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0690MinorCorrected

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.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0813MinorCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 11, 2025Complaint
2
0600MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jan 10, 2025Routine
4
0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0923MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0923MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jan 10, 2025Complaint
10
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

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.

0690MinorCorrected

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.

0761MinorCorrected

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.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

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.

0690MinorCorrected

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.

0761MinorCorrected

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.

Dec 15, 2023Routine
6
0342ModerateCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0342ModerateCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Ownership & Operations

Who Operates This Facility

Owner / Operator

State of Texas Veterans Land Board

Organization Type

government

Administrator

ELIZABETH HOWARD

Chain Affiliation

Chain Name

Texvet

Chain Size

9 facilities nationwide

Chain avg rating: 3.7/5 · Rank 3 of 9 (Best)

Ownership & Management

Key personnel

Berkely, JohnW-2 Managing EmployeeJohnson, AlanW-2 Managing EmployeeJohnson, AlanOfficer / DirectorMclemore, WilliamOfficer / DirectorCare Inn Management-temple, INCManager
Source: Medicare provider data

Contact

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References & Resources

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