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Nursing HomeMedicaid Top Rated

Pearsall Nursing and Rehabilitation Center

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

169 Medical Dr, Pearsall, TX 78061150 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 48 Google reviews

5
4
3
2
1

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What this means for your family

This facility shows a strong upward trend in recent years, with many families praising the nursing staff's compassion and communication. However, because there is a history of serious concerns regarding understaffing and medication errors, you should specifically ask how they manage call light response times during night shifts and how they ensure dietary restrictions are strictly followed.

Google Reviews

Google Reviews

48 reviews analyzed
Families considering Pearsall Nursing and Rehabilitation Center will find a facility that is highly praised by many for its compassionate, family-like nursing and CNA staff. While many recent reviews highlight exceptional care and professional communication, some past experiences involve serious concerns regarding understaffing, delayed response to call lights, and medication errors.

Quality Themes

Tap a score for details
Food2.0Staff9.0Clean8.0ActivitiesN/AMeds3.0MemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Strong communication regarding medical changes
  • Professional and approachable administration

Concerns

  • Understaffing and slow response to call lights (mentioned by 3 reviewers)
  • Issues with medication management and dietary accuracy (mentioned by 2 reviewers)
  • Inconsistent cleanliness or hygiene maintenance (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(6)'22(6)'24(4)'26(3)

Distribution

5
36
4
1
3
1
2
1
1
9

How They Respond to Reviews

100%response rate
Good

The owner provides highly personalized and warm responses to 5-star reviews, often addressing specific family members or staff mentioned. For negative reviews, the owner uses a standardized template to escalate concerns to leadership and provide a contact email.

Questions for Your Tour

  • 1It is wonderful to see how much the administration engages with the community through your review responses; how do you ensure that families are kept just as closely informed about daily medical changes?
  • 2We noticed many people praise the compassion of your nursing staff, but how do you manage call light response times during the busier night or weekend shifts?
  • 3Could you walk us through your process for double-checking medication administration and dietary accuracy to ensure every resident's specific needs are met?
  • 4What steps are being taken to maintain the high standards of cleanliness and hygiene throughout the resident rooms and common areas?
  • 5What are some of the favorite daily activities or social events that help residents stay engaged and connected with one another?
  • 6In the event of a sudden medical emergency after hours, what is the specific protocol for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

They called me for ANY change in her medication and always kept me updated whenever any other change happened. The nurses and aids were extremely nice and my mom felt safe and cared for.

Long-term resident's family · 2025★★★★★

The CNA down his hall are very caring and tentative . The Nurses? They are the best I have ever seen and I work in the Medical Field myself with UTMB.

Long-term resident's family · 2026★★★★★

The nurses take more than an hour to respond to his calls when needing water or to go to the restroom. I would not recommend leaving your loved ones here unless you want them mistreated.

Long-term resident's family · 2023☆☆☆☆
Source: 48 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.41hrs
55%
Registered nurses for medical care
Total Nursing
3.09hrs
75%
All nurses + aides combined
Staff Turnover
30%
Lower is better (< 30% = good)
RN Turnover
27%
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

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility39.2%
Worse than Avg
Here
39.2%
US
19.5%
TX
18.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
12.1%
TX
2.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.9%
Better than Avg
Here
6.9%
US
15.4%
TX
9.4%
💉

Residents vaccinated for pneumonia

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

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.2%
Better than Avg
Here
13.2%
US
19.4%
TX
14.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.3%
Worse than Avg
Here
19.3%
US
14.4%
TX
16.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
79.7%
TX
88.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
81.8%
TX
89.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.9%
Worse than Avg
Here
2.9%
US
1.6%
TX
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
1penalties
Near state avg (9.1)
3 complaint-triggered
$21,530 in fines

This facility has recurring issues with care planning and assessment, medication management, and infection control across multiple surveys since 2023, though all deficiencies were reportedly corrected. Families have filed complaints leading to citations for accident prevention and personal care issues. The pattern of repeated problems in core care areas, including recent deficiencies as of May 2025, suggests potential ongoing challenges with consistent quality oversight.

Dec 5, 2025Complaint
1
0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

May 23, 2025Complaint
1
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.

May 9, 2025Routine
8
0211SevereCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0655MinorCorrected

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

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.

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 29, 2024Routine
11
0552ModerateCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0728ModerateCorrected

Nursing and Physician Services Deficiencies

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

0222ModerateCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0578MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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.

0758MinorCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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.

0801MinorCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0812MinorCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Feb 8, 2024Complaint
1
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.

Jan 27, 2023Routine
5
0342ModerateCorrected

Smoke Deficiencies

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

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0741MinorCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Federal Penalties

Fine

May 9, 2025

$21,930

Ownership & Operations

Who Operates This Facility

Owner / Operator

Val Verde County Hospital District

Organization Type

for profit

Management Company

REGENCY IHS OF PEARSALL, LLC

Administrator

JAVIER I CHAGOYA

Chain Affiliation

Chain Name

Wellsential Health

Chain Size

68 facilities nationwide

Chain avg rating: 2.8/5 · Rank 7 of 67 (Best)

Ownership & Management

Owners

Val Verde County Hospital District

Owner · Organization

100%

Regency Ihs of Pearsall, LLC

Owner · Organization

Csv Rhea Management Holdco, LLC

Owner (parent company) · Organization

Dwd TX Holdings LLC

Owner (parent company) · Organization

Jack and Nancy Dwyer Workforce Development Center INC

Owner (parent company) · Organization

Reg Hg Opco 1, LLC

Owner (parent company) · Organization

Reg Hg Opco LLC

Owner (parent company) · Organization

Reg Operator Holdco LLC

Owner (parent company) · Organization

Regency Integrated Health Services LLC

Owner (parent company) · Organization

Regency Texas Holdings LLC

Owner (parent company) · Organization

Key personnel

Baird, DanielManaging Control - Governing BodyClapp, BarbaraManaging Control - Governing BodyCortese, DarenManaging Control - Governing BodyDiaz, CrisManaging Control - Governing BodyGibson, PatriciaManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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