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Nursing HomeMedicaid Investigative

Prairie Meadows Rehabilitation and Healthcare Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1615 Eleventh St, Floresville, TX 78114120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 67 Google reviews

5
4
3
2
1

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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (12 vs median 8.0)

Bottom 25% in Texas · Critically understaffed (RN) · Above average staffing · Worst in NEXION HEALTH chain · $43,522 in fines

Source: Medicare data

What this means for your family

This facility is highly regarded for its rehabilitative care and the warmth of its nursing staff. While most families report excellent communication, you should proactively ask about staffing levels during evening and weekend shifts to ensure your loved one receives timely assistance.

Google Reviews

Google Reviews

67 reviews analyzed
Families considering Prairie Meadows can expect a facility widely praised for its compassionate, professional nursing and rehab staff who prioritize resident comfort. While many reviewers highlight a clean and welcoming environment, there are serious, isolated allegations regarding theft and hygiene, as well as historical concerns regarding staffing shortages and cold food.

Quality Themes

Tap a score for details
Food4.0Staff9.0Clean9.0Activities8.0MedsN/AMemoryN/AComms9.0ValueN/A

Strengths

  • Compassionate and professional nursing staff
  • Clean and well-maintained facilities
  • Effective rehabilitation and therapy services
  • Welcoming and communicative administration

Concerns

  • Staffing shortages and slow response times (mentioned by 2 reviewers)
  • Issues with food temperature (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02021(11)4.82022(16)4.72023(14)4.62024(10)4.72025(15)5.02026(5)

Distribution

5
58
4
2
3
1
2
0
1
3

How They Respond to Reviews

3%response rate
Generic

The owner uses templated, brief responses for positive reviews and employs a dismissive, identity-denying tactic for negative reviews. There is no attempt to empathize with or investigate serious allegations in the 1-star review.

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your nursing staff; how do you ensure that level of care remains consistent during busy shifts?
  • 2What specific steps are being taken to address the recent health inspection findings and improve the overall facility rating?
  • 3We want to make sure meals are a highlight of the day; how do you ensure food stays at the proper temperature when it reaches the residents?
  • 4Could you tell us more about the rehabilitation and therapy services available for residents looking to regain their strength?
  • 5What is the protocol for handling a medical emergency in the middle of the night when the primary physician isn't on-site?
  • 6What kind of daily activities or social events do you have planned to keep the residents engaged and connected with each other?

Personalized based on this facility's data


Key Review Excerpts

The care at prairie meadows was excellent and I’d recommend this facility to anyone needing convalescent care.

Rehab patient's family · 2025★★★★

I notice that all the reviews for this facility are 5 stars, so I get the feeling that all lower ratings are deleted.

Long-term resident's family · 2022★★★★★

Brandi is a rockstar! She kept me informed and educated me along the way, as I helped my dad get my mom checked in yesterday.

New admission family member · 2022★★★★★
Source: 67 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
3.63hrs
89%
All nurses + aides combined
Staff Turnover
32%
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
3/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
12.1%
TX
2.5%
Wilson
8.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility18.2%
Better than Avg
Here
18.2%
US
19.5%
TX
18.4%
Wilson
27.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.4%
Better than Avg
Here
12.4%
US
19.4%
TX
14.2%
Wilson
20.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.1%
Mixed vs Avgs
Here
15.1%
US
15.4%
TX
9.4%
Wilson
13.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.2%
Mixed vs Avgs
Here
20.2%
US
15.3%
TX
14.9%
Wilson
20.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Wilson
98.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility58.6%
Worse than Avg
Here
58.6%
US
81.8%
TX
89.2%
Wilson
88.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.1%
Better than Avg
Here
92.1%
US
79.7%
TX
88.0%
Wilson
84.6%
💊

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

15deficiencies
2penalties
Well above state avg (9.1)
18 complaint-triggered
$43,522 in fines

This facility has a concerning pattern of complaint-driven issues, with families filing 15 reports that triggered federal inspections across multiple care areas. The most recurring problems involve food safety and dietary services, medication management, and fire safety systems. While all deficiencies show correction dates, the persistent nature of complaints spanning from 2023 to 2026 suggests ongoing operational challenges that families should carefully evaluate before placement.

Feb 20, 2026Complaint
3
0684ModerateCorrected

Quality of Life and Care Deficiencies

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

0690ModerateCorrected

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.

0842ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jan 4, 2026Complaint
5
0656SevereCorrected

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.

0686SevereCorrected

Quality of Life and Care Deficiencies

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

0925SevereCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 29, 2025Routine
10
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.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0690ModerateCorrected

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.

0695ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0211ModerateCorrected

Egress Deficiencies

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

0355ModerateCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372ModerateCorrected

Smoke Deficiencies

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

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.

0814MinorCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Jun 6, 2025Complaint
2
0839MinorCorrected

Administration Deficiencies

Employ staff that are licensed, certified, or registered in accordance with state laws.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Nov 27, 2024Complaint
3
0689SevereCorrected

Quality of Life and Care Deficiencies

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

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.

0732MinorCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Jul 26, 2024Complaint
5
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.

0584ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0801ModerateCorrected

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.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

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.

Federal Penalties

Fine

Jan 4, 2026

$29,895

Fine

Nov 27, 2024

$13,627

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

NEXION HEALTH AT FLORESVILLE, INC

Administrator

MARCUS HALL

Chain Affiliation

Chain Name

Nexion Health

Chain Size

52 facilities nationwide

Chain avg rating: 2.9/5 · Rank 26 of 26 (Worst)

Ownership & Management

Key personnel

Brende, MartiW-2 Managing EmployeeMak, DavidOfficer / DirectorNexion Health at Floresville, INC.ManagerBrende, MartiManagerFallon, JohnManager
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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