Prairie Meadows Rehabilitation and Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 67 Google reviews
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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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“I notice that all the reviews for this facility are 5 stars, so I get the feeling that all lower ratings are deleted.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
4
measures
3
measures
Residents with depression symptoms
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents whose walking got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint3
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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, 2026Complaint5
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 29, 2025Routine10
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Jun 6, 2025Complaint2
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
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, 2024Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Jul 26, 2024Complaint5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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
West Wharton County Hospital District
for profit
NEXION HEALTH AT FLORESVILLE, INC
MARCUS HALL
Chain Affiliation
Nexion Health
52 facilities nationwide
Chain avg rating: 2.9/5 · Rank 26 of 26 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
67 reviews from families & visitors
Official Website
Visit nexion-health.com
Medicare data downloads
Original nursing home datasets
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