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Nursing homeFAID #14112

Prairie Meadows Rehabilitation and Healthcare Center

1615 ELEVENTH ST, FLORESVILLE, TX, 78114
(830) 216-7090
www.nexion-health.com/prairiemeadows
120 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of Prairie Meadows Rehabilitation and Healthcare Center
Photo via Google · Prairie Meadows Rehabilitation and Healthcare Center

Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
675446
Care type
Nursing home
County
Wilson
Facility name
Prairie Meadows Rehabilitation and Healthcare Center
Street address
1615 ELEVENTH ST
City / state / ZIP
Floresville, TX 78114
Phone
(830) 216-7090
Website
www.nexion-health.com/prairiemeadows

About this facility — Prairie Meadows Rehabilitation and Healthcare Center

Prairie Meadows Rehabilitation and Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Floresville, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 4 senior care facilities in Floresville and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Prairie Meadows Rehabilitation and Healthcare Center 36 times across 13 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $33,059 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Nexion Health
Ownership type
For profit - Limited Liability company

Registered owners & officers

Brende, Marti
Managing employee · Operational control — since 2021
Fallon, John
Operational control — since 2021
Herdrich, William
Operational control — since 2021
Kirley, Francis
Operational control — since 2021
Lee, Brian
Operational control — since 2021
Mak, David
Officer · Operational control — since 2021
Nexion Health At Floresville, Inc.
Operational control — since 2021
Reid, John
Operational control — since 2021
Riner, Meera
Operational control — since 2021

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1995-02-09
CMS overall rating
1 of 5 stars
Health deficiencies
15 at the last standard inspection
Federal fines
$33,059 total
Last standard inspection
2025-08-29
Nurse staffing
3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$345 per day (≈ $10,490/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
55% Medicaid · 8% Medicare · 37% private/other
Occupancy
50% (fiscal year 2023)
Vs. state median
25% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-26Health inspectionComplaint-triggered2 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-07-03
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-07-03
2026-02-20Health inspectionComplaint-triggered3 citations
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-21
F-0690
E · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-02-21
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-02-21
9 earlier / fire-safety inspections (31 citations)
2026-01-04Health inspectionComplaint-triggered5 citations
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2026-01-05
F-0656
J · Immediate jeopardyFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-05
F-0686
J · Immediate jeopardyFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-24
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-01-05
F-0925
J · Immediate jeopardyFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-01-05
2025-08-29Health inspection5 citations
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-08-30
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-30
F-0761
D · No harm found
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.
Corrected 2025-08-30
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-30
F-0814
C · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2025-08-30
2025-06-06Health inspectionComplaint-triggered2 citations
F-0839
D · No harm foundFrom a complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2025-07-06
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-07-06
2024-11-27Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-28
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-28
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2024-11-28
2024-07-26Health inspectionComplaint-triggered5 citations
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2024-09-07
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-07
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2024-09-05
F-0801
E · No harm foundFood safetyFrom a complaint
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.
Corrected 2024-09-07
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-07
2023-06-09Health inspection2 citations
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-27
F-0849
D · No harm found
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-07-27
2025-08-29Fire-safety inspection5 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-09-05
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-09-19
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-19
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-05
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-09-05
2024-07-26Fire-safety inspection1 citation
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-01
2023-06-09Fire-safety inspection3 citations
E-0031
F · No harm found
Provide emergency officials' contact information.
Corrected 2023-08-05
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-07-23
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-23

Federal penalties

2026-01-04Fine$19,432
2024-11-27Fine$13,627
Total fines$33,059
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675446.

Visitor reviews

What people say on Google.
4.775 ratings on Google
★★★★★Maxwell McCarty · 2026-05-05 · via Google

“I will give this facility 5 stars every day of the week. The staff is amazing and cares so much for their people and treats each and every resident as if they are family. From maintenance to management this facility is a well run machine that provides top notch care while still feeling like home. DON Nicole and ADON Natalie are fantastic and it shows in all of the nursing care and Marcus the admin…”

★★★★★Jessica Hansen · 2026-05-14 · via Google

“As an outside healthcare professional coming into many facilities, I can honestly say this building immediately stands out the moment you walk through the doors. The atmosphere is warm, welcoming, and filled with kindness. Every staff member I encountered greeted me with a smile, acknowledged visitors, and created an environment that truly feels caring and compassionate. You can clearly see there…”

★★★★★Nikki Davis · 2026-06-15 · via Google

“Great staff they care so much about their residents. The Administrator and DON are going above and beyond with the care for residents and their families. The facility itself is very clean, bright and friendly. This is a good place to bring your loved one to.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 36 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
$79$99 Advanced

Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered