Texas ›Pearsall

Pearsall Nursing and Rehabilitation Center

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169 Medical Dr, Pearsall, TX 78061 (opens Google Maps) · Frio County · (830) 334-3371· 150 certified beds · avg 101 residents/day · certified since Mar 23, 1989 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)

4/5
Health inspection rating (on-site)
inspected Jul 16, 2026
0
Serious findings on record
$14,255
Fines, last 3 years
3.45
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641

  2. D · Potential for more than minimal harm, isolated

    The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. F-0755

  3. D · Potential for more than minimal harm, isolated

    The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. F-0810

View all 24 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jul 16, 2026D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jul 16, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jul 16, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · F-0810
Jul 16, 2026D · Potential for more than minimal harm, isolatedThe facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · F-0849
Jul 16, 2026D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Dec 5, 2025D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint · F-0641
May 23, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint · F-0690
May 9, 2025E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
May 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
May 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
May 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
May 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
May 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Mar 29, 2024E · Potential for more than minimal harm, patternThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Mar 29, 2024E · Potential for more than minimal harm, patternThe facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · F-0728
Mar 29, 2024D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Mar 29, 2024D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Mar 29, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Mar 29, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Mar 29, 2024D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Mar 29, 2024D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Mar 29, 2024D · Potential for more than minimal harm, isolatedThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Mar 29, 2024D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Feb 8, 2024E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 11
Serious citations (G–L): 0
2025
All citations: 8
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2024110E
202580E
202650D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

1 fine totaling $14,255.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
May 9, 2025Fine$14,255

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.45
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.44
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.06
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.453.463.95top 39% in Texas; bottom 34% in the U.S.
Registered Nurse hours0.440.440.69top 38% in Texas; bottom 28% in the U.S.
Weekend total nurse staffing3.063.043.50top 37% in Texas; bottom 34% in the U.S.
Weekend RN hours (not acuity-adjusted)0.270.340.48bottom 43% in Texas; bottom 25% in the U.S.
Total nursing staff turnover (%)27.255.345.8top 4% in Texas; top 10% in the U.S.
RN turnover (%)33.354.642.9top 20% in Texas; top 33% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.29, RN 0.42, weekend 2.92.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.29 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Pearsall Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
CSV Rhea Management Holdco, LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
DWD TX Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Jack and Nancy Dwyer Workforce Development Center INCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Reg HG Opco 1, LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Reg HG Opco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Reg Operator Holdco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Regency Ihs of Pearsall, LLCOrganizationDirect Ownership InterestNOT APPLICABLE04/01/2022
Regency Integrated Health Services LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Regency Texas Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Val Verde County Hospital DistrictOrganization5% or Greater Direct Ownership Interest100%04/01/2022
169 Medical Drive LLCOrganizationADP of the SNFNOT APPLICABLE04/01/2022
Baird, DanielIndividualManaging Control - Governing BodyNOT APPLICABLE04/13/2021
Casas, CarlosIndividualADP of the SNFNOT APPLICABLE01/01/2025
Chagoya, JavierIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2022
Chagoya, JavierIndividualADP of the SNFNOT APPLICABLE04/01/2022
Clapp, BarbaraIndividualManaging Control - Governing BodyNOT APPLICABLE06/01/2021
Cortese, DarenIndividualManaging Control - Governing BodyNOT APPLICABLE08/10/2021
Dekowski, DonovanIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2022
Dekowski, DonovanIndividualADP of the SNFNOT APPLICABLE04/01/2022
Diaz, CrisIndividualManaging Control - Governing BodyNOT APPLICABLE05/25/2022

Showing 20 of 37 parties CMS has on file for this facility; 17 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Wellsential Health — 67 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 66 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
  • "What adaptive eating equipment do you provide, and how do you decide who needs help at meals?"
  • "How do you coordinate hospice care, and can residents stay here while receiving it?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 27% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 37 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Devine Health & Rehabilitation22.3 miDevine, TX★★★★★5/5
Lytle Nursing Home29.9 miLytle, TX★☆☆☆☆2/5
Community Care Center of Hondo31.8 miHondo, TX★☆☆☆☆2/5
Avir at Cotulla32.1 miCotulla, TX★★★★☆4/5
Jourdanton Nursing and Rehabilitation34.8 miJourdanton, TX★★☆☆☆3/5
The Heights of Atascosa36.1 miPleasanton, TX★★★★☆4/5
Pleasanton South Nursing and Rehabilitation38.0 miPleasanton, TX★★★★☆3/5
Medina Valley Health & Rehabilitation Center38.1 miCastroville, TX★★★☆☆4/5
Pleasanton North Nursing and Rehabilitation38.3 miPleasanton, TX★☆☆☆☆1/5

Compare this facility with the 3 closest →

All facilities in Pearsall →

Facility data as of CMS processing date 2026-08-01. CCN 455797.

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