Pearsall Nursing and Rehabilitation Center

Name: Pearsall Nursing and Rehabilitation Center
Address: 169 Medical Dr, Pearsall, TX, 78061, US
Telephone: 8303343371

169 Medical Dr, Pearsall, TX 78061 · Frio County · 150 certified beds · avg 101 residents/day · certified since Mar 23, 1989

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

4/5

Health inspection rating (on-site)

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)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 self-reported quality measures.

All citations in the current public record (24)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 16, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 16, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 16, 2026	D · Potential for harm, one-off	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.
Jul 16, 2026	D · Potential for harm, one-off	The 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.
Jul 16, 2026	D · Potential for harm, one-off	The 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.
Dec 5, 2025	D · Potential for harm, one-off	The 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
May 23, 2025	D · Potential for harm, one-off	The 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
May 9, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 9, 2025	D · Potential for harm, one-off	The 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.
May 9, 2025	D · Potential for harm, one-off	The 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.
May 9, 2025	D · Potential for harm, one-off	The 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.
May 9, 2025	D · Potential for harm, one-off	The 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.
May 9, 2025	D · Potential for harm, one-off	The 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.
Mar 29, 2024	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Mar 29, 2024	E · Potential for harm, repeated	The 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.
Mar 29, 2024	D · Potential for harm, one-off	The 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.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 29, 2024	D · Potential for harm, one-off	The 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.
Mar 29, 2024	D · Potential for harm, one-off	The 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.
Mar 29, 2024	D · Potential for harm, one-off	The 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.
Mar 29, 2024	D · Potential for harm, one-off	The 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.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 8, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint

Inspection trend by year

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

Year	Citations	Worst severity that year
2024	11	E
2025	8	E
2026	5	D

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)

1 fine totaling $14,255.

Date	Type	Amount / length
May 9, 2025	Fine	$14,255

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

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.45	3.46	3.95	top 39% in Texas; bottom 34% in the U.S.
Registered Nurse hours	0.44	0.44	0.69	top 38% in Texas; bottom 28% in the U.S.
Weekend total nurse staffing	3.06	3.04	3.50	top 37% in Texas; bottom 34% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.34	0.48	bottom 43% in Texas; bottom 25% in the U.S.
Total nursing staff turnover (%)	27.2	55.3	45.8	top 4% in Texas; top 10% in the U.S.
RN turnover (%)	33.3	54.6	42.9	top 20% in Texas; top 33% in the U.S.

Hours are per resident per day, 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. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

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

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
CSV Rhea Management Holdco, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
DWD TX Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
Jack and Nancy Dwyer Workforce Development Center INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
Reg HG Opco 1, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
Reg HG Opco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
Reg Operator Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
Regency Ihs of Pearsall, LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	04/01/2022
Regency Integrated Health Services LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
Regency Texas Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2022
Val Verde County Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2022
169 Medical Drive LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2022
Baird, Daniel	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/13/2021
Casas, Carlos	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Chagoya, Javier	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2022
Chagoya, Javier	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2022
Clapp, Barbara	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2021
Cortese, Daren	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/10/2021
Dekowski, Donovan	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2022
Dekowski, Donovan	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2022
Diaz, Cris	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/25/2022

Questions to ask on your visit

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Devine Health & Rehabilitation	22.3 mi	Devine, TX	★★★★★	5/5
Lytle Nursing Home	29.9 mi	Lytle, TX	★☆☆☆☆	2/5
Community Care Center of Hondo	31.8 mi	Hondo, TX	★☆☆☆☆	2/5
Avir at Cotulla	32.1 mi	Cotulla, TX	★★★★☆	4/5
Jourdanton Nursing and Rehabilitation	34.8 mi	Jourdanton, TX	★★☆☆☆	3/5
The Heights of Atascosa	36.1 mi	Pleasanton, TX	★★★★☆	4/5
Pleasanton South Nursing and Rehabilitation	38.0 mi	Pleasanton, TX	★★★★☆	3/5
Medina Valley Health & Rehabilitation Center	38.1 mi	Castroville, TX	★★★☆☆	4/5
Pleasanton North Nursing and Rehabilitation	38.3 mi	Pleasanton, 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.

The Care File

Visit checklist — Pearsall Nursing and Rehabilitation Center

169 Medical Dr, Pearsall, TX 78061 · 8303343371

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $14,255

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455797 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)