Nursing homeActive
Pearsall Nursing and Rehabilitation Center
169 Medical Dr, Pearsall, TX 780618303343371150 certified beds · 101 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2024
Deficiencies
24
● 0● 24● 0
Penalties · 3 yrs
$14,255
1 fine
Last survey
2026-07-16
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-07-16 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-12-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-09 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2024-03-29 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2024-02-08 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455797-20260716-F641
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455797-20260716-F755
F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455797-20260716-F810
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455797-20260716-F849
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455797-20260716-F880
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-06Record 455797-20251205-F641
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 455797-20250523-F690
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 455797-20250509-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 455797-20250509-F656
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 455797-20250509-F686
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 455797-20250509-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 455797-20250509-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 455797-20250509-F880
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-30Record 455797-20240329-F552
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-30Record 455797-20240329-F578
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-30Record 455797-20240329-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-30Record 455797-20240329-F657
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-30Record 455797-20240329-F690
F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-30Record 455797-20240329-F728
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-30Record 455797-20240329-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-30Record 455797-20240329-F761
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-30Record 455797-20240329-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-30Record 455797-20240329-F812
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-09Record 455797-20240208-F689
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-05-09 | Civil money penalty | $14,255 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.42
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.29
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.92
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover27%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover33%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.3% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.6% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 7.6% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.5% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.9% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.2% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 41.3% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Val Verde County Hospital District Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Chagoya, Javier Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dekowski, Donovan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Regency Ihs Of Pearsall, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Val Verde County Hospital District Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 169 Medical Drive LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Baird, Daniel Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Casas, Carlos Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Chagoya, Javier Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clapp, Barbara Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Cortese, Daren Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Csv Rhea Management Holdco, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Dekowski, Donovan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Diaz, Cris Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Dwd Tx Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Garza, Oscar Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gibson, Patricia Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hout, Lucie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jack And Nancy Dwyer Workforce Development Center Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Jurado, Jorge Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Jurado, Jorge Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mandelbaum, Elliot Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Otazo, Julio Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Palmer, Robin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Reg Hg Opco 1, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Reg Hg Opco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Reg Operator Holdco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Ihs Clinical Consulting, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Master Tenant LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Of Pearsall, LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Ihs Of Pearsall, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Rehab LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Texas Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Val Verde County Hospital District Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Wellsential Health — 67 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Frio.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Devine Health & Rehabilitation Devine | 22.3 mi | 2026-02-27 | 0110 |
| Lytle Nursing Home Lytle | 29.9 mi | 2025-07-17 | 3302 |
| Community Care Center of Hondo Hondo | 31.8 mi | 2025-09-12 | 1113 |
| Avir at Cotulla Cotulla | 32.1 mi | 2026-01-08 | 1150 |
| Medina Valley Health & Rehabilitation Center Castroville | 38.1 mi | 2026-02-27 | 2340 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |