Texas › Frio County › Pearsall
Pearsall Nursing and Rehabilitation Center
169 Medical Dr, Pearsall, TX 78061
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Pearsall Nursing and Rehabilitation Center, in Pearsall, Texas, is certified for 150 beds under non-profit, corporation ownership and belongs to the Wellsential Health chain.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 3 and quality measures 4.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (6, 7, 11 by cycle, most recent first), none at the actual-harm level. That is 16.0 per 100 beds, fewer than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 27.2%.
Compared with county, state and nation
| Measure | This facility | Frio Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 24 | 25 | 28.7 |
| Citations per 100 beds | 16.0 | 16.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 27.2% | 27.2% | 52.1% | 45.8% |
| Fines listed | $14,255 | $14,255 | $16,801 | — |
County and state figures are medians across facilities (1 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Jul 2026, 9 May 2025.
Severity mix: D ×20 E ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Jul 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | Deficient, Provider has no plan of correction |
| 16 Jul 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | Deficient, Provider has no plan of correction |
| 16 Jul 2026 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | Deficient, Provider has no plan of correction |
| 16 Jul 2026 | F0849 | 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. | D | Standard survey | Deficient, Provider has no plan of correction |
| 16 Jul 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | Deficient, Provider has no plan of correction |
| 5 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 6 Dec 2025 |
| 23 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 24 May 2025 |
| 9 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 May 2025 |
| 9 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 16 May 2025 |
| 9 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 May 2025 |
| 9 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 16 May 2025 |
| 9 May 2025 | F0761 | 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. | D | Standard survey | 16 May 2025 |
| 9 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 May 2025 |
| 29 Mar 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 30 Mar 2024 |
| 29 Mar 2024 | F0728 | Ensure 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. | E | Standard survey | 30 Mar 2024 |
| 29 Mar 2024 | F0578 | Honor 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. | D | Standard survey | 30 Mar 2024 |
| 29 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 30 Mar 2024 |
| 29 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Mar 2024 |
| 29 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 30 Mar 2024 |
| 29 Mar 2024 | F0758 | Implement 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. | D | Standard survey | 30 Mar 2024 |
| 29 Mar 2024 | F0761 | 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. | D | Standard survey | 30 Mar 2024 |
| 29 Mar 2024 | F0801 | 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. | D | Standard survey | 30 Mar 2024 |
| 29 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 30 Mar 2024 |
| 8 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 9 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 May 2025 | Fine | $14,255 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 27.2%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.6% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Val Verde County Hospital District. Chain: Wellsential Health (67 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Val Verde County Hospital District | 5% or greater direct ownership interest | 100% | 04/01/2022 |
| Regency Ihs of Pearsall, LLC | Direct ownership interest | NOT APPLICABLE | 04/01/2022 |
| Csv Rhea Management Holdco, LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Dwd Tx Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Reg Hg Opco 1, LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Reg Hg Opco LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Reg Operator Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Regency Integrated Health Services LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Regency Texas Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Regency Ihs of Pearsall, LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Regency Integrated Health Services LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Val Verde County Hospital District | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| 169 Medical Drive LLC | Adp of the snf | NOT APPLICABLE | 04/01/2022 |
| Regency Ihs Clinical Consulting, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2022 |
| Regency Ihs Master Tenant LLC | Adp of the snf | NOT APPLICABLE | 04/01/2022 |
| Regency Ihs of Pearsall, LLC | Adp of the snf | NOT APPLICABLE | 04/28/2025 |
| Regency Ihs Rehab LLC | Adp of the snf | NOT APPLICABLE | 04/01/2022 |
| Regency Integrated Health Services LLC | Adp of the snf | NOT APPLICABLE | 04/28/2025 |
| Val Verde County Hospital District | Adp of the snf | NOT APPLICABLE | 04/28/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Pearsall Nursing and Rehabilitation Center been cited for?
24 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Pearsall Nursing and Rehabilitation Center been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at Pearsall Nursing and Rehabilitation Center compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Pearsall Nursing and Rehabilitation Center?
It is part of the Wellsential Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Val Verde County Hospital District, Regency Ihs of Pearsall, LLC and Csv Rhea Management Holdco, LLC. Individual owners and managers are not listed on this site.
When was Pearsall Nursing and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 16 Jul 2026; the most recent standard health survey was 16 Jul 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.