Nursing Care Index

Pearsall Nursing And Rehabilitation Center

Pearsall, Frio County, Texas · CCN 455797 · Non-profit (Corporation) · part of Wellsential Health (67 facilities, chain average 2.7 stars)

CMS rates Pearsall Nursing And Rehabilitation Center 4 of 5 overall as of August 2026. 150 certified beds, 101 residents a day on average. 24 citations on record from the current inspection cycles; 1 fine totalling $14,255.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay4 / — of 5

Staffing

Total nurse staffing3.28865 hours per resident per day
Registered nurses0.41649 hours per resident per day
Weekend total2.91901 hours per resident per day
Nursing staff turnover27.2% (registered nurses 33.3%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-07-16 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2026-07-16 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2026-07-16 Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · tag F0810
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2026-07-16 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.
Administration Deficiencies · tag F0849
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2026-07-16 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2025-12-05
complaint survey
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-06
2025-05-23
complaint survey
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-24
2025-05-09 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-05-16
2025-05-09 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-16
2025-05-09 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-16
2025-05-09 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-16
2025-05-09 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-16
2025-05-09 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-16
2024-03-29 Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-30
2024-03-29 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.
Nursing and Physician Services Deficiencies · tag F0728
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-30
2024-03-29 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-30
2024-03-29 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-30
2024-03-29 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-30
2024-03-29 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-30
2024-03-29 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-30
2024-03-29 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-30
2024-03-29 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.
Nutrition and Dietary Deficiencies · tag F0801
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-30
2024-03-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-30
2024-02-08
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-09

Fines and payment denials

DatePenaltyAmount
2025-05-09Fine$14,255

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Val Verde County Hospital District
Organization
5% or greater direct ownership interest100%2022-04-01
169 Medical Drive LLC
Organization
adp of the snf2022-04-01
Regency Ihs Clinical Consulting, LLC
Organization
adp of the snf2022-04-01
Regency Ihs Master Tenant LLC
Organization
adp of the snf2022-04-01
Regency Ihs Of Pearsall, LLC
Organization
adp of the snf2025-04-28
Regency Ihs Rehab LLC
Organization
adp of the snf2022-04-01
Regency Integrated Health Services LLC
Organization
adp of the snf2025-04-28
Val Verde County Hospital District
Organization
adp of the snf2025-04-28
Regency Ihs Of Pearsall, LLC
Organization
direct ownership interest2022-04-01
Csv Rhea Management Holdco, LLC
Organization
indirect ownership interest2022-04-01
Dwd Tx Holdings LLC
Organization
indirect ownership interest2022-04-01
Jack And Nancy Dwyer Workforce Development Center Inc.
Organization
indirect ownership interest2022-04-01
Reg Hg Opco 1, LLC
Organization
indirect ownership interest2022-04-01
Reg Hg Opco LLC
Organization
indirect ownership interest2022-04-01
Reg Operator Holdco LLC
Organization
indirect ownership interest2022-04-01
Regency Integrated Health Services LLC
Organization
indirect ownership interest2022-04-01
Regency Texas Holdings LLC
Organization
indirect ownership interest2022-04-01
Regency Ihs Of Pearsall, LLC
Organization
operational/managerial control2022-04-01
Regency Integrated Health Services LLC
Organization
operational/managerial control2022-04-01
Val Verde County Hospital District
Organization
operational/managerial control2022-04-01
Casas, Carlos
Individual
adp of the snf2025-01-01
Chagoya, Javier
Individual
adp of the snf2022-04-01
Dekowski, Donovan
Individual
adp of the snf2022-04-01
Garza, Oscar
Individual
adp of the snf2022-04-01
Hout, Lucie
Individual
adp of the snf2025-01-01
Jurado, Jorge
Individual
corporate officer2023-10-13
Baird, Daniel
Individual
managing control - governing body2021-04-13
Clapp, Barbara
Individual
managing control - governing body2021-06-01
Cortese, Daren
Individual
managing control - governing body2021-08-10
Diaz, Cris
Individual
managing control - governing body2022-05-25
Gibson, Patricia
Individual
managing control - governing body2021-08-01
Jurado, Jorge
Individual
managing control - governing body2023-10-13
Mandelbaum, Elliot
Individual
managing control - governing body2025-01-01
Otazo, Julio
Individual
managing control - governing body2022-05-25
Palmer, Robin
Individual
managing control - governing body2020-11-18
Chagoya, Javier
Individual
operational/managerial control2022-04-01
Dekowski, Donovan
Individual
operational/managerial control2022-04-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Frio County.