Prairie Meadows Rehabilitation And Healthcare Cent
Prairie Meadows Rehabilitation and Healthcare Cent in Floresville, TX — inspection on February 20, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
stated normally during an head-to-toe assessment nurses would look over the entire body and notate
should have included the IV or any wound measurements.
The DON stated normally if a resident had
complications.
Record review of the facility policy titled [company] Skin Integrity Prevention and Treatment Program, reviewed June 25, 2025, revealed, Braden Skin Risk Assessment and Documentation Standards include but not limited to: Completed within 24 hrs of admission as part of the nursing admission assessment, and further revealed, Weekly Skin Integrity Checks: Weekly assessment looking for new wounds-completed by a licensed nurse.
Documented on Treatment Record, and, Weekly Wound Assessment: Each identified skin issue/area is assessed weekly in electronic medical record. A review of the facility policy titled Charting and Documentation, revised July 2017, revealed, All services provided to the resident, progress toward the care plan goals, or any changes in the resident's medical, physical, functional or psychosocial condition, shall be documented in the resident's medical record, and further revealed, The following information is to be documented in the resident medical record: a.
Objective observations; b.
Medications administered; c.
Treatments or services performed; d.
Changes in the resident's condition, and, Documentation of procedures and treatments will include care-specific details, including: a.
The date and time the procedure/treatment was provided; b.
The name and title of the individual(s) who provided the care; c.
The assessment data and/or any unusual findings obtained during the procedure/treatment.
675446 02/20/2026
Prairie Meadows Rehabilitation and Healthcare Cent 1615 Eleventh St Floresville, TX 78114
During an interview with CNA D on 02/19/26 at 11:30 am, CNA D stated staff tried to hang the catheter bag on the side of the bed but since the bed was in a low position with a fall mat beside the bed, it was difficult to keep the catheter bag off the floor. CNA D also stated that the Resident #4 frequently moved it around himself. CNA D stated they encourage Resident #4 to use his call light so they can assist him to his wheelchair and properly position the catheter bag but he often forgets to do this and just gets up and walks while holding the bag.
The catheter bag placement for Resident #4 was discussed during an interview with LVN E on 02/19/26 at 11:35 am. LVN E stated she knew the catheter bag touched the floor since the bed needed to be in the low position and that this position could cause an infection. LVN E also stated that when Resident #4 is in his wheelchair, he will often try to hook the bag on his belt and they have to tell him it needs to be lower. LVN E stated they had tried to take out the catheter but he retains urine so he must have it. LVN E further stated she was not sure what they could do to prevent infection from the catheter bag touching the floor.
675446 02/20/2026
Prairie Meadows Rehabilitation and Healthcare Cent 1615 Eleventh St Floresville, TX 78114
The facility failed to ensure Resident #1's medication administration report did not contain blanks.
This deficient practice could place residents at risk of delayed or improper care due to inaccurate medical records.Record review of Resident #1's admission record, dated 2/18/26, revealed an [AGE] year-old female originally admitted on [DATE] and readmitted on [DATE] with diagnoses that included atrial fibrillation (an irregular and often rapid heart rhythm that can increase the risk of stroke and decreased cardiac efficiency), type 2 diabetes mellitus (a chronic condition in which the body does not effectively use insulin, resulting in elevated blood glucose levels), Gastroesophageal Reflux Disease (GERD) (a digestive disorder in which stomach acid frequently flows back into the esophagus causing irritation), open wound of right lower leg (a break in the skin and underlying tissue on the right lower leg that may be at risk for infection and requires wound care), open wound of left buttocks (a break in the skin and underlying tissue on the left buttocks requiring monitoring and treatment to prevent complications), and muscle weakness.
The resident was discharged on 12/17/25.
Record review of Resident #1's admission MDS, dated [DATE], revealed the resident's BIMS score was 12 (moderately impaired).
Record review of Resident #1's baseline care plan, dated 12/11/25, revealed the resident required partial or moderate assistance with personal hygiene and did not self-administer medications.
Record review of Resident #1's nursing progress notes, dated 2/18/26, revealed a note written on 12/10/25 Reached out to hospital.
Resident is currently in [Hospital] .
Written by LVN F Record review of Resident #1's nursing progress notes, dated 2/18/26, revealed a note written on 12/17/25 discharged home .
Written by LVN G
Record review of Resident #1's December 2025 MAR revealed blanks for 12/14/25 and 12/15/25 for esomeprazole magnesium capsule delayed release 40 mg give 1 capsule by mouth in the morning for GERD with an order date of 12/12/25 and DC date of 12/18/25.
Further review of the MAR revealed scheduled orders were left blank with no coding, initials, or documentation to indicate whether the medications were administered, refused, held, or unavailable on 12/10/25, 12/17/25, and 12/18/25 for daily orders.
During an interview on 2/20/26 at 10:51 a.m. the DON stated staff was expected to code something in the MAR and not leave it blank.
The DON stated between 12/9/25 and 12/11/25 the resident was in the hospital.
The DON stated they needed to enter the code that showed she was at the hospital.
The DON stated this resident was known to refuses care and may have refused medications, but staff should have used the code to show she refused the medication.
The DON stated leaving the MAR blank placed the resident at risk of not knowing if a medication was administered.
Record review of facility policy titled Charting and Documentation, dated July 2001 and revised July 2017, revealed, The following information is to be documented in the resident medical record: .
Medications administered.
The policy further revealed, Documentation in the medical record will be objective (not opinionated or speculative), complete, and accurate.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.