Deficiency Index

Pearsall Nursing and Rehabilitation Center

Pearsall, Texas · CCN 455797

27 surveys since 2010. The first finding at harm level was recorded in 2014.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
126
Surveys
27
Harm or worse
5
Immediate jeopardy
5
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file20/27

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
150
Ownership
Non profit - Corporation
Chain
WELLSENTIAL HEALTH
County
Frio · rural
Medicare-certified since
1989

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 22 not-for-profit facilities with 128 or more beds in Texas.

Last survey on record

Jul 16, 2026

116 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.293.29
Registered-nurse hours per resident day0.42—
Annual nurse turnover27.2%41.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$14,255 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2284.6%E415.4%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 26 of the 126 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6413×

    Ensure each resident receives an accurate assessment.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6902×

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • F7612×

    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.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

In the surveyor’s words

From the most serious findings on record at Pearsall Nursing and Rehabilitation Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF801May 9, 2025

    Based on interview and record review, the facility failed to employ staff with the appropriate competencies and skill sets to carry out the functions of the food and nutrition service, taking into consideration resident assessments, individual plans of care, and the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment required for 1 of 1 facility reviewed for dietary requirements. The FSS did not have the appropriate certification, education, or qualifications to serve as the Director of Food and Nutrition Services. This deficient practice could place the residents who consume food prepared from the kitchen at risk of food borne illness and not receiving adequate nutrition. […]

  • No harm, potential for more than minimal, patternF801May 9, 2025

    Based on interview and record review, the facility failed to employ staff with the appropriate competencies and skill sets to carry out the functions of the food and nutrition service, taking into consideration resident assessments, individual plans of care, and the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment required for 1 of 1 facility reviewed for dietary requirements. The FSS did not have the appropriate certification, education, or qualifications to serve as the Director of Food and Nutrition Services. This deficient practice could place the residents who consume food prepared from the kitchen at risk of food borne illness and not receiving adequate nutrition. […]

  • No harm, potential for more than minimal, patternF812May 9, 2025

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food for 1 of 1 kitchen in accordance with professional standards for food service safety. 1. The facility failed to maintain the temperature of reach-in cooler #1 at or below 41 degrees F. 2. The facility failed to ensure a package of pork sausage and a package of sliced salami were discarded by their use-by dates. 3. The facility failed to record the temperature of reach-in cooler #1 on the Refrigerator Temperature Record on 05/08/2025. 4. […]

  • No harm, potential for more than minimal, patternF552Mar 29, 2024

    Based on observation, interview and record review the facility failed to ensure the resident's had the right to be informed of the risks, and participate in, his or her treatment which included the right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she preferred, for 3 of 22 residents (Resident #44, Resident #47 and Resident #95) reviewed for resident rights. 1. The facility failed to obtain informed consent based on information of the benefits, risks, and options available from Resident #44 Representative prior to admitting to a locked unit. 2. […]

  • No harm, potential for more than minimal, patternF728Mar 29, 2024

    Based on interview and record review the facility failed to ensure 1(NA A) of 1 Nurses' Aides were not working in the facility longer than four months without being enrolled in or having completed an approved training course. The facility failed to ensure NA G was a certified nursing aide (CNA) within the required time frame. This failure place residents at risk for receiving care from an individual whose skill level was not known. Findings included: Record review of the facility staff roster provided upon entrance revealed: Nurses' Aide G was listed as a Nursing Assistant with an 04/24/2023 hire date. […]

Read 25 findings in full →The most serious and the most recent: 25 of 126 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 16, 2026Standard5 findings
  • Dec 5, 2025Complaint1 finding
  • May 23, 2025Complaint1 finding
  • May 9, 2025Standard8 findings
  • Mar 29, 2024Standard10 findings
  • Feb 8, 2024Complaint1 finding
  • Jan 27, 2023Standard2 findings
  • Jun 22, 2022Infection control1 finding
Show the 19 earlier surveys
  • Nov 3, 2021Standard5 findings
  • Oct 24, 2020Complaint1 finding
  • Oct 11, 2019Standard6 findings
  • Oct 4, 2018Standard and complaint12 findings
  • Apr 5, 2018Complaint2 findings
  • Oct 20, 2017Standard8 findings
  • Oct 31, 2016Complaint3 findings
  • Sep 30, 2016Standard3 findings
  • Jul 22, 2016Complaint1 finding
  • Jan 11, 2016Complaint1 finding
  • Jul 31, 2015Standard9 findings
  • Aug 1, 2014Standard7 findings
  • Feb 27, 2014Complaint5 findings · 5 harm
  • Nov 7, 2013—4 findings
  • Jun 5, 2013—11 findings
  • Apr 19, 2012—13 findings
  • Jan 26, 2012—1 finding
  • Apr 15, 2011—4 findings
  • Oct 7, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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