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C
Below Standard

PEARSALL NURSING AND REHABILITATION CENTER

169 MEDICAL DR · PEARSALL, TX 78061

8303343371 · Non profit - Corporation

150 beds101.8 residents93 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PEARSALL NURSING AND REHABILITATION CENTER receives an overall staffing grade of C (Below Standard). With 3.1079 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4016 HPRD, below the recommended 0.75. It is 0.79 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 11.02% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1079 HPRD — needs 0.37 more hours per resident per day.
⚠️RN staffing (0.4016 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.1079hrs/resident/day▼ 0.79
CMS benchmark: 3.48
RN HPRD
0.4016hrs/resident/day▼ 0.28
Recommended: 0.75
Weekend Drop-off
11.02%
3.2078 weekday → 2.8542 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4548hrs/resident/day
Direct care aides
LPN HPRD
0.8207hrs/resident/day
Licensed practical nurses
Consistency
0.2648std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Frio County Average+0.00 HPRD
3.11
03.11 HPRD
vs. Texas State Average-0.30 HPRD
3.40
03.11 HPRD
vs. National Average-0.79 HPRD
3.90
03.11 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
PEARSALL NURSING AND REHABILITATION CENTER ★
PEARSALL · This facility
—
C
3.10790.4016★★★★★
COMMUNITY CARE CENTER OF HONDO
HONDO
31.7 mi
B
3.66260.7127★☆☆☆☆
Jourdanton Nursing and Rehabilitation
Jourdanton
34.8 mi
D
3.00450.3927★★☆☆☆
AMISTAD NURSING AND REHABILITATION CENTER
UVALDE
45.2 mi
F
3.01750.2293★★★★☆
Avir at San Antonio
San Antonio
46.7 mi
F
2.68710.0911★☆☆☆☆
SILVER CREEK NURSING AND REHABILITATION
SAN ANTONIO
49.1 mi
D
3.04370.3511★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
21
Total Deficiencies
$21,530
Fines Assessed
Dec 5, 2025Health
1 deficiency cited
▼
May 23, 2025Health
1 deficiency cited
▼
May 9, 2025Health
6 deficiencies cited
▼
Mar 29, 2024Health
10 deficiencies cited
▼
Feb 8, 2024Health
1 deficiency cited
▼
Jan 27, 2023Health
2 deficiencies cited
▼

Penalty History

May 9, 2025Fine
$21,530
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.