Pearsall Nursing And Rehabilitation Center

Penalties

• May 9, 2025 — Fine ($14,255)

Inspection findings

1. Jul 16, 2026 Health · 6 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     CMS health inspection

   • Not serious Scope/severity D

     F0810 Nutrition and Dietary Deficiencies

     Provide special eating equipment and utensils for residents who need them and appropriate assistance.

     CMS health inspection

   • Not serious Scope/severity D

     F0849 Administration Deficiencies

     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.

     CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     CMS fire safety

2. Dec 5, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Dec 6, 2025 · CMS health inspection

3. May 23, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0690 Quality of Life and Care Deficiencies

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

     Corrected May 24, 2025 · CMS health inspection

4. May 9, 2025 Health · 8 findings
   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected May 16, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected May 16, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected May 16, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected May 16, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected May 16, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 16, 2025 · CMS health inspection

   • Serious Scope/severity K

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected May 16, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected May 16, 2025 · CMS fire safety

5. Mar 29, 2024 Health · 11 findings
   • Not serious Scope/severity E

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Mar 30, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     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.

     Corrected Mar 30, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Mar 30, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Mar 30, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

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

     Corrected Mar 30, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0728 Nursing and Physician Services Deficiencies

     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.

     Corrected Mar 30, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     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.

     Corrected Mar 30, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Mar 30, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0801 Nutrition and Dietary Deficiencies

     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.

     Corrected Mar 30, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Mar 30, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Mar 30, 2024 · CMS fire safety

6. Feb 8, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Feb 9, 2024 · CMS health inspection

Owners and managers (as published by CMS)

• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• CASAS, CARLOS — adp of the snf, NOT APPLICABLE, since 01/01/2025
• CHAGOYA, JAVIER — adp of the snf, NOT APPLICABLE, since 04/01/2022
• CHAGOYA, JAVIER — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• CORTESE, DAREN — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 04/01/2022
• DIAZ, CRIS — managing control - governing body, NOT APPLICABLE, since 05/25/2022
• GARZA, OSCAR — adp of the snf, NOT APPLICABLE, since 04/01/2022
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• HOUT, LUCIE — adp of the snf, NOT APPLICABLE, since 01/01/2025
• JURADO, JORGE — managing control - governing body, NOT APPLICABLE, since 10/13/2023
• JURADO, JORGE — corporate officer, NOT APPLICABLE, since 10/13/2023
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• OTAZO, JULIO — managing control - governing body, NOT APPLICABLE, since 05/25/2022
• PALMER, ROBIN — managing control - governing body, NOT APPLICABLE, since 11/18/2020
• 169 MEDICAL DRIVE LLC — adp of the snf, NOT APPLICABLE, since 04/01/2022
• CSV RHEA MANAGEMENT HOLDCO, LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• DWD TX HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REG HG OPCO 1, LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REG HG OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REG OPERATOR HOLDCO LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS MASTER TENANT LLC — adp of the snf, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS OF PEARSALL, LLC — direct ownership interest, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS OF PEARSALL, LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS OF PEARSALL, LLC — adp of the snf, NOT APPLICABLE, since 04/28/2025
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 04/01/2022
• REGENCY INTEGRATED HEALTH SERVICES LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 04/28/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• REGENCY TEXAS HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• VAL VERDE COUNTY HOSPITAL DISTRICT — adp of the snf, NOT APPLICABLE, since 04/28/2025
• VAL VERDE COUNTY HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• VAL VERDE COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 04/01/2022