Prairie Meadows - Floresville

    1615 11th St, Floresville, TX 78114
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Kind staff clean facility attentive

    I'm very satisfied - staff are kind, professional and attentive, the facility is clean, welcoming and well-maintained, and activities keep residents engaged. Communication and clinical care are responsive, and I feel confident my loved one is well cared for.

    Loved one of resident
    Jul 2026

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    Reviews

    4.77·(71)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.4
    • Staff

      4.7
    • Meals

      3.5
    • Amenities

      4.0
    • Value

      3.0

    Pros

    • Compassionate, attentive nursing staff
    • Responsive administration and leadership
    • Clean, well-maintained facility and rooms
    • Engaging activities program with community outings
    • Rehabilitation-focused services and coordination
    • Clear communication and care planning
    • Welcoming, home‑like atmosphere
    • Dog-friendly visitation and family accommodation
    • On-schedule meal service and dining routines
    • Helpful admissions and tour experience

    Cons

    • Inconsistent clinical care and staffing levels
    • Gaps in wound-prevention and pressure‑ulcer management
    • Incontinence- and hygiene-care delays
    • Under-resourced therapy space and equipment
    • Variable meal quality and temperature control
    • Medication-management and withdrawal-support gaps
    • Asset-security and personal-belonging protection weaknesses
    • High private-pay cost relative to perceived value

    Summary of reviews

    Overall impression: Prairie Meadows presents as a well‑kept, welcoming skilled‑nursing and rehabilitation center with repeatedly noted strengths in staff demeanor, cleanliness, and resident engagement. Many families describe friendly, attentive nurses and aides, coordinated care meetings, and an active life‑enrichment program that includes community outings. Admissions and leadership staff receive frequent praise for clear explanations and responsiveness, contributing to a generally positive, home‑like atmosphere.

    Care quality and clinical issues: Clinical care receives mixed signals. Numerous comments highlight compassionate nursing, 24/7 availability, and effective coordination led by administration and the director of nursing. At the same time, several reviews describe serious clinical concerns — including reported progression of a pressure ulcer and difficulties with turning/positioning, delays in incontinence and hygiene support, and a reported gap in addressing withdrawal management. These items indicate variability in clinical consistency and suggest the need for prospective families to review wound‑prevention protocols, staffing patterns across shifts, and medication/withdrawal management procedures during admissions conversations.

    Therapy and rehabilitation: The facility is identified as rehab‑focused and many families were satisfied with convalescent outcomes and staff engagement in therapy and care planning. However, some reviewers perceived a misalignment between expected rehab intensity and actual progress, and there are comments about a small or under‑equipped therapy space. Prospective residents should ask about therapy staffing ratios, the typical therapy schedule, and equipment availability to ensure services match recovery goals.

    Dining: Dining experiences are described as generally positive — on‑schedule dinners, favorable meal service moments, and occasional praise for specific items. Conversely, there are reports of cold meals and challenges adapting to some dietary needs. These mixed observations point to variability in meal execution and temperature control; families should request sample menus and process details for special diets.

    Activities and community life: The activities program and director receive strong, consistent praise for keeping residents engaged and involved in community outings and on‑site events. Reviewers emphasize an active social environment and a staff that fosters resident participation, which contributes to residents’ reported satisfaction and mood.

    Facilities and operations: The building is frequently described as clean, bright, and well‑decorated with a welcoming smell and maintained common areas. Maintenance responsiveness is noted positively. That said, some operational concerns surface around staffing variability (which correlates with delayed call‑light responses reported by some), and an allegation of a missing personal item raises questions about asset‑protection practices. Prospective families should review policies for personal‑belonging tracking and security.

    Management, cost, and notable patterns: Leadership and front‑line staff are often commended for communication, problem resolution, and family comfort. Still, a pattern of inconsistent care practices and resourcing gaps appears in several critiques. Cost is a distinct concern for some — private‑pay rates described as high relative to perceived value — so reviewing contract terms, included services, and out‑of‑pocket expectations is recommended.

    Recommendation for families: Many families report positive experiences driven by compassionate staff, clean facilities, and strong activity programming. To address the variability noted in reviews, prospective residents and families should: tour the therapy space and ask about equipment and therapy schedules; inquire about wound‑prevention protocols, turning schedules, and pressure‑ulcer monitoring; review staffing ratios and overnight coverage; discuss dietary accommodations and meal‑service temperature controls; and confirm policies for medication management and safeguarding personal items. These targeted inquiries will help determine whether Prairie Meadows’ strengths align with an individual’s clinical and quality‑of‑life needs.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Prairie Meadows - Floresville

    Prairie Meadows - Floresville is located at 1615 11th St, Floresville, TX, 78114.

    About Prairie Meadows - Floresville

    Prairie Meadows Rehabilitation and Healthcare Center sits at 1615 11th Street in Floresville, Texas, and goes by the name Nexion Prairie Meadows Health and Rehab. Nexion Health provides its services, focusing on rehabilitation and healthcare for seniors and people who need extra help. The community offers skilled nursing care around the clock and provides both short-term rehab services and longer stays for those who need it. They've got programs designed for different health conditions, including Alzheimer's and memory care, along with assisted living and long-term care options, which can feel comforting for folks who want to stay in one place. Daily specialized rehabilitation and wound care are available, and the staff follows individualized care plans to match each resident's needs. There's an interdisciplinary care team with various clinical backgrounds, and telemedicine services allow residents to see healthcare providers online without leaving the building. Prairie Meadows aims for a "home away from home" atmosphere and puts an emphasis on a safe and comfortable environment, offering amenities and activities to fill the days. Admissions are always open, day or night, seven days a week. Everything in the facility tries to support comfort, safety, and the daily care each resident requires. No further public information is available about Prairie Meadows Rehabilitation and Healthcare Center.

    People often ask...

    Prairie Meadows - Floresville offers assisted living, memory care, and skilled nursing.

    There are 24 photos of Prairie Meadows - Floresville on Mirador.

    The full address for this community is 1615 11th St, Floresville, TX 78114.

    No, Prairie Meadows - Floresville does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Prairie Meadows - Floresville. The information above has not been verified or approved by the owner or operator. For exact information, please contact Prairie Meadows - Floresville directly. There is no cost for this service. We are compensated by the community you select.

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