Prairie Meadows Rehabilitation and Healthcare Center

    1615 11th St, Floresville, TX, 78114
    4.8 · 61 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Caring staff, clean rooms, cautious

    I toured Prairie Meadows and was impressed by the kind, professional, and attentive staff, clean bright rooms, welcoming atmosphere, and strong activities/programs - my mother seemed happy and well cared for and staff communicated clearly. I did notice signs of understaffing at times (slow call responses, some hygiene/therapy shortfalls) and there are a few serious concerns reported that should be monitored. Overall I'm grateful for the visit and cautiously optimistic, but I'd recommend confirming care specifics and costs before committing.

    Pricing

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    Amenities

    4.75 · 61 reviews

    Overall rating

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

      4.3
    • Staff

      4.6
    • Meals

      2.0
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Clean, well-maintained facility
    • Friendly, caring, and compassionate staff
    • Responsive nursing team and management
    • Organized admissions and good tour experiences
    • Active and engaging activities program
    • Residents often kept clean, well-dressed, and comfortable
    • Good communication with families; staff keep families informed
    • 24/7 availability and timely problem resolution (in many cases)
    • Professional nurses, aides, and leadership (Administrator and DON praised)
    • Community outings and pet-friendly visitation
    • Welcoming, home-like atmosphere and decorated interiors
    • Suitable for short-term rehab, long-term care, and hospice (per several reviewers)

    Cons

    • Reports of serious care failures (stage 3 bedsore, inadequate turning)
    • Hygiene lapses for some residents (dirty diapers, lack of bathing)
    • Alleged theft of personal items (stolen wedding ring)
    • Untreated/poorly managed substance withdrawal (fentanyl)
    • Perceived misalignment or inconsistency in rehab focus and outcomes
    • Under-equipped or small therapy room and limited therapy resources
    • Short-staffing reported by multiple reviewers
    • Cold meals and dietary struggles/dissatisfaction
    • Delayed responses to call lights in some cases
    • High cost of care (report of ~$40k/month)
    • Emotional distress and inconsistent quality of care experiences
    • Mixed reports suggesting variability in performance across shifts/staff

    Summary review

    Overall sentiment: Reviews of Prairie Meadows Rehabilitation and Healthcare Center are strongly mixed but skew positive in volume. Many reviewers repeatedly emphasize the facility’s cleanliness, warm and home-like atmosphere, and a staff culture described as friendly, caring, and compassionate. Several named employees (Brandi, Erica, Nina, Sheila) and leadership (Administrator and Director of Nursing) receive specific praise for communication, responsiveness, and going “the extra mile.” Families frequently report feeling heard, supported, and comfortable leaving their loved ones in the facility’s care. At the same time, a minority of reviews describe severe and troubling incidents — including a stage 3 bedsore, hygiene neglect, an alleged stolen wedding ring, and untreated fentanyl withdrawal — creating a notable and serious counterpoint to the otherwise positive commentary.

    Staff quality and communication: The most consistent positive theme is the quality of staff interactions. Multiple reviewers report that nurses and aides are professional, attentive, and available to answer questions; many note 24/7 availability and that concerns are addressed promptly. Positive visits often highlight orderly admissions, informative tours, clear explanations from staff, and personal touches that put families at ease. Administrators and the DON are singled out for proactive coordination and good communication. The activities director is also repeatedly praised for keeping residents engaged, organizing outings, and fostering a sense of community.

    Care quality and safety: Care quality impressions are inconsistent. Numerous reviews state residents are clean, comfortable, and well-dressed — evidence of routine personal care being properly provided in many cases. Conversely, several reviews describe major care lapses: inadequate repositioning leading to a stage 3 pressure ulcer, reports of residents left in soiled diapers or not bathed (sponge-bath only), and an allegation of untreated fentanyl withdrawal. These incidents suggest variability in direct care delivery and potential gaps in skin-care protocols, toileting/hygiene schedules, and clinical oversight. The theft allegation (stolen wedding ring) and a strongly worded report of neglect (“worst/hell”) further amplify concerns about resident safety and dignity in a subset of experiences.

    Rehabilitation and therapy services: Reviews convey mixed messages about the facility’s rehab capabilities. Some reviewers recommend the center for rehab and note positive rehab experiences; others say the facility is

    Location

    Map showing location of Prairie Meadows Rehabilitation and Healthcare Center

    About Prairie Meadows Rehabilitation and Healthcare Center

    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.

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