Nursing homes across Wilson County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Prairie Meadows runs 120 certified beds in Floresville under for-profit LLC ownership, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average of 3.86. Weekend coverage drops about 8% below weekday levels, so care thins out when families tend to visit. Turnover runs 30.6%, notably better than the 45.8% national figure, which suggests some stability in the workforce. The bigger concern is the inspection record: 25 deficiencies, four at harm or jeopardy level and one abuse-related, with two fines totaling $43,522. That last inspection was August 2025, so the record is current, not stale.
Country Care Manor runs lean on the floor. At 3.17 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly another 21% below its own weekday pace, the gap families feel most on Saturday and Sunday. Turnover is the brighter spot: 38.5% against a national 45.8% means the staff who are there tend to stay, which matters for consistency even when the numbers are thin. On paper, inspections and quality measures both rate well, with no harm-level or abuse-related deficiencies among the 12 on record and $22,143 in fines across two events. A hospital district runs it, and the last inspection was recent.
The Frank M. Tejeda Texas State Veterans Home in Floresville runs lean on daily nursing hours, 3.09 per resident, roughly a fifth below the national average, and weekends dip about 13% below its own weekday coverage. What stands out instead is retention: turnover sits at 27.8%, well under the 45.8% national figure, which matters for familiar faces and consistent care. State-run, 160 beds, inspected in March 2026 and rated 4 of 5 on health inspections. The current record shows 22 deficiencies with none at the harm level, though 5 are abuse-related, worth asking about directly before you visit.
Harmony Care At Floresville runs 2.90 nursing hours per resident day, roughly a quarter below the national figure of 3.86, and weekends dip about 12% below what the home staffs on weekdays. Turnover sits at 50.8%, above the 45.8% national average. The inspection record shows 39 deficiencies, two of them serious enough to reach harm or jeopardy level, plus one tied to abuse, and $87,066 in fines across three penalties. This is a for-profit corporate home with 144 beds; its most recent inspection was May 8, 2026. Low staffing and a heavy deficiency history are the two things worth weighing hardest if you're deciding.