Total health inspections
10
Texas average 7.4
Last Health inspection on May 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Golden Palms Rehabilitation and Retirement
Nursing Home in Texas
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Golden Palms Rehabilitation and Retirement
Nursing Home in Texas
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Golden Palms Rehabilitation and Retirement is a senior living community located in Harlingen, Texas. It offers a range of services including independent living, assisted living, respite care, in-house therapy, and skilled nursing. The community features a variety of amenities and activities designed to enhance the well-being of its residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 30m per day
vs Texas avg
-7%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
51
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
82.8%
Avg. Length of Stay
42 days
Occupancy rate
82.8%
Avg. Length of Stay
42 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
30% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
69% of new residents, often for short stays.
Typical stay
1 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
3 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$10.1M
Profit
$1.3M
Privately-owned community
Operated by a business corporation.
Home revenue
$10.1M
Profit
$1.3M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.8M
51-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility TypeType A
StatusLicensed
CountyCameron
CMS Certification Number455672
Owner NameSANTIAGO HEALTHCARE LLC
Emergency SystemsEmergency Response System available.
Accept Medicaid
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
ActivitiesMonthly activity calendars packed with group activities, frequent outings, and sight-seeing trips.
Religious ServicesOn-site visits from a variety of clergy; transportation to offsite religious services.
Food DescriptionRestaurant-style dining with three meals a day prepared fresh.
Meals IncludedYes
Meals Per Day3
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
0 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Texas average: 6 citations
0
enforcement actions
No actions on recordPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Texas average: 1 enforcement action
Health Inspection History
Inspections
Total health citations
18
Texas average 25.9
Citations per inspection
1.8
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 18 citations resulted from standard inspections; 10 of 18 resulted from complaint investigations; and 2 of 18 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
50% better than Texas averageTexas average: 2
Serious Health citations
1
1
150% worse than Texas averageTexas average: 0.4
1 critical citation
1 serious citation
16 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 15, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 15, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 08, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 08, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 08, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 08, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 08, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 08, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Texas The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
| Golden Palms Rehabilitation and Retirement |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Harlingen | 60 | 82.8% | +30% | 3.50 | -25% | -4% | 3 | 18 | 1.8 | 2 | 45 | - | - | Keystone Care Llc | $10.1M | $3.8M | 37.2% | 455672 | ||||
| Avir at Woodlands Villas |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Eastland | 150 | 58.5% | -8% | 3.66 | -76% | +1% | 1 | 35 | 3.5 | 3 | 70 | - | - | Woodland Nursing Operations Llc | $8.5M | $2.3M | 27.3% | 675001 | ||||
| Argent Court Seguin LLC | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Seguin | 56 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Autumn Wind Mineola | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Mineola | 90 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Avanti Senior Living at Flower Mound | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Flower Mound | 98 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
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5.6 miles from city center
Estimated distance in miles from HARLINGEN's city center to Golden Palms Rehabilitation and Retirement's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
89
Employees
84
Contractors
5
Staff to resident ratio
1.65:1
9% better than Texas averageTexas average ratio: 1.51:1
Avg staff/day
32
Average shift
8.4 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
24,572
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.4%
110 contractor hours this quarter
Medical Director: 2
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 14 | 0 | 14 | 5,533 | 91 | 100% | 9.7 |
| Licensed Practical Nurse | 17 | 0 | 17 | 4,095 | 91 | 100% | 9.1 |
| Speech Language Pathologist | 9 | 0 | 9 | 2,221 | 88 | 97% | 6.7 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,829 | 68 | 75% | 7.5 |
| Dental Services Staff | 4 | 0 | 4 | 1,528 | 71 | 78% | 8 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,233 | 68 | 75% | 7.6 |
| Registered Nurse | 5 | 0 | 5 | 1,173 | 77 | 85% | 9.4 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,107 | 89 | 98% | 10.6 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,086 | 65 | 71% | 7.5 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,083 | 86 | 95% | 8.7 |
| Qualified Social Worker | 3 | 0 | 3 | 915 | 67 | 74% | 7.4 |
| RN Director of Nursing | 3 | 0 | 3 | 665 | 65 | 71% | 8.9 |
| Nurse Practitioner | 1 | 0 | 1 | 576 | 64 | 70% | 9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Aide in Training | 1 | 0 | 1 | 461 | 42 | 46% | 11 |
| Dietitian | 1 | 0 | 1 | 300 | 37 | 41% | 8.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 139 | 17 | 19% | 7.3 |
| Occupational Therapy Aide | 0 | 2 | 2 | 57 | 6 | 7% | 8 |
| Medical Director | 0 | 2 | 2 | 38 | 25 | 27% | 1.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 17 | 3 | 3% | 5.5 |
14 Certified Nursing Assistant
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
9 Speech Language Pathologist
% of Days
97%
5 Physical Therapy Aide
% of Days
75%
4 Dental Services Staff
% of Days
78%
6 Clinical Nurse Specialist
% of Days
75%
5 Registered Nurse
% of Days
85%
3 Medication Aide/Technician
% of Days
98%
5 Physical Therapy Assistant
% of Days
71%
4 Respiratory Therapy Technician
% of Days
95%
3 Qualified Social Worker
% of Days
74%
3 RN Director of Nursing
% of Days
71%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
71%
1 Nurse Aide in Training
% of Days
46%
1 Dietitian
% of Days
41%
2 Other Dietary Services Staff
% of Days
19%
2 Occupational Therapy Aide
% of Days
7%
2 Medical Director
% of Days
27%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54
Medicare
14
25.9% of residents
Medicaid
14
25.9% of residents
Private pay or other
26
48.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.5
25% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.7
29% worse than Texas averageTexas average: 16.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.7%
Percent of long-stay residents whose need for help with daily activities has increased
19.7%
22% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.7%
38% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
19% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.5%
Percent of long-stay high risk residents with pressure ulcers
2.5%
43% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.1%
Percent of long-stay residents who lose too much weight
1.1%
69% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
9.6%
Percent of long-stay residents who have depressive symptoms
9.6%
234% worse than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
5.4%
Percent of long-stay residents who received an antipsychotic medication
5.4%
31% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
6% worse than Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
67.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
67.7%
31% worse than Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.9%
5% worse than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
14% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.7%
5% worse than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$16K
80% lower than Texas averageTexas average: $80K
Number of fines
3
21% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$16K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 25, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 25, 2025
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 25, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 25, 2024
$3K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 23, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 23, 2024
$4K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Golden Palms Rehabilitation and Retirement based on CMS SNF Cost Reports.
Occupancy Rate
82.8%
↑ 6.3pp vs 2022
Net Income
$1.3M
↑ ~$137.6K vs 2022
Total Payroll
$4.3M
↑ ~$706.7K vs 2022
Profit Margin
12.7%
↓ 0.9pp vs 2022
Loading trend charts...
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