Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
85
81 employees · 4 contractors · 32 on an average day Golden Palms Retirement Center and Healthcare
Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care, Respite Care & Skilled Nursing · Harlingen, TX
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 12 points below the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 12 points below the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Golden Palms Retirement Center and Healthcare
Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care, Respite Care & Skilled Nursing · Harlingen, TX
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 12 points below the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 12 points below the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Golden Palms Retirement Center and Healthcare accepts Medicare, Medicaid, and private pay.
Overview of Golden Palms Retirement Center and Healthcare
Golden Palms Retirement Center and Healthcare in Harlingen, Texas, offers nursing home, assisted living, continuing care retirement communities, independent living, memory care, respite care, and skilled nursing. Assisted living includes help with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment, while independent living provides private living with community services and no daily care. Memory care provides a secured setting with supervision for someone at risk of wandering, and nursing home and skilled nursing provide licensed nursing care on site around the clock.
Respite care offers a short stay when a family caregiver needs to travel or recover. The range of care levels can suit a resident whose needs grow over time within the same community.
The home has 60 beds, with total nurse staffing of 3 hours and 5 minutes per resident per day. That figure represents the daily hands on nursing time assigned to each resident. Payment options are Medicare, Medicaid, and private pay; Medicare applies to short term skilled care after a hospital stay rather than long term residence, while Medicaid may help a family whose savings may not cover a long stay.
In house therapy and rehabilitation services let a resident receive therapy without arranging transportation elsewhere, and physician house calls bring medical visits to the community. A pool, salon or spa, landscaped courtyard, and walking paths provide on site options for swimming, personal grooming, and outdoor time, while pets are allowed so a resident may keep a pet at the community.
Monthly activity calendars include group activities, frequent outings, and sightseeing trips, and transportation is available to medical and retail appointments. A Walk Score of 50 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to handle some nearby errands independently.
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
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 139th out of 233 nursing homes we track in Texas for nurse hours. 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 5m
This nursing home is ranked 139th out of 233 nursing homes we track in Texas for nurse hours. 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 5mStandout metric: Physical therapist is +142% above Texas average
3 of 6 metrics below Texas average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 6 are the facility's own employees; no agency contractors work in this role.
6 staff · 7.3-hour shifts
30m
↑ 12% · TX 27mThis facility: 30m per resident per day, 12% above the Texas average of 27m (among Texas facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 6 are the facility's own employees; no agency contractors work in this role.
6 staff · 7.3-hour shiftsUS average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 43m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 13 are the facility's own employees; no agency contractors work in this role.
13 staff · 9.9-hour shifts
1h 5m
↑ 13% · TX 57mThis facility: 1h 5m per resident per day, 13% above the Texas average of 57m (among Texas facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 13 are the facility's own employees; no agency contractors work in this role.
13 staff · 9.9-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 9.5-hour shifts
1h 30m
↓ 28% · TX 2h 5mThis facility: 1h 30m per resident per day, 28% below the Texas average of 2h 5m (among Texas facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 9.5-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
10m
↑ 142% · TX 4mThis facility: 10m per resident per day, 142% above the Texas average of 4m (among Texas facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
2h 39m
↓ 13% · TX 3h 4mThis facility: 2h 39m per resident per day, 13% below the Texas average of 3h 4m (among Texas facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
17m
↓ 20% · TX 21mThis facility: 17m per resident per day, 20% below the Texas average of 21m (among Texas facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
85
81 employees · 4 contractors · 32 on an average day
85 total staff / 40 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.13 : 1
↑ 47% · TX 1.44This facility: 2.13 staff per resident, 47% above the Texas average of 1.44 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
85 staff ÷ 40 residents
See full Texas ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.3 h
↑ 2% · TX 8.1 hThis facility: 8.3 h, 2% above the Texas average of 8.1 h (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
24,538 staff hours this quarter
See full Texas ranking →99.6% of staff hours were worked by the facility's own employees
Texas average: 94.4% · Contractors this quarter: Medical Director (2), Occupational Therapy Assistant (1), Occupational Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
60
Rank #211 / 257Bed count — State benchmarked This nursing home is ranked 211th out of 257 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
60
Rank #211 / 257Bed count — State benchmarked This nursing home is ranked 211th out of 257 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #111 / 276Walk Score — State benchmarked This nursing home is ranked 111th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #111 / 276Walk Score — State benchmarked This nursing home is ranked 111th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
50
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #60 / 175Occupancy rate — State benchmarked This nursing home is ranked 60th out of 175 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 175. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #60 / 175Occupancy rate — State benchmarked This nursing home is ranked 60th out of 175 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 175. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
81.5%
This home usually has availability
Based on residents per day and 60 beds.
Higher than the Texas average: 71.5%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
49
Source: CMS Provider Information, average daily residents
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
46
days
About This Community
Resident Council
Accept Medicaid
Short-Term Rehabilitation
Physician House Calls
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Qualified Caregiver Assistance
Us Postal Service Mailboxes
ConciergeListed as: 24-hour concierge
Housekeeping
Laundry & Linen
TransportationListed as: Transportation to medical and retail appointments · Van with wheelchair lift
Pets Allowed
Swimming Pool
Library
Movie Theater
Beauty Salon
Game Room
Courtyard
Fitness Center
Walking Paths
Internet Access
Consignment Shoppe
Event Spaces
50S Diner Cafe
Creative Studio
Guest Apartments
Emergency Call System
Activities
Outings
Ice Cream Socials
Arts & Crafts
Current Events Discussions
Lectures
Shuffleboard
Religious AffiliationOn-site visits from a variety of clergy; transportation to offsite religious services.
Building TypeMid-rise
Studio
450 sq ft
1 Bedroom Floor plans as listed by the community: 1 Bedroom Standard (600 sq ft) · 1 Bedroom Corner (775 sq ft) · 1 Bedroom Corner Deluxe (905 sq ft)
Floor plans: Corner, Corner Deluxe
600–905 sq ft
2 Bedroom Floor plans as listed by the community: 2 Bedroom Standard (900 sq ft) · 2 Bedroom Deluxe (1,050 sq ft) · 2 Bedroom Special (1,200 sq ft)
Floor plans: Deluxe, Special
900–1,200 sq ft
In-Room Features
In-Unit Kitchenette
In-Unit Mini Fridge
Walk-In Shower With Shower Chair
CMS Health Inspection History
ALM Inspection Grade
70 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
12 points below the Texas average for CMS-certified facilities (82/100)
Category breakdown
Citations
Typical
61 severity-weighted points (23 citations) · 29% lower than the typical CMS-certified TX facility (median: 85)
Enforcement
Concern
3 enforcement actions · 3× more than the typical CMS-certified TX facility (median: 1) · $15,997 in fines
Persistence
Strong
3 days to fix issues · much faster than the typical CMS-certified TX facility (median: 16)
Total health inspections
14
↑ 77% · TX 7.9This facility: 14, 77% above the Texas average of 7.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
23
Rank #105 / 234Health citations — State benchmarked This nursing home is ranked 105th out of 234 nursing homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 234 TX facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 17% · TX 27.7This facility: 23, 17% below the Texas average of 27.7 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
1.64
Rank #5 / 234Citations per inspection — State benchmarked This nursing home is ranked 5th out of 234 nursing homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 234 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 55% · TX 3.65This facility: 1.64, 55% below the Texas average of 3.65 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
23 of 23 citations corrected
Critical
J–L
1
↓ 47% · TX 1.9This facility: 1, 47% below the Texas average of 1.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↑ 150% · TX 0.4This facility: 1, 150% above the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
21
↓ 16% · TX 24.9This facility: 21, 16% below the Texas average of 24.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · TX 0.4This facility: 0, 100% below the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: May 13, 2026 · 2 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 7 of 23 citations · 7 categories in total
Citations history
Most recent first
May 13, 2026
2 citations
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Apr 15, 2026
2 citations
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Apr 11, 2026
1 citation
Care Planning moderate citation
Corrected
Corrected
Feb 20, 2026
1 citation
Care Planning moderate citation
Corrected
Corrected
Dec 10, 2025
1 citation
Nursing Services moderate citation
Corrected
Corrected
May 15, 2025
1 citation
Care Planning moderate citation
Corrected
Corrected
May 08, 2025
3 citations
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Apr 15, 2025
1 citation
Care Planning moderate citation
Corrected
Corrected
Jan 25, 2025
4 citations
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care critical citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nov 21, 2024
1 citation
Pharmacy moderate citation
Corrected
Corrected
Jun 25, 2024
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Feb 23, 2024
1 citation
Resident Rights moderate citation
Corrected
Corrected
Nov 09, 2023
2 citations
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Oct 19, 2023
1 citation
Environmental moderate citation
Corrected
Corrected
Top deficiency categories
Share of 23 citations
Resident Assessment & Care Planning
7 deficiencies (30%)
Quality of Life & Care
7 deficiencies (30%)
Resident Rights
3 deficiencies (13%)
Pharmacy Services
3 deficiencies (13%)
Abuse, Neglect & Exploitation
1 deficiency (4%)
Nursing & Physician Services
1 deficiency (4%)
Environmental
1 deficiency (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 23 citations resulted from standard inspections; 15 of 23 resulted from complaint investigations; and 2 of 23 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Enforcement
Penalties and fines
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 Aug 2026
3 penalties in the past 3 years
Latest: Jan 25, 2025 · $9,113 civil money penalty
Jan 25, 2025 · $9,113 civil money penalty
Jun 25, 2024 · $2,867 civil money penalty
Feb 23, 2024 · $4,017 civil money penalty
Total fines
$15,997
↓ 76% · TX $66KThis facility: $15,997, 76% below the Texas average of $65,686. Average among the 815 Texas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #101 / 236Federal fines — State benchmarked This nursing home is ranked 101st out of 236 nursing homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 236 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
3
↑ 39% · TX 2.16This facility: 3, 39% above the Texas average of 2.16. Average among the 815 Texas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
TX avg 0.18Texas average: 0.18. Average among the 815 Texas facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Jan 25, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$9,113
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$9,113
Jun 25, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,867
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,867
Feb 23, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$4,017
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$4,017Fine amount comparison
This facility
$15,997
Texas average
$65,686
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Texas and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Texas average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
2.4
Score · lower is better
↓ 69% · TX 7.9This facility: 2.4, 69% below the TX average of 7.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
14.6
Score · lower is better
↑ 1% · TX 14.5This facility: 14.6, 1% above the TX average of 14.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.10 long-stay measures: 5 better, 3 worse, 1 near TX average, 1 without a benchmark
3 short-stay measures: 1 better, 2 worse
Long-stay residents
People who live at the home · 10 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
5.5%
↓ 65% · TX 15.8This facility: 5.5, 65% below the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
5.5%
↓ 65% · TX 15.8This facility: 5.5, 65% below the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.6%
↑ 76% · TX 13.4This facility: 23.6, 76% above the TX average of 13.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.6%
↑ 76% · TX 13.4This facility: 23.6, 76% above the TX average of 13.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.9%
↑ 6% · TX 0.8This facility: 0.9, 6% above the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.9%
↑ 6% · TX 0.8This facility: 0.9, 6% above the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
↓ 48% · TX 3.3This facility: 1.7, 48% below the TX average of 3.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
↓ 48% · TX 3.3This facility: 1.7, 48% below the TX average of 3.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
1.4%
↓ 63% · TX 3.8This facility: 1.4, 63% below the TX average of 3.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.4%
↓ 63% · TX 3.8This facility: 1.4, 63% below the TX average of 3.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
1.1%
↓ 65% · TX 3.0This facility: 1.1, 65% below the TX average of 3.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
1.1%
↓ 65% · TX 3.0This facility: 1.1, 65% below the TX average of 3.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
12.0%
Percent of long-stay residents who have depressive symptoms
12.0%
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
7.4%
↓ 23% · TX 9.6This facility: 7.4, 23% below the TX average of 9.6 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
7.4%
↓ 23% · TX 9.6This facility: 7.4, 23% below the TX average of 9.6 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
≈ 0% · TX 96.5This facility: 96.6, level with the TX average of 96.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
≈ 0% · TX 96.5This facility: 96.6, level with the TX average of 96.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
67.7%
↓ 31% · TX 98.0This facility: 67.7, 31% below the TX average of 98.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
67.7%
↓ 31% · TX 98.0This facility: 67.7, 31% below the TX average of 98.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
↓ 48% · TX 1.5This facility: 0.8, 48% below the TX average of 1.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
↓ 48% · TX 1.5This facility: 0.8, 48% below the TX average of 1.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.1%
↓ 9% · TX 88.9This facility: 81.1, 9% below the TX average of 88.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.1%
↓ 9% · TX 88.9This facility: 81.1, 9% below the TX average of 88.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.7%
↓ 5% · TX 88.0This facility: 83.7, 5% below the TX average of 88.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.7%
↓ 5% · TX 88.0This facility: 83.7, 5% below the TX average of 88.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Golden Palms Retirement Center and Healthcare’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 225 Texas nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
12.6% operating margin
−2.7 pts vs prior year
Positive margin in 4 of the last 8 reported years. Net income $0.9M after other income.
Does it invest in staff?
Spends less on payroll than most Texas homes
56.0% payroll share of revenue
TX average 68.8%Rank #110 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 110th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.1M while revenue fell $0.4M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Texas homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $7.9M | −$0.4M | Trend 20162024 | TX median $9.3M | Rank in TX Rank #144 / 225Net patient revenue — State benchmarked This nursing home is ranked 144th out of 225 nursing homes we track in Texas for net patient revenue. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 36% of homes | Below TX median Higher net patient revenue than 36% of TX homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $6.9M | −$0.2M | Trend 20162024 | TX median — | Rank in TX Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $1.0M | −$0.3M | Trend 20162024 | TX median — | Rank in TX Not ranked | Profit, shrinking Resident care made money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 12.6% | −2.7 pts | Trend 20162024 | TX median — | Rank in TX Not ranked | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | −$0.1M | — | Trend — | TX median — | Rank in TX Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.9M | −$0.3M | Trend — | TX median — | Rank in TX Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Texas homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.4M | +$0.1M | Trend 20162024 | TX median $4.9M | Rank in TX Rank #139 / 225Payroll costs — State benchmarked This nursing home is ranked 139th out of 225 nursing homes we track in Texas for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 38% of homes | Below TX median Higher payroll than 38% of TX homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 56.0% | +4.2 pts | Trend 20162024 | TX median 57.6% | Rank in TX Rank #110 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 110th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 46% of homes | 12.8 pts under TX average The TX average is 68.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · TX benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Texas payroll average.
% of net patient revenue
Payroll share Operating margin TX payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019no report | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $8.9M | $8.7M | $9.4M | $5.8M | $6.4M | $7.2M | $8.3M | $7.9M | |
| Operating expenses | $9.7M | $9.8M | $10.2M | $7.3M | $5.3M | $6.1M | $7.1M | $6.9M | |
| Net patient income | −$0.8M | −$1.1M | −$0.8M | −$1.5M | $1.1M | $1.1M | $1.3M | $1.0M | |
| Operating margin | −9.2% | −13.1% | −8.3% | −25.5% | 16.5% | 15.7% | 15.3% | 12.6% | |
| Net income | −$0.6M | −$0.9M | −$0.6M | −$1.5M | $1.1M | $1.1M | $1.3M | $0.9M | |
| Payroll costs | $3.7M | $3.8M | $3.9M | $3.7M | $3.1M | $3.6M | $4.3M | $4.4M | |
| Payroll share of revenue | 42.0% | 43.2% | 41.2% | 64.2% | 49.5% | 50.1% | 51.8% | 56.0% | |
| Beds | 210 | 160 | 210 | 60 | 60 | 60 | 60 | 60 | |
| Gross revenue | $17.9M | $17.2M | $18.1M | $5.4M | $6.4M | $8.4M | $10.1M | $9.9M | |
| Salaries | $3.4M | $3.4M | $3.5M | $3.2M | $2.7M | $3.1M | $3.8M | $3.9M | |
| Wage-related costs | $0.3M | $0.4M | $0.4M | $0.5M | $0.5M | $0.5M | $0.6M | $0.6M | |
| Contract labor | $0.0M | $0.0M | $0.0M | — | — | — | — | — | |
| Other operating costs | $6.0M | $6.1M | $6.3M | $3.5M | $2.2M | $2.5M | $2.7M | $2.5M | |
| Net patient revenue per day | $147 | $143 | $155 | $477 | $425 | $431 | $460 | $473 | |
| Cost per day | $161 | $162 | $168 | $599 | $354 | $363 | $390 | $414 | |
| Average length of stay | 33.3 days | 30.1 days | 29.5 days | 31.0 days | 40.1 days | 42.3 days | 41.8 days | 46.2 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
355 admissions · FY2024
Residents admitted during the year.
Medicare
100 · 28%
Medicaid
4 · 1%
Private pay & other
251 · 71%
Resident snapshot
40 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
12 · 30%
Medicaid
11 · 28%
Private pay & other
17 · 43%
Leaving
361 discharges · FY2024
Residents discharged during the year.
Medicare
89 · 25%
Medicaid
2 · 1%
Private pay & other
270 · 75%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Places of interest near Golden Palms Retirement Center and Healthcare
2.6 miles from city center
Estimated distance in miles from Harlingen's city center to Golden Palms Retirement Center and Healthcare's address, calculated via Google Maps.
Calculate Travel Distance to Golden Palms Retirement Center and Healthcare
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Compare Nursing Homes around Cameron County
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 68.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sun Valley Rehabilitation and Healthcare Center | NH HOS MC RC SNF | Harlingen (Estrellita Subdivision) | 124
Facility
124
TX AVG
109
Rank
#85 / 257 | A |
73.7%
Facility
73.7%
TX AVG
71.5%
Rank
#70 / 175 | +3% | 3.45
Facility
3.45
TX AVG
3.50
Rank
#99 / 233 | -15% | -1% | $0
Facility
$0
TX AVG
$66.1k
Rank
#1 / 236 | 5
Facility
5
TX AVG
27.7
Rank
#3 / 234 | 2.5
Facility
2.5
TX AVG
3.6
Rank
#48 / 234 | - | 91 | - |
37
Facility
37
TX AVG
44
Rank
#180 / 276 | West Wharton County Hospital District | $9.5MFiscal year ending 03/2025
Facility
$9.5MFiscal year ending 03/2025
TX AVG
$10.2M
Rank
#108 / 225 | $5.1MFiscal year ending 03/2025
Facility
$5.1MFiscal year ending 03/2025
TX AVG
$5.8M
Rank
#105 / 225 | 53.9%Fiscal year ending 03/2025
Facility
53.9%Fiscal year ending 03/2025
TX AVG
68.8%
Rank
#127 / 202 | 676493 | ||||
| Veranda Rehabilitation and Healthcare | NH SNF | Harlingen | 100
Facility
100
TX AVG
109
Rank
#163 / 257 | A+ |
87.3%
Facility
87.3%
TX AVG
71.5%
Rank
#46 / 175 | +22% | 2.84
Facility
2.84
TX AVG
3.50
Rank
#182 / 233 | -24% | -19% | $8.0k
Facility
$8.0k
TX AVG
$66.1k
Rank
#68 / 236 | 18
Facility
18
TX AVG
27.7
Rank
#66 / 234 | 2.0
Facility
2.0
TX AVG
3.6
Rank
#21 / 234 | 1 | 87 | - |
33
Facility
33
TX AVG
44
Rank
#196 / 276 | Fannin County Hospital Authority | $11.9MFiscal year ending 12/2024
Facility
$11.9MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#51 / 225 | $6.0MFiscal year ending 12/2024
Facility
$6.0MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#74 / 225 | 50.1%Fiscal year ending 12/2024
Facility
50.1%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#141 / 202 | 455925 | ||||
| Golden Palms Retirement Center and Healthcare | NH AL CCRC IL MC RC SNF | Harlingen | 60
Facility
60
TX AVG
109
Rank
#211 / 257 | C- |
81.5%
Facility
81.5%
TX AVG
71.5%
Rank
#60 / 175 | +14% | 3.08
Facility
3.08
TX AVG
3.50
Rank
#139 / 233 | -7% | -12% | $16.0k
Facility
$16.0k
TX AVG
$66.1k
Rank
#101 / 236 | 23
Facility
23
TX AVG
27.7
Rank
#105 / 234 | 1.6
Facility
1.6
TX AVG
3.6
Rank
#5 / 234 | 2 | 49 | - |
50
Facility
50
TX AVG
44
Rank
#111 / 276 | Keystone Care LLC | $7.9MFiscal year ending 12/2024
Facility
$7.9MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#144 / 225 | $4.4MFiscal year ending 12/2024
Facility
$4.4MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#139 / 225 | 56%Fiscal year ending 12/2024
Facility
56%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#110 / 202 | 455672 | ||||
| Harlingen Nursing and Rehabilitation Center | NH MC RC SNF | Harlingen | 120
Facility
120
TX AVG
109
Rank
#98 / 257 | B+ |
85.8%
Facility
85.8%
TX AVG
71.5%
Rank
#38 / 175 | +20% | 3.16
Facility
3.16
TX AVG
3.50
Rank
#139 / 233 | -25% | -10% | $6.0k
Facility
$6.0k
TX AVG
$66.1k
Rank
#64 / 236 | 19
Facility
19
TX AVG
27.7
Rank
#78 / 234 | 3.2
Facility
3.2
TX AVG
3.6
Rank
#109 / 234 | 2 | 103 | - |
49
Facility
49
TX AVG
44
Rank
#118 / 276 | Oakbend Medical Center | $10.0MFiscal year ending 12/2024
Facility
$10.0MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#92 / 225 | $4.0MFiscal year ending 12/2024
Facility
$4.0MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#160 / 225 | 40.1%Fiscal year ending 12/2024
Facility
40.1%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#185 / 202 | 675606 | ||||
| Alta Vista Rehabilitation and Healthcare | NH MC SNF | Brownsville (Los Ebanos) | 100
Facility
100
TX AVG
109
Rank
#163 / 257 | B+ |
86.6%
Facility
86.6%
TX AVG
71.5%
Rank
#41 / 175 | +21% | 2.81
Facility
2.81
TX AVG
3.50
Rank
#191 / 233 | -44% | -20% | $14.4k
Facility
$14.4k
TX AVG
$66.1k
Rank
#95 / 236 | 26
Facility
26
TX AVG
27.7
Rank
#135 / 234 | 3.3
Facility
3.3
TX AVG
3.6
Rank
#118 / 234 | 4 | 87 | - |
71
Facility
71
TX AVG
44
Rank
#34 / 276 | Fannin County Hospital Authority | $10.4MFiscal year ending 12/2024
Facility
$10.4MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#78 / 225 | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#97 / 225 | 51.3%Fiscal year ending 12/2024
Facility
51.3%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#137 / 202 | 455625 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Texas
Golden Palms Retirement Center and Healthcare is located in Harlingen, Texas.
Here are the financial assistance programs available to residents in Texas.
Know before you visit
Frequently Asked Questions about Golden Palms Retirement Center and Healthcare
Quick answers from public records and the community's own listing.01 Is Golden Palms Retirement Center and Healthcare in a walkable area?
Golden Palms Retirement Center and Healthcare has a walk score of 50. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
02 What is the occupancy rate at Golden Palms Retirement Center and Healthcare?
Golden Palms Retirement Center and Healthcare's occupancy is 81.5%.
03 Are pets allowed at Golden Palms Retirement Center and Healthcare?
Yes, Golden Palms Retirement Center and Healthcare allows residents to bring their pets.
04 What is the best email address for Golden Palms Retirement Center and Healthcare?
The team at Golden Palms Retirement Center and Healthcare can be reached at contact-goldenpalms@ensignservices.net.
05 Does Golden Palms Retirement Center and Healthcare operate as a for-profit or non-profit?
Golden Palms Retirement Center and Healthcare is registered as a for-profit.
06 What is the overall rating for Golden Palms Retirement Center and Healthcare?
Golden Palms Retirement Center and Healthcare received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
07 How many beds does Golden Palms Retirement Center and Healthcare have?
Golden Palms Retirement Center and Healthcare has 60 beds.
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