3/5
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.
3/5
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.
Discover an exceptional living experience with the legendary Golden Palms Retirement Center and Healthcare located in the vibrant neighborhood of Harlingen, TX, providing independent living, assisted living, rehabilitation therapy, and respite care services. A wide array of beautifully appointed and comfortable accommodations ranging from studio to one-bedroom, two-bedroom, and three-bedroom are available for its residents. The community offers round-the-clock individualized care and assistance to ensure the comfort and security of its residents.
Committed to providing top-notch amenities and services, residents can avail delectable and healthy meals in restaurant-style dining, housekeeping and laundry services, full-service beauty and barber salon, and many more. Explore its amazing shared spaces such as the beautiful courtyard and scenic walking path. Enjoy participating in a full calendar of social activities and life enrichment programs with new companions. At Golden Palms Retirement Center and Healthcare, seniors are guaranteed a blissful and empowering retirement.
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.
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.
This home is ranked 146th out of 296 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 39m per day | ▲ 52% State avg: 25m per day · National avg: 41m per day |
|
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.
| 1h 10m per day | ▲ 23% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 1h 47m per day | ▼ 11% State avg: 2h 1m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 3h 8m per day | ▲ 4% State avg: 3h 0m per day · National avg: 3h 27m per day |
|
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.
| 14m per day | ▲ 257% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 14m per day | ▼ 28% State avg: 20m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
6% more staff per resident than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursHelps with daily care and mobility.
All 15 CNA Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
102 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 15 | 0 | 15 | 6,040 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 13 | 0 | 13 | 4,429 | 92 | 100% | 9.9 |
| Speech Language Pathologist | 9 | 0 | 9 | 2,594 | 84 | 91% | 7.4 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,674 | 67 | 73% | 7.2 |
| Dental Services Staff | 3 | 0 | 3 | 1,516 | 73 | 79% | 7.9 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,376 | 65 | 71% | 7.7 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 1,279 | 66 | 72% | 7.4 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,015 | 87 | 95% | 11.6 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 989 | 89 | 97% | 8.7 |
| Registered Nurse | 6 | 0 | 6 | 870 | 80 | 87% | 7.3 |
| Qualified Social Worker | 3 | 0 | 3 | 574 | 60 | 65% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 527 | 60 | 65% | 8.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 498 | 67 | 73% | 7.4 |
| RN Director of Nursing | 3 | 0 | 3 | 387 | 40 | 43% | 9 |
| Nurse Aide in Training | 1 | 0 | 1 | 356 | 52 | 57% | 6.8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 312 | 40 | 43% | 7.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 49 | 6 | 7% | 8.1 |
| Medical Director | 0 | 2 | 2 | 38 | 22 | 24% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 16 | 2 | 2% | 8 |
| Administrator | 1 | 0 | 1 | 1 | 1 | 1% | 1 |
Includes penalties issued in 2024-2025
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)
80% lower than Texas averageTexas average: $80K
21% more fines than Texas averageTexas average: 2.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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.
Jun 25, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 23, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
Percent of long-stay residents whose need for help with daily activities has increased
19.7%
22% worse than Texas averageTexas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
19% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.5%
43% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
1.1%
69% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
9.6%
234% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
5.4%
31% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
6% worse than Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
67.7%
31% worse than Texas averageTexas average: 97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.9%
5% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
14% better than Texas averageTexas average: 1.4%
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.
30% of new residents, usually for short-term rehab.
69% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
Historical financial and operational data for Golden Palms Retirement Center and Healthcare from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #202 / 304Payroll — State benchmarkedThis home is ranked 202nd out of 304 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #196 / 304Payroll % — State benchmarkedThis home is ranked 196th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (69% of admissions), and a typical private pay stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
Add your location
The information below is reported by the Texas Health and Human Services Commission.
| Sun Valley Rehabilitation and Healthcare Center | NH HC MC NC RC | Harlingen (Estrellita Subdivision) | 124
Facility
124
TX AVG
80
Rank
#178 / 988 |
76.4%
Facility
76.4%
TX AVG
63.5%
Rank
#102 / 304 | +20% | 3.79
Facility
3.79
TX AVG
3.63
Rank
#93 / 296 | -15% | +4% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 301 | 5
Facility
5
TX AVG
25.9
Rank
#6 / 299 | 2.5
Facility
2.5
TX AVG
3.7
Rank
#64 / 299 | - | 94 | - |
37
Facility
37
TX AVG
41
Rank
#808 / 1391 | Av Rehab LLC | $9.2M
Facility
$9.2M
TX AVG
$8.4M
Rank
#176 / 304 | $4.9M
Facility
$4.9M
TX AVG
$3.5M
Rank
#163 / 304 | 53.1%
Facility
53.1%
TX AVG
47%
Rank
#129 / 304 | 676493 | ||||
| The Heights of Alamo | NH MC NC RC | Alamo | 130
Facility
130
TX AVG
80
Rank
#136 / 988 |
72.8%
Facility
72.8%
TX AVG
63.5%
Rank
#112 / 304 | +15% | 3.39
Facility
3.39
TX AVG
3.63
Rank
#174 / 296 | -33% | -7% | $8.4k
Facility
$8.4k
TX AVG
$81.8k
Rank
#92 / 301 | 12
Facility
12
TX AVG
25.9
Rank
#39 / 299 | 4.0
Facility
4.0
TX AVG
3.7
Rank
#215 / 299 | 1 | 115 | - |
19
Facility
19
TX AVG
41
Rank
#1113 / 1391 | Touchstone Strategies - Alamo LLC | $10.5M
Facility
$10.5M
TX AVG
$8.4M
Rank
#104 / 304 | $3.6M
Facility
$3.6M
TX AVG
$3.5M
Rank
#182 / 304 | 34.4%
Facility
34.4%
TX AVG
47%
Rank
#272 / 304 | 676441 | ||||
| Harlingen Nursing and Rehabilitation Center | NH MC RC | Harlingen (Hale Avenue) | 120
Facility
120
TX AVG
80
Rank
#210 / 988 | - | - | 2.98
Facility
2.98
TX AVG
3.63
Rank
#255 / 296 | -25% | -18% | $100.0k
Facility
$100.0k
TX AVG
$81.8k
Rank
#254 / 301 | 17
Facility
17
TX AVG
25.9
Rank
#91 / 299 | 3.4
Facility
3.4
TX AVG
3.7
Rank
#168 / 299 | 1 | 18 | - |
49
Facility
49
TX AVG
41
Rank
#543 / 1391 | Regency Ihs Of Harlingen LLC | $7.8M
Facility
$7.8M
TX AVG
$8.4M
Rank
#206 / 304 | $3.6M
Facility
$3.6M
TX AVG
$3.5M
Rank
#220 / 304 | 45.8%
Facility
45.8%
TX AVG
47%
Rank
#168 / 304 | 675606 | ||||
| Golden Palms Retirement Center and Healthcare | NH AL IL MC RC | Harlingen | 60
Facility
60
TX AVG
80
Rank
#583 / 988 |
82.8%
Facility
82.8%
TX AVG
63.5%
Rank
#47 / 304 | +30% | 3.50
Facility
3.50
TX AVG
3.63
Rank
#146 / 296 | -7% | -4% | $16.0k
Facility
$16.0k
TX AVG
$81.8k
Rank
#117 / 301 | 18
Facility
18
TX AVG
25.9
Rank
#103 / 299 | 1.8
Facility
1.8
TX AVG
3.7
Rank
#12 / 299 | 2 | 45 | - |
50
Facility
50
TX AVG
41
Rank
#515 / 1391 | Keystone Care LLC | $8.3M
Facility
$8.3M
TX AVG
$8.4M
Rank
#179 / 304 | $4.3M
Facility
$4.3M
TX AVG
$3.5M
Rank
#202 / 304 | 51.8%
Facility
51.8%
TX AVG
47%
Rank
#196 / 304 | 455672 | ||||
| Windsor Atrium | NH MC | Harlingen | 120
Facility
120
TX AVG
80
Rank
#210 / 988 |
74.0%
Facility
74.0%
TX AVG
63.5%
Rank
#109 / 304 | +17% | 2.73
Facility
2.73
TX AVG
3.63
Rank
#284 / 296 | -58% | -25% | $23.2k
Facility
$23.2k
TX AVG
$81.8k
Rank
#150 / 301 | 22
Facility
22
TX AVG
25.9
Rank
#163 / 299 | 2.4
Facility
2.4
TX AVG
3.7
Rank
#57 / 299 | 2 | 91 | - |
14
Facility
14
TX AVG
41
Rank
#1180 / 1391 | Jason Rodriguez | $8.8M
Facility
$8.8M
TX AVG
$8.4M
Rank
#168 / 304 | $3.9M
Facility
$3.9M
TX AVG
$3.5M
Rank
#179 / 304 | 44.8%
Facility
44.8%
TX AVG
47%
Rank
#186 / 304 | 676125 |
Golden Palms Retirement Center and Healthcare is located in Harlingen, Texas.
Here are the financial assistance programs available to residents in Texas.
Golden Palms Retirement Center and Healthcare has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Golden Palms Retirement Center and Healthcare's occupancy is 82.8%.
Golden Palms Retirement Center and Healthcare is registered as a for-profit.
Yes — there are 19 photos of Golden Palms Retirement Center and Healthcare in the photo gallery on this page.
Golden Palms Retirement Center and Healthcare is located at 2101 Treasure Hills Blvd, Harlingen, TX 78550.
(956) 430-3100 will put you in contact with the team at Golden Palms Retirement Center and Healthcare.
Yes — Golden Palms Retirement Center and Healthcare is a CMS-certified provider of Medicare and Medicaid.
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