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Palma Real

1220 Loop 459, Mathis, TX 78368 · San Patricio County

For-profit · 90 certified beds · 57% occupancy · (361) 547-3318

The U.S. government (CMS) rates Palma Real 5 out of 5 stars overall — much above average. Its nurse staffing is 1% below the Texas median.

CMS quality ratings

Overall★★★★★
Health inspections★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.24 nurse hours per resident per day. 1% below the Texas median of 3.27.

Total nurse
3.24 hrs
RN
0.37 hrs
LPN
1.28 hrs
Aide
1.59 hrs

Nursing staff turnover: 31.9% · RN turnover: 50%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

15
total findings
0
immediate jeopardy
0
caused actual harm
9
from complaints
  • Potential for harmTag F0812 · Apr 17, 2025Corrected May 17, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0880 · Nov 21, 2025ComplaintCorrected Nov 22, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0600 · Aug 20, 2025ComplaintCorrected Sep 26, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0656 · Aug 20, 2025ComplaintCorrected Sep 26, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0561 · Apr 17, 2025ComplaintCorrected May 17, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Resident Rights Deficiencies

  • Potential for harmTag F0645 · Apr 17, 2025Corrected May 17, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0686 · Apr 17, 2025Corrected May 17, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0842 · Apr 17, 2025Corrected May 17, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0812 · Feb 23, 2024ComplaintCorrected Mar 31, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0656 · Feb 23, 2024ComplaintCorrected Mar 31, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning Deficiencies

Showing the 10 most recent and serious of 15 findings. See the full inspection history on Medicare.gov.

Ownership

Part of the Cantex Continuing Care chain (38 facilities), chain average overall rating 3★.