Golden Estates Rehabilitation Center
130 Spencer Ln · San Antonio, TX · 78201 · 2107364544
93 certified beds For profit - Limited Liability company Chain: Paramount Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $170,769 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
6 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$170,769 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.92 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 2.60 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 3 · $170,769 |
Inspection citations (32 in the current record)
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Potential for harm · D November 21, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected November 24, 2025 · Resident Rights
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Potential for harm · D November 21, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected November 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 24, 2025 · Resident Assessment and Care Planning
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No harm found · C November 21, 2025 · found via complaint
Post nurse staffing information every day.
Corrected November 24, 2025 · Nursing and Physician Services
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Potential for harm · D August 15, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected August 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 15, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected August 16, 2025 · Pharmacy Service
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Potential for harm · D August 15, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 16, 2025 · Nutrition and Dietary
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Potential for harm · E August 15, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 16, 2025 · Environmental
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Immediate jeopardy · J May 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 31, 2025 · Quality of Life and Care
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Potential for harm · D May 30, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 31, 2025 · Resident Rights
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Potential for harm · D May 30, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected May 31, 2025 · Pharmacy Service
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Immediate jeopardy · K February 28, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 1, 2025 · Resident Rights
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Potential for harm · D February 28, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 1, 2025 · Quality of Life and Care
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Immediate jeopardy · J July 28, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 28, 2024 · Resident Rights
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Immediate jeopardy · J July 28, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected July 28, 2024 · Quality of Life and Care
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Immediate jeopardy · J July 28, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected July 28, 2024 · Quality of Life and Care
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Potential for harm · E July 28, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 28, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected July 28, 2024 · Pharmacy Service
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Potential for harm · D July 28, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected July 28, 2024 · Pharmacy Service
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Potential for harm · D July 28, 2024
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected July 28, 2024 · Nutrition and Dietary
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Potential for harm · D July 28, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected July 28, 2024 · Nutrition and Dietary
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Potential for harm · F July 28, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 28, 2024 · Nutrition and Dietary
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Potential for harm · D July 28, 2024
Provide and implement an infection prevention and control program.
Corrected July 28, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 30, 2025 | Fine | $25,500 |
| February 28, 2025 | Fine | $113,523 |
| July 28, 2024 | Fine | $31,746 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675690 · certified since June 4, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.