Palma Real
1220 Loop 459 · Mathis, TX · 78368 · 3615473318
90 certified beds For profit - Corporation Chain: Cantex Continuing Care
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 2.53 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (15 in the current record)
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Potential for harm · D November 21, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 22, 2025 · Infection Control
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Potential for harm · D August 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 20, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 17, 2025 · Quality of Life and Care
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Potential for harm · E April 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 17, 2025 · Nutrition and Dietary
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Potential for harm · D April 17, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 17, 2025 · Resident Rights
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Potential for harm · D February 23, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 23, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 31, 2024 · Nutrition and Dietary
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Potential for harm · D February 23, 2024 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 31, 2024 · Environmental
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No harm found · B February 23, 2024 · 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 March 31, 2024 · Environmental
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Potential for harm · D November 13, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 4, 2023 · Infection Control
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Potential for harm · E January 6, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected February 17, 2023 · Pharmacy Service
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Potential for harm · E January 6, 2023
Provide and implement an infection prevention and control program.
Corrected February 17, 2023 · Infection Control
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675312 · certified since May 11, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.