Federal inspection record · CMS data as of October 1, 2026
Golden Estates Rehabilitation Center
130 Spencer Ln., San Antonio, TX · (210) 736-4544
- Certified beds
- 93
- Residents per day
- 66
- Ownership
- For-Profit
- Chain
- Paramount Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 4, 1997
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Golden Estates Rehabilitation Center carries 150 inspection points. That is fewer than 18% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
33 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
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.
-
J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
-
J
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.
-
K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning6E
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service6E
- E
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.
- D
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.
- D
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.
- D
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure that residents are free from significant medication errors.
Nutrition and Dietary4F
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Resident Rights3D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Keep all essential equipment working safely.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspection history
2025-08-15
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-07-28
17 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-06-04
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 11 min of nursing staff time a day, 14 min of it from a registered nurse.
This home
3 h 11 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 88% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$162,107 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-05-30 | Fine | $16,838 |
| 2025-02-28 | Fine | $113,523 |
| 2024-07-28 | Fine | $31,746 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 1.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better | 99.1% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 3.4% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.5 pts better | 0.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.4 pts worse | 30.2% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6 pts better | 3.8% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened22.6 pts worse | 35.5% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.1 pts worse | 27.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.3% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.1 pts worse | 12.6% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts better | 2.4% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.6 pts better | 89.3% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 87.5% | 85.4% | 80.1% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Aziz, Wesam | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Aziz, Wesam | Adp Of The SNF · Individual | 0% | 9 facilities |
| Golden Rehabilitation Center LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Golden Rehabilitation Center LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Golden, Lauren | 5% Or Greater Mortgage Interest · Individual | 0% | 8 facilities |
| Golden, Lauren | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Golden, Lauren | Adp Of The SNF · Individual | 0% | 8 facilities |
| Golden, Shawn | 5% Or Greater Mortgage Interest · Individual | 0% | 5 facilities |
| Golden, Shawn | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Hooper, Grady | Corporate Officer · Individual | 0% | 61 facilities |
| Pg Properties, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Pg Properties, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Prince, Danny | 5% Or Greater Mortgage Interest · Individual | 0% | 12 facilities |
| Prince, Danny | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Prince, Danny | Adp Of The SNF · Individual | 0% | 12 facilities |
| Princeton Place Real Estate, LP | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Princeton Place Real Estate, LP | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Princeton Place Real Estate, LP | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ramos, April | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ramos, April | Adp Of The SNF · Individual | 0% | 1 facilities |
| Slm Investments LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 5 facilities |
| Slm Investments LLC | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Slm Investments LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
·
Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5E
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Install an approved automatic sprinkler system.
- E
Provide properly protected cooking facilities.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems2E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
·
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