Harlingen, TX

Golden Palms Rehabilitation And Retirement

3-star overall rating with 3-star inspections with $15,997 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

2101 Treasure Hills Blvd, Harlingen, TX

(956) 430-3100

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

44

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1986-11-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.69

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.21

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.91

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.81

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.90

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.11

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.23

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.63

CMS adjusted RN staffing hours

Adjusted total hours

3.48

CMS adjusted total nurse staffing hours

Case-mix index

1.50

Higher values indicate more complex resident acuity

RN turnover

78%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,204

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

17.69

Composite VBP score used to determine payment impact.

Payment multiplier

0.9818

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.31

Baseline 20.34% · Performance 20.83% · Measure score 1.31 · Achievement 1.31 · Improvement 0

Healthcare-associated infections

3.93

Baseline 7.25% · Performance 6.66% · Measure score 3.93 · Achievement 3.93 · Improvement 2.12

Total nurse turnover

0.9

Baseline 43.48% · Performance 60.00% · Measure score 0.9 · Achievement 0.9 · Improvement 0

Adjusted total nurse staffing

0.94

Baseline 3.15 hours · Performance 3.35 hours · Measure score 0.94 · Achievement 0.94 · Improvement 0.24

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.74%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 174 · Observed rate 8.62% · Lower 95% interval 7.25%
Discharge to community	64.66%	50.57% 14.1 pts better	Better than the National Rate · Eligible stays 164 · Observed rate 54.88% · Lower 95% interval 56.37%
Medicare spending per beneficiary	0.98	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 88 · Denominator 88
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 88
Discharge self-care score	55.17%	53.69% 1.5 pts better	Numerator 16 · Denominator 29
Discharge mobility score	65.52%	50.94% 14.6 pts better	Numerator 19 · Denominator 29
Pressure ulcers or injuries, new or worsened	2.27%	2.29% About the same	Numerator 2 · Denominator 88 · Adjusted rate 2.24%
Healthcare-associated infections requiring hospitalization	6.66%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 84 · Observed rate 5.95% · Lower 95% interval 3.81%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 104
Staff flu vaccination coverage	0.71%	42% 41.3 pts worse	Numerator 1 · Denominator 141
Discharge function score	58.62%	56.45% 2.2 pts better	Numerator 17 · Denominator 29
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 26 · Denominator 26
Transfer of health information to patient	98%	96.28% 1.7 pts better	Numerator 49 · Denominator 50
Resident COVID-19 vaccinations up to date	50%	25.2% 24.8 pts better	Numerator 23 · Denominator 46

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.9	2.1 1.8 pts worse	1.9 2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.9 · Observed 2.8 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	2.1 0.1 pts worse	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.7 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.9%	97.1% 3.2 pts worse	93.4% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 89.3% · Q2 93.1% · Q3 96.8% · Q4 96.3% · 4Q avg 93.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	67.7%	97.9% 30.2 pts worse	95.5% 27.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 67.7%
Percentage of long-stay residents experiencing one or more falls with major injury	2.6%	3.3% 0.7 pts better	3.3% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 6.5% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.3%	2.7% 1.6 pts worse	11.4% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 0.0% · Q3 4.3% · Q4 4.5% · 4Q avg 4.3%
Percentage of long-stay residents who lose too much weight	1.1%	3.3% 2.2 pts better	5.4% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.8%	18.9% 0.9 pts worse	19.6% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 16.7% · Q3 20.0% · Q4 30.4% · 4Q avg 19.8%
Percentage of long-stay residents who received an antipsychotic medication	8.8%	10.8% 2 pts better	16.7% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q3 15.0% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased	9.9%	16.1% 6.2 pts better	14.9% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 8.3% · Q4 0.0% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.5% 0.1 pts worse	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.8%	15.0% 10.8 pts worse	19.8% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 20.0% · Q3 13.7% · Q4 43.5% · 4Q avg 25.8%
Percentage of long-stay residents with pressure ulcers	2.4%	4.2% 1.8 pts better	5.1% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.6% · Q3 1.8% · Q4 2.1% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	82.6%	89.7% 7.1 pts worse	81.7% 0.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.4% · Q2 80.1% · Q3 75.6% · Q4 81.6% · 4Q avg 82.6%
Percentage of short-stay residents who had an outpatient emergency department visit	11.1%	12.0% 0.9 pts better	12.0% 0.9 pts better	Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 10.1% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.5% 0.5 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.0% · Q3 1.1% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	83.7%	88.0% 4.3 pts worse	79.7% 4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 83.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.3%	25.9% 3.4 pts worse	23.9% 5.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.3% · Observed 27.5% · Expected 22.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-25 · Fire 2025-01-25

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-11-09 · Fire 2023-11-09

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-08-04 · Fire 2022-08-04

4 health deficiencies

Top issue: Environmental (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-25

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-02-11

E · Potential for more than minimal harm 2025-01-25

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-11

D · Potential for more than minimal harm 2025-01-25

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-02-11

D · Potential for more than minimal harm 2025-01-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-11

E · Potential for more than minimal harm 2022-08-04

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-08-05

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-10

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-12-11

D · Potential for more than minimal harm 2025-05-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-05-08

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-05-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-05-08

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-04-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-16

J · Immediate jeopardy 2025-01-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-03

D · Potential for more than minimal harm 2025-01-25

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-27

D · Potential for more than minimal harm 2025-01-25

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-01-27

D · Potential for more than minimal harm 2025-01-25

F761 · Pharmacy Service Deficiencies

Health

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 2025-01-27

D · Potential for more than minimal harm 2024-11-21

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-11-22

G · Actual harm 2024-06-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-26

D · Potential for more than minimal harm 2024-06-25

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-06-26

D · Potential for more than minimal harm 2024-02-23

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-02-24

E · Potential for more than minimal harm 2023-11-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-11-09

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-19

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-11-30

E · Potential for more than minimal harm 2022-08-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-08-05

E · Potential for more than minimal harm 2022-08-04

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-08-05

Penalties and ownership

What sits behind the stars

$9,113 2025-01-25

Fine

Fine · fine $9,113

Fine

$2,867 2024-06-25

Fine

Fine · fine $2,867

Fine

$4,017 2024-02-23

Fine

Fine · fine $4,017

Fine

Ownership

Keystone Care LLC

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2019-04-17

The Ensign Group Inc

5% Or Greater Indirect Ownership Interest · Organization

100% 209 facilities 2019-04-17

Ashton, Andrew