Golden Palms Rehabilitation And Retirement faces challenges in its CMS ratings, earning a D grade with a score of 43/100. The facility ranks in the 47th percentile among Texas nursing homes, suggesting significant room for improvement.
Staffing at Golden Palms Rehabilitation And Retirement is near the national average, with 3.81 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 19 deficiencies at Golden Palms Rehabilitation And Retirement, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: 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..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.81 | 3.8 | Average |
| Registered Nurses (RN) | 0.69 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 1.21 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.91 | 2.4 | Below Average |
| Weekend Total Nursing | 3.11 | 3.8 | Below Average |
| Weekend RN Hours | 0.24 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0727 Severity EHave 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.Dec 9, 2025 · Nursing and Physician Services Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 14, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0692 Severity EProvide enough food/fluids to maintain a resident's health.May 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.May 7, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarMay 7, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.4% | 4.5% | Better |
| Falls with major injury | 2.6% | 3.0% | Better |
| On antipsychotic medication | 8.8% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 9.9% | 14.0% | Better |
| Excessive weight loss | 1.1% | 7.5% | Better |
| New/worsened incontinence | 25.8% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $15,997
How This Grade Was Calculated
This facility's grade of D is based on a score of 43 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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