Golden Estates Rehabilitation Center has received an F grade based on CMS data, with a score of 4/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this San Antonio facility should carefully review its inspection history and quality metrics.
With 2.93 total nurse hours per resident per day, Golden Estates Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 33 deficiencies at Golden Estates Rehabilitation Center, including 6 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are fully informed and understand their health status, care and treatments..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.93 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.36 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.86 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.70 | 2.4 | Below Average |
| Weekend Total Nursing | 2.50 | 3.8 | Below Average |
| Weekend RN Hours | 0.19 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.Nov 20, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Nov 20, 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 standarNov 20, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiAug 14, 2025 · Pharmacy Service Deficiencies
- Tag 0921 Severity EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Aug 14, 2025 · Environmental 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 | 8.0% | 4.5% | Worse |
| Falls with major injury | 2.7% | 3.0% | Better |
| On antipsychotic medication | 6.1% | 14.5% | Better |
| Urinary tract infections | 2.4% | 2.5% | Average |
| ADL decline (daily activities) | 16.7% | 14.0% | Worse |
| Excessive weight loss | 4.2% | 7.5% | Better |
| New/worsened incontinence | 4.2% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $170,769
How This Grade Was Calculated
This facility's grade of F is based on a score of 4 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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