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Nursing home report

Golden Estates Rehabilitation Center

San Antonio, TX · Medicare-certified · 93 beds

Needs attention
For-profitChain member
2 of 5 overall

Golden Estates Rehabilitation Center has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating, though quality measures are 5 stars. It also has a recent federal penalty, $170,769 in fines over the last 24 months, and reported nurse staffing of 2.92 hours per resident per day versus the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

2.9186 hrs/resident/day

Quality measures

Last inspection: November 21, 2025Penalties, last 24 months: $170,769recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9186.

Staffing detail

Registered nurses
0.35
Licensed practical nurses
0.92
Nurse aides
1.65
Weekend nursing
2.60

Hours per resident per day.

Total staff turnover: 59%
Registered nurse turnover: 40%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

4.7%Worsening

Residents with a fall causing major injury

3.5%Worsening

Residents with pressure ulcers (bedsores)

5.6%Improving

Residents with a urinary tract infection

2.1%Improving

Residents who lost too much weight

2.1%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

21.9%Worsening

Residents whose ability to walk got worse

21.7%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

43.3%Improving

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0.3%Steady

Residents with new or worsening incontinence

6.5%Worsening

Residents with depressive symptoms

0%Steady

Long-stay residents given the seasonal flu vaccine

98.6%Steady

Long-stay residents given the pneumonia vaccine

98.8%Improving

Short-stay residents given the seasonal flu vaccine

92.5%Steady

Short-stay residents given the pneumonia vaccine

92.9%Improving

What the inspectors found

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited February 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: K

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $25,500 was recorded.

  5. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $113,523 was recorded.

  7. PENALTY

    A federal fine of $31,746 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $170,769 in total fines.

  • Federal fine

    May 30, 2025

    $25,500
  • Federal fine

    Feb 28, 2025

    $113,523
  • Federal fine

    Jul 28, 2024

    $31,746

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of PARAMOUNT HEALTHCARE · 8 homes · 2.4 stars avg
Occupancy
60.6 residents on an average day (65% of 93 beds)
Resident voice
Resident council
Medicare history
Certified for 29 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.