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Nursing home report

Golden Palms Rehabilitation and Retirement

Harlingen, TX · Medicare-certified · 60 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
4 of 5 overall

Golden Palms Rehabilitation and Retirement has a 4 out of 5 star overall rating, with solid health inspection and quality ratings but a lower 3-star staffing rating; reported staffing is 3.44 hours per resident day versus the 4.1 federal benchmark, and it had $9,113 in fines and a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.4364 hrs/resident/day

Quality measures

Last inspection: May 13, 2026Penalties, last 24 months: $9,113recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4364.

Staffing detail

Registered nurses
0.70
Licensed practical nurses
1.11
Nurse aides
1.63
Weekend nursing
2.90

Hours per resident per day.

Total staff turnover: 48%
Registered nurse turnover: 29%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

7.4%

Residents with a fall causing major injury

6.5%0%Improving

Residents with pressure ulcers (bedsores)

1.8%0%Improving

Residents with a urinary tract infection

0%3.6%Worsening

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

8.3%4.3%Improving

Long-stay residents on antianxiety or sleep medication

20%29.2%Worsening

Short-stay residents newly given an antipsychotic

1.1%1%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

13.7%15.2%Worsening

Residents with depressive symptoms

4.3%37%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

67.7%

Long-stay residents given the pneumonia vaccine

96.8%96.4%No change

Short-stay residents given the seasonal flu vaccine

83.7%

Short-stay residents given the pneumonia vaccine

75.6%85.4%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 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 ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: E

The home failed to provide enough food and fluids to keep residents healthy. Cited May 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: E

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: D

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 2 health deficiencies.

    See what inspectors found
  3. STAFFING

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

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. STAFFING

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

  7. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  8. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  9. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  10. PENALTY

    A federal fine of $9,113 was recorded.

  11. PENALTY

    A federal fine of $2,867 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $15,997 in total fines.

  • Federal fine

    Jan 25, 2025

    $9,113
  • Federal fine

    Jun 25, 2024

    $2,867
  • Federal fine

    Feb 23, 2024

    $4,017

Operator & ownership

Recent ownership change · Jun 1, 2019

Now operated by Golden Palms Rehabilitation and Retirement, previously Golden Palms Retirement and Health Center.

Ownership
For profit - Limited Liability company
Chain
Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
Occupancy
47.3 residents on an average day (79% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 39 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.