The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Nursing home report
PALMA REAL
MATHIS, TX · Medicare-certified · 90 beds
In good standing
For-profitChain member
4 of 5 overall
4 of 5 stars overall. PALMA REAL in Mathis, TX has strong health inspection and quality ratings, but staffing is very low at 1 of 5 stars with 3.03 nurse hours per resident per day below the 4.1 federal benchmark; there were no fines in the last 24 months, though recent inspection citations included food safety, infection control, and medication error issues.
Facility ratings
Health inspections
Staffing
3.0308 hrs/resident/day
Quality measures
Last inspection: November 21, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0308.
Staffing detail
- Registered nurses
- 0.28
- Licensed practical nurses
- 1.19
- Nurse aides
- 1.56
- Weekend nursing
- 2.53
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 40%
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
6.9%3.3%Improving
Residents with a fall causing major injury
3.9%1.8%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.9%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.1%2.9%Improving
Residents whose ability to walk got worse
—13.1%—
Long-stay residents on antianxiety or sleep medication
16.2%14.3%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.1%13.3%Worsening
Residents with depressive symptoms
0%0%No change
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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited January 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CANTEX CONTINUING CARE · 38 homes · 3.2 stars avg
- Occupancy
- 58.3 residents on an average day (65% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.