Nursing home report
MATHIS, TX · Medicare-certified · 90 beds
PALMA REAL in Mathis, TX has a 5-star overall rating, with strong health inspection and quality scores, but a low 2-star staffing rating and reported nurse staffing below the federal benchmark (3.24 vs. 4.1 hours/resident/day). It had $0 in fines over the last 24 months, and recent inspection issues included documentation/notification, food handling, and care planning requirements.
Health inspections
Staffing
3.2366 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2366.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited June 2026 — limited pattern, potential for harm.
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2026 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
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 June 2026 — isolated incident, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The nursing home failed to ensure residents were free from significant medication errors. Cited June 2026 — isolated incident, potential for harm.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited June 2026 — isolated incident, potential for harm.
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 6 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
Health inspection found 5 health deficiencies.
Now operated by Hamilton County Hospital District, previously Uvalde County Hospital Authority.
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.
