Texas › Bexar County › San Antonio
Golden Estates Rehabilitation Center
130 Spencer Ln., San Antonio, TX 78201
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 93 beds, Golden Estates Rehabilitation Center serves San Antonio in Bexar County, Texas and has taken Medicare and Medicaid residents since 1997.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 32 health deficiencies across the three most recent survey cycles (8, 17, 7 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 34.4 per 100 beds, more than the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $162K.
Reported nurse staffing is 3.3 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 58.5%.
Compared with county, state and nation
| Measure | This facility | Bexar Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 32 | 38 | 25 | 28.7 |
| Citations per 100 beds | 34.4 | 32.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 58.5% | 50.0% | 52.1% | 45.8% |
| Fines listed | $161,844 | $15,616 | $16,801 | — |
County and state figures are medians across facilities (62 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Aug 2025, 28 Jul 2024.
Severity mix: J ×4 K ×2 D ×19 E ×5 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 Nov 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 24 Nov 2025 |
| 21 Nov 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 24 Nov 2025 |
| 21 Nov 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 24 Nov 2025 |
| 21 Nov 2025 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 24 Nov 2025 |
| 15 Aug 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Complaint investigation | 16 Aug 2025 |
| 15 Aug 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 16 Aug 2025 |
| 15 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 16 Aug 2025 |
| 15 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 16 Aug 2025 |
| 30 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 31 May 2025 |
| 30 May 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 31 May 2025 |
| 30 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 31 May 2025 |
| 30 May 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 31 May 2025 |
| 28 Feb 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | K | Complaint investigation | 1 Mar 2025 |
| 28 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 Mar 2025 |
| 28 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Mar 2025 |
| 28 Jul 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Standard survey | 28 Jul 2024 |
| 28 Jul 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard survey | 28 Jul 2024 |
| 28 Jul 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | J | Standard survey | 28 Jul 2024 |
| 28 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Jul 2024 |
| 28 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 28 Jul 2024 |
| 28 Jul 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 28 Jul 2024 |
| 28 Jul 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 28 Jul 2024 |
| 28 Jul 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 28 Jul 2024 |
| 28 Jul 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 28 Jul 2024 |
| 28 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Jul 2024 |
| 29 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 30 Mar 2024 |
| 19 Jan 2024 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 20 Jan 2024 |
| 4 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Standard survey | 5 Jul 2023 |
| 4 Jun 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 5 Jul 2023 |
| 4 Jun 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 5 Jul 2023 |
| 4 Jun 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 5 Jul 2023 |
| 4 Jun 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 5 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 May 2025 | Fine | $16,575 | |
| 28 Feb 2025 | Fine | $113,523 | |
| 28 Jul 2024 | Fine | $31,746 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 58.5%, RNs 57.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.1% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 31.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.3% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Hamilton County Hospital District. Chain: Paramount Healthcare (8 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pg Properties, LLC | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2023 |
| Princeton Place Real Estate, LP | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2023 |
| Slm Investments LLC | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2023 |
| Golden Rehabilitation Center LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| Princeton Place Real Estate, LP | Operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| Slm Investments LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| Golden Rehabilitation Center LLC | Adp of the snf | NOT APPLICABLE | 04/22/2025 |
| Pg Properties, LLC | Adp of the snf | NOT APPLICABLE | 05/01/2023 |
| Princeton Place Real Estate, LP | Adp of the snf | NOT APPLICABLE | 05/01/2023 |
| Slm Investments LLC | Adp of the snf | NOT APPLICABLE | 05/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bexar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Army Residence Community | San Antonio | 91 | 5 | 5 | 4 | 18 | 19.8 | — | 5 Jun 2025 |
| Coronado At Stone Oak | San Antonio | 112 | 5 | 4 | 3 | 24 | 21.4 | — | 28 Jan 2026 |
| Lakeside Nursing and Rehabilitation Center | San Antonio | 118 | 5 | 4 | 2 | 23 | 19.5 | $15K | 5 Jun 2026 |
| The Mission At Blue Skies of Texas East | San Antonio | 80 | 5 | 4 | 4 | 25 | 31.3 | $17K | 8 Aug 2025 |
| Morningside Manor | San Antonio | 147 | 4 | 3 | 3 | 26 | 17.7 | $5K | 11 Apr 2026 |
| Pecan Valley Rehabilitation and Healthcare | San Antonio | 124 | 4 | 4 | 1 | 25 | 20.2 | — | 29 Apr 2026 |
| Remington Transitional Care of San Antonio | San Antonio | 60 | 4 | 3 | 3 | 23 | 38.3 | — | 15 Dec 2025 |
| San Pedro Manor | San Antonio | 150 | 4 | 3 | 2 | 30 | 20.0 | $24K | 30 Apr 2026 |
All 62 facilities in Bexar County
Questions and answers
How many deficiencies has Golden Estates Rehabilitation Center been cited for?
32 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Golden Estates Rehabilitation Center been fined?
Yes. CMS lists fines totalling $162K in the period covered.
How does staffing at Golden Estates Rehabilitation Center compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Golden Estates Rehabilitation Center?
It is part of the Paramount Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Golden Rehabilitation Center LLC, Princeton Place Real Estate, LP and Slm Investments LLC. Individual owners and managers are not listed on this site.
When was Golden Estates Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 21 Nov 2025; the most recent standard health survey was 15 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.