Texas › San Patricio County › Mathis
Palma Real
1220 Loop 459, Mathis, TX 78368
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 90 beds, Palma Real serves Mathis in San Patricio County, Texas and has taken Medicare and Medicaid residents since 1994.
CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 2 and quality measures 5.
Inspectors recorded 19 health deficiencies across the three most recent survey cycles (9, 5, 5 by cycle, most recent first), none at the actual-harm level. That is 21.1 per 100 beds, about the same as the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 31.9%.
Compared with county, state and nation
| Measure | This facility | San Patricio Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 19 | 30 | 25 | 28.7 |
| Citations per 100 beds | 21.1 | 30.9 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 31.9% | 63.9% | 52.1% | 45.8% |
| Fines listed | $0 | $119,462 | $16,801 | — |
County and state figures are medians across facilities (2 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: 9 Jun 2026, 17 Apr 2025.
Severity mix: D ×14 E ×4 B ×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 |
|---|---|---|---|---|---|
| 9 Jun 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 10 Jun 2026 |
| 9 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Jun 2026 |
| 9 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Jun 2026 |
| 9 Jun 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 10 Jun 2026 |
| 9 Jun 2026 | 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 | 10 Jun 2026 |
| 9 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Jun 2026 |
| 21 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 22 Nov 2025 |
| 20 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Sep 2025 |
| 20 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 26 Sep 2025 |
| 17 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 May 2025 |
| 17 Apr 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 17 May 2025 |
| 17 Apr 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 17 May 2025 |
| 17 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 May 2025 |
| 17 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 17 May 2025 |
| 23 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 31 Mar 2024 |
| 23 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 31 Mar 2024 |
| 23 Feb 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 31 Mar 2024 |
| 23 Feb 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | B | Complaint investigation | 31 Mar 2024 |
| 13 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 4 Dec 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 31.9%, RNs 50.0%; 1 administrator 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 | 7.7% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | 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 | 9.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.0% | 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: Cantex Continuing Care (37 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Mathis Health Care Center Ltd Co | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Mathis Health Care Center Ltd Co | Adp of the snf | NOT APPLICABLE | 03/27/2025 |
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 San Patricio County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Portland | Portland | 97 | 1 | 2 | 1 | 30 | 30.9 | $119K | 2 Jul 2026 |
All 2 facilities in San Patricio County
Questions and answers
How many deficiencies has Palma Real been cited for?
19 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Palma Real been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Palma Real compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Palma Real?
It is part of the Cantex Continuing Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Mathis Health Care Center Ltd Co. Individual owners and managers are not listed on this site.
When was Palma Real last inspected?
The most recent survey or investigation in the CMS record is dated 9 Jun 2026; the most recent standard health survey was 9 Jun 2026.
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.