Palma Real
Mathis, Texas · CCN 675312
29 surveys since 2010. The first finding at harm level was recorded in 2014.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 117
- Surveys
- 29
- Harm or worse
- 4
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 90
- Ownership
- For profit - Limited Liability company
- Chain
- CANTEX CONTINUING CARE
- County
- San Patricio
- Medicare-certified since
- 1994
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 2
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 164 for-profit facilities of 66–99 beds in Texas.
Last survey on record
Jun 9, 2026
153 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.24 | 3.22 |
| Registered-nurse hours per resident day | 0.37 | — |
| Annual nurse turnover | 31.9% | 53.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1466.7% | E628.6% | F— |
| No harm, potential for minimal | A— | B14.8% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8804×
Provide and implement an infection prevention and control program.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5611×
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
In the surveyor’s words
From the most serious findings on record at Palma Real, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF628Jun 9, 2026
Based on record review and interview, the facility failed to provide notice before a transfer or discharge to the resident or the resident's representative in writing and in a language and manner in which they understand for 3 of 5 residents (Resident #25, Resident #53, and Resident #51) reviewed for transfer and discharge. The facility failed to notify Resident #25 and/or their RP of the transfer or discharge with the reasons for the move in writing in a language and manner in which they understand. The facility failed to notify Resident #53 and/or their RP of the transfer or discharge with the reasons for the move in writing in a language and manner in which they understand. […]
- No harm, potential for more than minimal, patternF812Jun 9, 2026
Based on observation, interviews and record review, the facility failed to store food in accordance with professional standards for food service safety for 1 of 1 unit refrigerators (resident refrigerator RR #1), 1 of 1 resident freezer (resident freezer RF #1) and 1 of 1 resident walk in pantry ( walk in pantry WP#1) reviewed for storage, preparation and sanitation. The facility failed to ensure items in the refrigerators were sealed, labeled, and dated. The facility failed to ensure food items in the dry storage area were not expired. The facility failed to ensure the staff was using the first in first out method of storage in the dry storage area. […]
- No harm, potential for more than minimal, patternF812Apr 17, 2025
Based on observation, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for storage, preparation and sanitation. 1. The facility failed to ensure non-stick pans were not missing the coating. The facility failed to ensure coffee cups and bowls were clean. The facility failed to ensure product were 18 inches from the ceiling in the walk-in refrigerator and freezer. The facility failed to ensure spices were not open to air. The facility failed to ensure the walk-in freezer did not have ice accumulation inside of it. […]
- No harm, potential for more than minimal, patternF812Feb 23, 2024
Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for sanitation in that: A. Food temperature was not taken prior to serving meal. B. Hot foods were served at an unsafe temperature level. These failures could place residents who eat foods prepared in the kitchen at risk of cross contamination and food-borne illnesses. Findings include: During observation and interview on 02/22/24 at 8:03 AM the Kitchen Aide was plating food. The Kitchen Aide stated no, temperatures had been taken. Further observation of the temperature log revealed , no temperatures were logged in for AM of 2/22/24. […]
- No harm, potential for more than minimal, patternF759Jan 6, 2023
Based on observations, interviews, and record reviews the facility failed to ensure a medication error rate below 5% for 1 of 2 Residents (Resident #26) reviewed for medication administration errors, in that: MA A administered 26 medications of which 8 were administered to Resident #26 50 minutes after they were scheduled, which resulted in a 30% medication error rate. This failure could place residents at risk for not receiving therapeutic effects of their medications and possible adverse reactions. […]
Read 24 findings in full →The most serious and the most recent: 24 of 117 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 9, 2026Standard6 findings
- Nov 21, 2025Complaint1 finding
- Aug 20, 2025Complaint2 findings
- Apr 17, 2025Standard and complaint5 findings
- Feb 23, 2024Standard and complaint4 findings
- Nov 13, 2023Complaint1 finding
- Jan 6, 2023Standard2 findings
- Jan 30, 2020Standard1 finding
Show the 21 earlier surveys
- Jun 19, 2019Complaint2 findings
- Jan 10, 2019Standard10 findings
- Apr 24, 2018Complaint5 findings
- Feb 9, 2018Standard and complaint16 findings
- Feb 24, 2017Standard8 findings
- Jul 12, 2016Complaint1 finding
- Mar 3, 2016Standard12 findings
- Mar 12, 2015Standard3 findings
- Dec 14, 2014Complaint5 findings
- May 29, 2014Complaint6 findings · 4 harm
- Mar 12, 2014Standard2 findings
- Oct 16, 2013—2 findings
- May 1, 2013—3 findings
- Feb 21, 2013—2 findings
- Mar 22, 2012—2 findings
- Mar 8, 2012—9 findings
- Feb 17, 2012—2 findings
- Dec 29, 2011—2 findings
- Apr 20, 2011—1 finding
- Jan 6, 2011—1 finding
- Dec 23, 2010—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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