For profit - Limited Liability company · 60 certified beds · CMS number 455672
Golden Palms Rehabilitation and Retirement, Harlingen, TX
CMS records 23 health deficiencies at Golden Palms Rehabilitation and Retirement in Harlingen, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 15, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $15,997 in the last three years.
- 23deficiencies, 3 cycles (TX median 25)
- 7in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $15,997fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Golden Palms Rehabilitation and Retirement as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Golden Palms Rehabilitation and Retirement may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (7 deficiencies)
Standard inspection Apr 15, 2026. CMS counts 7 health deficiencies and 0 fire safety deficiencies in this cycle.
May 13, 2026 · Complaint inspection
2 deficiencies, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 14, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 14, 2026
Apr 15, 2026 · Standard inspection
2 deficiencies, highest E
F628 · Discharge paperwork, notices, and bed-hold information
Requirement cited (CMS): Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 16, 2026
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 16, 2026
Apr 11, 2026 · Complaint inspection
1 deficiency, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 12, 2026
Feb 20, 2026 · Complaint inspection
1 deficiency, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 21, 2026
Dec 10, 2025 · Complaint inspection
1 deficiency, highest E
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 11, 2025
Previous cycle: 10 deficiencies (standard inspection Jan 25, 2025)
Standard inspection Jan 25, 2025. CMS counts 10 health deficiencies and 4 fire safety deficiencies in this cycle.
May 15, 2025 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 16, 2025
May 8, 2025 · Complaint inspection
3 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 9, 2025
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 9, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 9, 2025
Apr 15, 2025 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 16, 2025
Jan 25, 2025 · Standard + complaint inspection
4 deficiencies, highest J
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 27, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 27, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Oct 3, 2024
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 27, 2025
Nov 21, 2024 · Complaint inspection
1 deficiency, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 22, 2024
Earlier cycle: 6 deficiencies (standard inspection Nov 9, 2023)
Standard inspection Nov 9, 2023. CMS counts 6 health deficiencies and 0 fire safety deficiencies in this cycle.
Jun 25, 2024 · Complaint inspection
2 deficiencies, highest G
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jun 26, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 26, 2024
Feb 23, 2024 · Complaint inspection
1 deficiency, highest D
F626 · Returning after a hospital stay
Requirement cited (CMS): Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 24, 2024
Nov 9, 2023 · Standard inspection
2 deficiencies, highest E
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 10, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 10, 2023
Oct 19, 2023 · Complaint inspection
1 deficiency, highest D
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 30, 2023
Tags cited in more than one inspection
4 tags cited on more than one inspection date at Golden Palms Rehabilitation and Retirement; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F842 Complete, confidential medical records | 4 | May 13, 2026; Apr 11, 2026; Feb 20, 2026; May 8, 2025 |
| F689 Accident prevention and supervision | 3 | Jan 25, 2025 (PNC); Jun 25, 2024; Nov 9, 2023 |
| F656 Comprehensive person-centered care plan | 2 | May 15, 2025; Apr 15, 2025 |
| F755 Pharmacy services and a consultant pharmacist | 2 | May 13, 2026; Nov 21, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jan 25, 2025 | Fine | $9,113 |
| Jun 25, 2024 | Fine | $2,867 |
| Feb 23, 2024 | Fine | $4,017 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.44 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.70 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.90 h
- Nursing staff turnover
- 47.8% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 4 of 5
CMS figures for Golden Palms Rehabilitation and Retirement, copied as published; Texas medians are ours.
Facility details
- Address
- 2101 Treasure Hills Boulevard, Harlingen, TX 78550
- Phone
- (956) 430-3100
- County
- Cameron
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- The Ensign Group
- Certified beds
- 60
- Average residents per day
- 47.3
- In Medicare/Medicaid since
- Nov 10, 1986
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- Does the home use electronic health records, and can families get access through a portal? (F842, cited 4 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
Other nursing homes in Harlingen and the same chain
- Windsor Atrium
Harlingen · 37 deficiencies - Treasure Hills Healthcare and Rehabilitation Cente
Harlingen · 26 deficiencies - Harlingen Nursing and Rehabilitation Center
Harlingen · 19 deficiencies - Veranda Rehabilitation and Healthcare
Harlingen · 19 deficiencies - Windsor Nursing and Rehabilitation Center of Harli
Harlingen · 17 deficiencies - Sun Valley Rehabilitation and Healthcare Center
Harlingen · 5 deficiencies - The Eden of Las Colinas
Irving · 65 deficiencies - Northeast Rehabilitation and Healthcare Center
San Antonio · 57 deficiencies - Westpark Rehabilitation and Living
Euless · 54 deficiencies - Park Village Healthcare and Rehabilitation
DeSoto · 52 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.