For profit - Limited Liability company · 90 certified beds · CMS number 675312
Palma Real, Mathis, TX
CMS records 19 health deficiencies at Palma Real in Mathis, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 9, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 19deficiencies, 3 cycles (TX median 25)
- 7in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Palma Real as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Palma Real may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (7 deficiencies)
Standard inspection Jun 9, 2026. CMS counts 7 health deficiencies and 0 fire safety deficiencies in this cycle.
Jun 9, 2026 · Standard inspection
6 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 10, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 10, 2026
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 Jun 10, 2026
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 10, 2026
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 Jun 10, 2026
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 10, 2026
Nov 21, 2025 · Complaint inspection
1 deficiency, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 22, 2025
Previous cycle: 7 deficiencies (standard inspection Apr 17, 2025)
Standard inspection Apr 17, 2025. CMS counts 7 health deficiencies and 0 fire safety deficiencies in this cycle.
Aug 20, 2025 · Complaint inspection
2 deficiencies, 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 Sep 26, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 26, 2025
Apr 17, 2025 · Standard + complaint inspection
5 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 17, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 17, 2025
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 May 17, 2025
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 17, 2025
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 17, 2025
Earlier cycle: 5 deficiencies (standard inspection Feb 23, 2024)
Standard inspection Feb 23, 2024. CMS counts 5 health deficiencies and 0 fire safety deficiencies in this cycle.
Feb 23, 2024 · Standard + complaint inspection
4 deficiencies, highest E
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
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Mar 31, 2024
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 31, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 31, 2024
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 Mar 31, 2024
Nov 13, 2023 · Complaint inspection
1 deficiency, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 4, 2023
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Palma Real; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 3 | Jun 9, 2026; Aug 20, 2025; Feb 23, 2024 |
| F812 Food safety and sanitation | 3 | Jun 9, 2026; Apr 17, 2025; Feb 23, 2024 |
| F880 Infection prevention and control program | 3 | Jun 9, 2026; Nov 21, 2025; Nov 13, 2023 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.24 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.37 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.72 h
- Nursing staff turnover
- 31.9% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 5 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for Palma Real, copied as published; Texas medians are ours.
Facility details
- Address
- 1220 Loop 459, Mathis, TX 78368
- Phone
- (361) 547-3318
- County
- San Patricio
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Cantex Continuing Care
- Certified beds
- 90
- Average residents per day
- 51
- In Medicare/Medicaid since
- May 11, 1994
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Both
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
- Can residents choose when they wake up, go to bed, and bathe? (F561, cited 1 time)
Other nursing homes in Mathis and the same chain
- Sorrento
San Antonio · 50 deficiencies - The Crescent
Sugar Land · 43 deficiencies - Park Valley Inn Health Center
Round Rock · 42 deficiencies - The Colonnades at Reflection Bay
Pearland · 42 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.