Golden Estates Rehabilitation Center
130 Spencer Ln., San Antonio, TX 78201 · Bexar County
For-profit · 93 certified beds · 68% occupancy · (210) 736-4544
Golden Estates Rehabilitation Center reviews: what the government record shows
The U.S. government (CMS) rates Golden Estates Rehabilitation Center 2 out of 5 stars overall, below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 6 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 2 of 5 stars
- Nurse staffing
- 3.29 hrs/resident/day (+1% vs TX median)
- Antipsychotic drug use
- 4.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.7% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $161,844
- Inspection findings
- 32 cited, 6 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓Nurse staffing of 3.29 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 2 of 5 stars overall.
- !Cited for 6 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $161,844 in federal fines in roughly the last three years.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Golden Estates Rehabilitation Center
Is Golden Estates Rehabilitation Center a good nursing home?
Golden Estates Rehabilitation Center in San Antonio, Texas holds a 2 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Golden Estates Rehabilitation Center staffed?
Golden Estates Rehabilitation Center reports 3.29 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Golden Estates Rehabilitation Center been fined or flagged for abuse?
Golden Estates Rehabilitation Center has paid approximately $161,844 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.29 nurse hours per resident per day. 1% above the Texas median of 3.27.
Nursing staff turnover: 58.5% · RN turnover: 57.1%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0761 · Aug 15, 2025ComplaintCorrected Aug 16, 2025
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.
Pharmacy Service Deficiencies
- Potential for harmTag F0921 · Aug 15, 2025ComplaintCorrected Aug 16, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
- Potential for harmTag F0552 · Nov 21, 2025ComplaintCorrected Nov 24, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
- Potential for harmTag F0641 · Nov 21, 2025ComplaintCorrected Nov 24, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0842 · Nov 21, 2025ComplaintCorrected Nov 24, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0641 · Aug 15, 2025ComplaintCorrected Aug 16, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0812 · Aug 15, 2025ComplaintCorrected Aug 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Minimal harmTag F0732 · Nov 21, 2025ComplaintCorrected Nov 24, 2025
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
- Immediate jeopardyTag F0584 · Feb 28, 2025ComplaintCorrected Mar 1, 2025
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.
Resident Rights Deficiencies
- Immediate jeopardyTag F0689 · May 30, 2025ComplaintCorrected May 31, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 32 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Paramount Healthcare chain, which operates 8 facilities, with a chain-average CMS rating of 3 stars.