Palma Real
1220 Loop 459, Mathis, TX 78368 · San Patricio County
For-profit · 90 certified beds · 57% occupancy · (361) 547-3318
Palma Real reviews: what the government record shows
The U.S. government (CMS) rates Palma Real 5 out of 5 stars overall, much above average. Its nurse staffing is 1% below the Texas median.
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
- 5 of 5 stars
- Nurse staffing
- 3.24 hrs/resident/day (-1% vs TX median)
- Antipsychotic drug use
- 5% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.8% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- None on record
- Inspection findings
- 19 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A strong option on the record. Still worth a visit to confirm it fits your parent.
Strengths
- ✓Earns 5 of 5 stars overall from CMS.
- ✓No federal fines on record in roughly the last three years.
Concerns
- !Nurse staffing of 3.24 hrs/resident/day is below the Texas median of 3.27.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
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 Palma Real
Is Palma Real a good nursing home?
Palma Real in Mathis, Texas holds a 5 of 5 star CMS overall rating. A strong option on the record. Still worth a visit to confirm it fits your parent.
How is Palma Real staffed?
Palma Real reports 3.24 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Palma Real been fined or flagged for abuse?
Palma Real has no federal fines on record 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.
3.24 nurse hours per resident per day. 1% below the Texas median of 3.27.
Nursing staff turnover: 31.9% · RN turnover: 50%
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 F0628 · Jun 9, 2026Corrected Jun 10, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
- Potential for harmTag F0812 · Jun 9, 2026Corrected Jun 10, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0656 · Jun 9, 2026Corrected Jun 10, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0760 · Jun 9, 2026Corrected Jun 10, 2026
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Potential for harmTag F0761 · Jun 9, 2026Corrected Jun 10, 2026
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 F0880 · Jun 9, 2026Corrected Jun 10, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0880 · Nov 21, 2025ComplaintCorrected Nov 22, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0600 · Aug 20, 2025ComplaintCorrected Sep 26, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0656 · Aug 20, 2025ComplaintCorrected Sep 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0812 · Apr 17, 2025Corrected May 17, 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
Showing the 10 most recent and serious of 19 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.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Cantex Continuing Care chain, which operates 37 facilities, with a chain-average CMS rating of 3.1 stars.