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Nursing HomeMedicaid Investigative

Golden Estates Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

130 Spencer Ln., Near Northwest · San Antonio, TX 7820193 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 55 Google reviews

5
4
3
2
1
Golden Estates Rehabilitation Center Nursing Home in San Antonio, TX — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (12 vs median 8.0)
  • High staff turnover (61%)
  • High RN turnover (80%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in PARAMOUNT HEALTHCARE chain · $170,769 in fines

Source: Medicare data

What this means for your family

This facility offers excellent dining and a very communicative administrative team, which can make the transition much easier for your loved one. However, you must verify their current medication protocols and hygiene standards, as past reviews have highlighted serious concerns regarding neglect and inconsistent nursing care.

Google Reviews

Google Reviews

55 reviews on Google
Families considering Golden Estates will find a facility praised for its exceptionally friendly staff, high-quality dining, and engaging social activities like bingo and holiday celebrations. However, there are serious, recurring allegations of neglect, medication delays, and safety concerns that require thorough investigation during your visit.

Quality Themes

Tap a score for details
Food9.0Staff6.0Clean8.0Activities9.0Meds3.0MemoryN/AComms8.0ValueN/A

Strengths

  • Friendly and attentive nursing and CNA staff
  • High-quality food and kitchen services
  • Engaging social activities and holiday celebrations
  • Clean and well-maintained environment
  • Professional admissions and administrative communication

Concerns

  • Allegations of patient neglect and lack of basic hygiene care (mentioned by 3 reviewers)
  • Delays in medication administration by nursing staff (mentioned by 2 reviewers)
  • Inconsistent staffing levels or busy/unresponsive staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'19(3)'22(2)'24(23)'26(1)

Distribution · 47 analyzed

5
31
4
2
3
0
2
0
1
14

How They Respond to Reviews

93%response rate
Generic

The owner uses highly repetitive, templated responses for positive reviews, often using the exact same phrasing. For negative reviews, they use a single standardized template that directs the reviewer to a specific email address.

Questions for Your Tour

  • 1It's great to see how much the administration engages with the community through your review responses; how do you typically communicate important facility updates to families?
  • 2We've heard wonderful things about the quality of the food and kitchen services here; could you tell us a bit about the daily meal schedule and menu variety?
  • 3What kind of social activities or holiday celebrations do you have planned to keep residents engaged and connected?
  • 4How does the nursing team ensure that medication schedules are strictly followed and that every dose is administered on time?
  • 5With the recent health inspection findings, what specific steps is the facility taking to improve care standards and address previous deficiencies?
  • 6How does the staff manage personal hygiene care and daily grooming to ensure every resident feels clean and comfortable?

Personalized based on this facility's data


Key Review Excerpts

The management team works hard to ensure every resident and patient is well cared for. Admin and social worker does a fabulous job to make sure each patient has all the resources they need upon discharge.

Rehab patient's family · 2025★★★★

I came to see my Grammy and I must say what a change! I honestly don’t know if it’s management but she has started to gain weight and looks so happy…the way to our hearts is through our stomachs so the kitchen must be the heart of this facility !

Long-term resident's family · 2024★★★★★

The admission director Falicity is the first person I have met, navigating the skilled nursing and full time care, that truly knows what she’s doing. If she didn’t have the answers, and needed to ask, I got an answer quickly.

Long-term resident's family · 2023☆☆☆☆
Source: 55 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
47%
Registered nurses for medical care
Total Nursing
2.92hrs
71%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility43.3%
Worse than Avg
Here
43.3%
US
19.5%
TX
18.4%
Bexar
21.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
19.4%
TX
14.2%
Bexar
17.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Bexar
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.7%
Better than Avg
Here
4.7%
US
15.4%
TX
9.4%
Bexar
10.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
15.3%
TX
14.9%
Bexar
14.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.9%
Worse than Avg
Here
21.9%
US
14.4%
TX
16.1%
Bexar
16.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.5%
Better than Avg
Here
92.5%
US
79.7%
TX
88.0%
Bexar
84.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.9%
Better than Avg
Here
92.9%
US
81.8%
TX
89.2%
Bexar
81.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Bexar
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
3penalties
Above state avg (9.1)
18 complaint-triggered
$170,769 in fines

Families have filed multiple complaints against this facility, triggering 19 of 43 deficiencies across recent inspections. Recurring problems include medication management errors, safety hazards and accident prevention failures, and poor care planning and assessments. While the facility corrects issues when cited, the pattern of repeated complaints in core care areas like medication safety and resident assessments suggests ongoing quality concerns that families should carefully evaluate.

Nov 21, 2025Complaint
4
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Aug 15, 2025Complaint
4
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Aug 15, 2025Routine
2
0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

May 30, 2025Complaint
4
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Feb 28, 2025Complaint
4
0584Immediate jeopardy · PatternCorrected

Resident Rights Deficiencies

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.

0211Immediate jeopardy · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jul 28, 2024Routine
14
0580Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0678Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0693Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0800Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Federal Penalties

Fine

May 30, 2025

$25,500

Fine

Feb 28, 2025

$113,523

Fine

Jul 28, 2024

$31,746

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hamilton County Hospital District

Organization Type

for profit

Management Company

GOLDEN REHABILITATION CENTER LLC

Administrator

APRIL RAMOS

Chain Affiliation

Chain Name

Paramount Healthcare

Chain Size

8 facilities nationwide

Chain avg rating: 2.3/5 · Rank 8 of 8 (Worst)

Ownership & Management

Key personnel

Pg Properties, LLC5% or Greater Mortgage InterestPrinceton Place Real Estate, Lp5% or Greater Mortgage InterestSlm Investments LLC5% or Greater Mortgage InterestGolden, Lauren5% or Greater Mortgage InterestGolden, Shawn5% or Greater Mortgage Interest
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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