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Nursing HomeMedicaid

Palma Real

Strong Medicare quality ratings; families often praise compassionate and attentive nursing and cna staff. Still worth an in-person visit.

1220 Loop 459, Mathis, TX 7836890 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.9/5

based on 290 Google reviews

5
4
3
2
1
Palma Real Nursing Home in Mathis, TX — Street View
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What this means for your family

This facility is an excellent choice if you value a high level of social engagement and a warm, family-oriented atmosphere. The rehabilitation and activity teams are exceptional. However, due to highly specific and severe allegations regarding medication errors and financial oversight, families should perform rigorous due diligence and ask for specific protocols regarding medication administration and resident financial protection.

Google Reviews

Google Reviews

290 reviews on Google
Palma Real is highly regarded by families for its exceptionally warm, family-like atmosphere and its vibrant activity programs led by Blanca Cano. While the majority of reviewers praise the rehabilitation success and the kindness of the nursing staff, there are serious, isolated allegations regarding medication errors and financial exploitation that require careful investigation by any prospective family.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean9.0Activities10.0Meds2.0MemoryN/AComms9.0ValueN/A

Strengths

  • Compassionate and attentive nursing and CNA staff
  • Engaging and diverse activity programs
  • Effective and successful rehabilitation/physical therapy
  • Clean and well-maintained facility
  • Welcoming and professional administrative/reception staff

Concerns

  • Serious allegations of medication errors and overdose
  • Allegations of financial exploitation and lack of protection for seniors
  • Inconsistency in dietary accommodations for special diets (mentioned by 2 reviewers)
  • Issues with cleanliness/pests in specific rooms

Rating Trends

Tap a year to see what changed

2345.02023(26)4.92024(49)4.92025(106)4.12026(12)

Distribution · 193 analyzed

5
180
4
7
3
1
2
0
1
5
53 reviews posted between Jul 10, 2025Jul 12, 2025 · 52 were 5-star
45 reviews posted between Dec 10, 2025Dec 12, 2025 · 40 were 5-star
25 reviews posted between Dec 7, 2023Dec 9, 2023 · 25 were 5-star

How They Respond to Reviews

97%response rate
Generic

The owner relies heavily on a small set of templated responses to acknowledge positive reviews, often using identical phrasing for different staff mentions. Negative reviews are addressed by directing the user to a corporate email address for further investigation.

Questions for Your Tour

  • 1It's wonderful to see how responsive the administration is to feedback; how does the leadership team involve families in the facility's continuous improvement?
  • 2With such a high rating for your activity programs, could you tell us more about how you tailor daily events to keep residents engaged?
  • 3We've heard great things about the physical therapy team here; how do you coordinate rehabilitation goals between the therapists and the nursing staff?
  • 4What specific protocols are in place to ensure medication is administered accurately and checked by multiple staff members?
  • 5How does the dietary team manage specific nutritional needs or special diets to ensure every resident's requirements are met consistently?
  • 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and providing care?

Personalized based on this facility's data


Key Review Excerpts

Therapy has been excellent. Faith, and Nichole have helped me get stronger, walk better, have reduce my pain, and helped me regain my independence back with there technique's.

Rehab patient · 2026★★★★★

Monica Garcia was more than flexible and available to meet with us. She answered all of the questions that my siblings had and at the end, everyone was more at ease.

Long-term resident's family · 2025★★★★★

The facility itself is lovely and clean. Most importantly, the staff is amazing... Every interaction I experienced and observed was filled with genuine care and humanity.

Hospice family member · 2024★★★★★
Source: 290 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.28hrs
38%
Registered nurses for medical care
Total Nursing
3.03hrs
74%
All nurses + aides combined
Staff Turnover
34%
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

16

measures

Worse Than Avg

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
12.1%
TX
2.5%

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 Facility5.1%
Better than Avg
Here
5.1%
US
15.4%
TX
9.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
14.4%
TX
16.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.3%
Better than Avg
Here
11.3%
US
19.4%
TX
14.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
4.9%
TX
4.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
💊

Short-stay residents newly given antipsychotics

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

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (9.1)
9 complaint-triggered

Families have filed multiple complaints against Palma Real, triggering half of its 18 deficiencies across recent surveys. The most recurring problems involve infection control, care planning, and food safety, with infection control violations appearing three times since 2023. Additional concerns include resident protection from abuse and maintaining proper facility conditions. While all deficiencies show correction dates, the pattern of repeated issues and family complaints warrants careful consideration.

Nov 21, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 20, 2025Complaint
2
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0656Potential for harm · IsolatedCorrected

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.

Apr 17, 2025Routine
4
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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.

Apr 17, 2025Complaint
1
0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Feb 23, 2024Complaint
4
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0656Potential for harm · IsolatedCorrected

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.

0921Minimal · PatternCorrected

Environmental Deficiencies

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

Nov 13, 2023Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hamilton County Hospital District

Organization Type

for profit

Management Company

MATHIS HEALTH CARE CENTER LTD CO

Administrator

KEON MAYS

Chain Affiliation

Chain Name

Cantex Continuing Care

Chain Size

38 facilities nationwide

Chain avg rating: 3.2/5 · Rank 10 of 37

Ownership & Management

Key personnel

Hooper, GradyOfficer / DirectorMathis Health Care Center Ltd CoManagerBallard, TranieciaManagerMathis Health Care Center Ltd CoAdp of the SnfAlaniz, AndresAdp of the Snf
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.

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