Palma Real
Strong Medicare quality ratings; families often praise compassionate and attentive nursing and cna staff. Still worth an in-person visit.
based on 290 Google reviews

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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 detailsStrengths
- 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
Distribution · 193 analyzed
How They Respond to Reviews
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.”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
16
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 20, 2025Complaint2
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.
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, 2025Routine4
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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, 2025Complaint1
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, 2024Complaint4
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
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.
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, 2023Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Ownership & Operations
Who Operates This Facility
Hamilton County Hospital District
for profit
MATHIS HEALTH CARE CENTER LTD CO
KEON MAYS
Chain Affiliation
Cantex Continuing Care
38 facilities nationwide
Chain avg rating: 3.2/5 · Rank 10 of 37
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
290 reviews from families & visitors
Official Website
Visit cantexcc.com
Medicare data downloads
Original nursing home datasets
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