The Palms Nursing & Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 9 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (30 vs median 8.0)
- High staff turnover (55%)
Bottom 25% in Texas · Below recommended RN staffing · Significantly below average staffing · Worst in CARING HEALTHCARE GROUP chain · $79,987 in fines · Abuse citation
What this means for your family
This facility offers excellent activity programming and a very helpful admissions team, which can make the transition easier for new residents. However, recent reports of hygiene neglect and pest issues are serious red flags that require direct investigation during your tour.
Google Reviews
Google Reviews
9 reviews on Google“Families may find a divide between high-quality administrative and activity services and significant concerns regarding basic hygiene and resident care. While some reviewers praise the engaging activities and helpful admissions staff, others report distressing issues with personal hygiene, lost belongings, and pest presence in rooms.”
Quality Themes
Tap a score for detailsStrengths
- Engaging activities and coordinators
- Knowledgeable admissions and administrative staff
- Friendly and sweet nursing staff
- High-quality food (noted by some visitors)
Concerns
- Issues with resident hygiene and clothing changes
- Presence of pests/bugs in resident rooms
- Loss of personal resident belongings
Rating Trends
Tap a year to see what changed
Distribution · 9 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about your activity coordinators; could you tell us more about the types of engaging programs available for residents?
- 2How does your nursing team approach daily personal care, such as assisting with hygiene and dressing, to ensure residents always feel their best?
- 3With the recent improvements mentioned by your admissions team, what is the process for ensuring a smooth transition into the facility?
- 4What specific protocols do you have in place to ensure resident rooms and common areas are kept meticulously clean and comfortable?
- 5How does the facility manage the security of personal belongings to prevent items from being misplaced?
- 6What is the procedure for handling medical emergencies or urgent clinical needs during the overnight hours?
Personalized based on this facility's data
Key Review Excerpts
“The Palms is a wonderful place for a loved one. It's always ruff in the beginning, but the staff is great. Andie made sure his room was right for him. Idalia is always checking on him, Tracy gets him to participate with bingo and other activities that totally surpr”
“The food is absolutely delicious! Honesty, there is no other place I would rather eat at this moment than in this place! Coastal Palms has the best food in Portland Texas and the best kitchen staff ever!”
“My family member stayed at the Palms for a five day rest fit, and he was in the same clothes for the first three days never changed. They lost his personal items, specifically, his blanket and never found it tried giving me someone else’s blanket.”
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 · 16 measures
12
measures
3
measures
1
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
The Palms faces concerning patterns of recurring deficiencies with families filing over 30 complaints triggering inspections. Primary problem areas include care planning, protection from abuse and neglect, and fire safety systems. Most deficiencies appear corrected after being cited, but the facility struggles with persistent issues around accident prevention, medication management, and infection control that continue surfacing across multiple surveys.
Dec 23, 2025Complaint1
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.
Dec 3, 2025Complaint3
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Dec 2, 2025Routine30
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Provide properly protected cooking facilities.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Oct 18, 2025Complaint3
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jul 30, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 26, 2025Complaint5
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal Penalties
Fine
Nov 6, 2024
$15,642
Fine
Aug 10, 2024
$8,827
Fine
Dec 27, 2023
$44,766
Fine
Aug 17, 2023
$10,752
Ownership & Operations
Who Operates This Facility
Frio Hospital District
for profit
CHP PALMS OPCO, LLC
JIM T SALDIVAR
Chain Affiliation
Caring Healthcare Group
14 facilities nationwide
Chain avg rating: 3.2/5 · Rank 13 of 13 (Worst)
Ownership & Management
Owners
Frio Hospital District
Owner · Organization
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
9 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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