GOLDEN PALMS REHABILITATION AND RETIREMENT
2101 TREASURE HILLS BLVD, HARLINGEN, TX 78550 · CCN 455672
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 44.2
- Phone
- 9564303100
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-25 | 10 | 9.1 | 9.5 | +0.9 worse |
| 2 | 2023-11-09 | 5 | 9.4 | 9.8 | -4.4 better |
| 3 | 2022-08-04 | 4 | 8.1 | 9.3 | -4.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.81 | 53.5% |
| RN staffing (reported) | 0.69 | 77.8% |
| Total nurse staffing (adjusted) | 3.48 | — |
Fines & penalties
- Total fines
- $15,997
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (19)1 immediate jeopardy1 actual harm
- EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-15 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-05-08 · Health · corrected 2025-05-09
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2025-05-08 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-08 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-15 · Health · corrected 2025-04-16
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-25 · Health · corrected 2025-01-27
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-25 · Health · corrected 2024-10-03
Immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-25 · Health · corrected 2025-01-27
Potential for more than minimal harm
- DF0761Ensure 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.2025-01-25 · Health · corrected 2025-01-27
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-21 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-25 · Health · corrected 2024-06-26
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-25 · Health · corrected 2024-06-26
Actual harm
- DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-02-23 · Health · corrected 2024-02-24
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-09 · Health · corrected 2023-11-10
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-09 · Health · corrected 2023-11-10
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-10-19 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-08-04 · Health · corrected 2022-08-05
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-04 · Health · corrected 2022-08-05
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| KEYSTONE CARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-04-17 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-04-17 |
| GUZMAN, NEFI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-06-01 |
| ASHTON, ANDREW | Individual | CORPORATE OFFICER | — | 2019-04-16 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2019-04-16 |
| BURTON, SPENCER | Individual | CORPORATE OFFICER | — | 2015-05-30 |
| CHRISTENSEN, CHRISTOPHER | Individual | CORPORATE OFFICER | — | 2014-11-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2019-06-01 |
| PORT, BARRY | Individual | CORPORATE OFFICER | — | 2019-06-01 |
| SNAPPER, SUZANNE | Individual | CORPORATE OFFICER | — | 2009-08-01 |
| WITTEKIND, BEVERLY | Individual | CORPORATE OFFICER | — | 2008-09-29 |
Other facilities in HARLINGEN
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.