Palma Real

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.24, RN 0.37, weekend 2.72.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.24 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

All 7 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Cantex Continuing Care — 37 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Palomino Place — Mesquite, TX · overall 2/5abuse
• Park Valley Inn Health Center — Round Rock, TX · overall 2/5abuse
• Prairie Estates — Frisco, TX · overall 3/5
• Renaissance Care Center — Gainesville, TX · overall 3/5
• Riverside Oaks — Victoria, TX · overall 5/5
• San Remo — Richardson, TX · overall 2/5
• Solera at West Houston — Houston, TX · overall 3/5
• Sorrento — San Antonio, TX · overall 2/5

Listed by state, then facility name — not a ranking. Showing 8 of the 36 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
• "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
• "Can you show me an example care plan, and how are families included when it's created and updated?"
• "What systems do you use to prevent medication errors, and what happens when one occurs?"
• "Can you show me how medications are stored and secured on the units, including controlled drugs?"
• "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
• "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
• "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 32% total nursing staff turnover here — who on the care team has been with you longest?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 2 closest →

Other facilities in the same county

CMS records place this facility in San Patricio, TX — 2 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

• Avir at Portland — Portland, TX · overall 1/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Mathis →