Golden Estates Rehabilitation Center

Nursing home in San Antonio, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (210) 736-4544 Send a message Map ↗

Public-record details

Address: 130 Spencer Ln., San Antonio, TX 78201
Phone: (210) 736-4544
Listed under: For-profit
Medicare CCN: 675690
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 2 of 5
Quality measures rating: 4 of 5
Certified beds: 93
Average residents per day: 64
Ownership: For-profit, limited Liability company
Legal business name: Hamilton County Hospital District
Chain: Paramount Healthcare (8 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jun 4, 1997
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 675690. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 15, 2025. CMS lists 32 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 4, 2023 to Nov 21, 2025): 17 from complaint inspections, 6 at the “actual harm” level or higher, including 6 at “immediate jeopardy”.

Inspection	Citation	Severity
Nov 21, 2025	Post nurse staffing information every day. Nursing and Physician Services · complaint inspection	C Potential for minimal harm, widespread
Nov 21, 2025	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Nov 21, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Nov 21, 2025	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Aug 15, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Aug 15, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary · complaint inspection	D Potential for more than minimal harm, isolated
Aug 15, 2025	Ensure 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… Pharmacy Service · complaint inspection	E Potential for more than minimal harm, pattern
Aug 15, 2025	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental · complaint inspection	E Potential for more than minimal harm, pattern
May 30, 2025	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
May 30, 2025	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
May 30, 2025	Ensure 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… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
May 30, 2025	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	J Immediate jeopardy, isolated

Showing the 12 most recent of 32. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $161,844 in the last three years.

May 30, 2025	Fine: $16,575
Feb 28, 2025	Fine: $113,523
Jul 28, 2024	Fine: $31,746

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.29 hours
Registered nurse (RN) time per resident per day: 0.34 hours
Nurse aide time per resident per day: 1.95 hours
Total nurse staffing on weekends: 2.62 hours
Nursing staff turnover (yearly): 59%
RN turnover (yearly): 57%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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