Golden Estates Rehabilitation Center

130 Spencer Ln, San Antonio, TX 78201 · CCN 675690 · 93 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-05-30 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-02-28 IMMEDIATE JEOPARDY (tag F0584, severity K)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
2024-07-28 IMMEDIATE JEOPARDY (tag F0693, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
2024-07-28 IMMEDIATE JEOPARDY (tag F0580, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-07-28 IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2023-06-04 IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Staffing, from payroll records

Nursing hours / resident / day

2.66

state median 2.67

Weekend staffing gap

−17%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.25

registered nurses only

Contract (agency) staff

8%

share of all nursing hours

Days with zero RN hours reported

3

with residents present

Nursing staff turnover

59%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $161,844 in fines.

DateTypeAmount
2025-05-30Fine$16,575
2025-02-28Fine$113,523
2024-07-28Fine$31,746

Ownership

Ownership type: For profit - Limited Liability company. Part of the PARAMOUNT HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 25 · Immediate jeopardy: 6

Survey dateTagCategorySeverityCorrected
2025-11-21F0552Resident Rights DeficienciesDnot recorded
2025-11-21F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-11-21F0732Nursing and Physician Services DeficienciesCnot recorded
2025-11-21F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-15F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-15F0761Pharmacy Service DeficienciesEnot recorded
2025-08-15F0812Nutrition and Dietary DeficienciesDnot recorded
2025-08-15F0921Environmental DeficienciesEnot recorded
2025-05-30F0580Resident Rights DeficienciesDnot recorded
2025-05-30F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-30F0689Quality of Life and Care DeficienciesJnot recorded
2025-05-30F0761Pharmacy Service DeficienciesDnot recorded
2025-02-28F0584Resident Rights DeficienciesKnot recorded
2025-02-28F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-28F0689Quality of Life and Care DeficienciesDnot recorded
2024-07-28F0580Resident Rights DeficienciesJnot recorded
2024-07-28F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2024-07-28F0678Quality of Life and Care DeficienciesJnot recorded
2024-07-28F0693Quality of Life and Care DeficienciesJnot recorded
2024-07-28F0758Pharmacy Service DeficienciesDnot recorded
2024-07-28F0761Pharmacy Service DeficienciesDnot recorded
2024-07-28F0800Nutrition and Dietary DeficienciesDnot recorded
2024-07-28F0805Nutrition and Dietary DeficienciesDnot recorded
2024-07-28F0812Nutrition and Dietary DeficienciesFnot recorded
2024-07-28F0880Infection Control DeficienciesDnot recorded
2024-03-29F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2024-01-19F0908Environmental DeficienciesEnot recorded
2023-06-04F0585Resident Rights DeficienciesDnot recorded
2023-06-04F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-06-04F0684Quality of Life and Care DeficienciesKnot recorded
2023-06-04F0756Pharmacy Service DeficienciesDnot recorded
2023-06-04F0760Pharmacy Service DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Golden Estates Rehabilitation Center, San Antonio” at medicare.gov/care-compare.