Golden Estates Rehabilitation Center

CCN 675690 · HAMILTON COUNTY HOSPITAL DISTRICT · For profit - Limited Liability company · PARAMOUNT HEALTHCARE chain · 93 certified beds · Bexar · TX


Golden Estates Rehabilitation Center is a 93-bed nursing home in San Antonio, Texas. CMS has certified it for Medicare and Medicaid since 1997-06-04. It averages 63.6 residents a day.

What harm was found in the violations cited at Golden Estates Rehabilitation Center?

CMS lists 32 health-inspection deficiencies for Golden Estates Rehabilitation Center since 2023-06-04, 27 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-11-21.

Survey dateTagDeficiencySeverity
2025-11-21F0552, F0641, F0842Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure each resident receives an accurate assessment. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-11-21F0732Post nurse staffing information every day.C
2025-08-15F0761, F0921Ensure 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2025-08-15F0641, F0812Ensure each resident receives an accurate assessment. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2025-05-30F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-05-30F0580, F0655, F0761Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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 locked compartments, separately locked, compartments for controlled drugs.D
2025-02-28F0584Honor 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.K
2025-02-28F0609, F0689Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-07-28F0580, F0678, F0693Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / 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.J
2024-07-28F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-07-28F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2024-07-28F0758, F0761, F0800, F0805, F0880Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / 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 locked compartments, separately locked, compartments for controlled drugs. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Provide and implement an infection prevention and control program.D
2024-03-29F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2024-01-19F0908Keep all essential equipment working safely.E
2023-06-04F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K
2023-06-04F0585, F0609, F0756, F0760Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure that residents are free from significant medication errors.D

Why was Golden Estates Rehabilitation Center fined 3 times?

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

How is Golden Estates Rehabilitation Center staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.289153.38539
Total nursing staff turnover (%)58.555.3
Average number of residents per day63.675.8

Who owns Golden Estates Rehabilitation Center, and what chain is it in?

Golden Estates Rehabilitation Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name HAMILTON COUNTY HOSPITAL DISTRICT and belongs to the PARAMOUNT HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER MORTGAGE INTERESTPG PROPERTIES, LLC, PRINCETON PLACE REAL ESTATE, LP, SLM INVESTMENTS LLC, GOLDEN, LAUREN, GOLDEN, SHAWN, PRINCE, DANNYsince 05/01/2023
CORPORATE OFFICERHOOPER, GRADYsince 05/01/2023
OPERATIONAL/MANAGERIAL CONTROLGOLDEN REHABILITATION CENTER LLC, PRINCETON PLACE REAL ESTATE, LP, SLM INVESTMENTS LLC, AZIZ, WESAM, GOLDEN, LAUREN, GOLDEN, SHAWN, PRINCE, DANNY, RAMOS, APRILsince 05/01/2023
ADP OF THE SNFGOLDEN REHABILITATION CENTER LLC, PG PROPERTIES, LLC, PRINCETON PLACE REAL ESTATE, LP, SLM INVESTMENTS LLC, AZIZ, WESAM, GOLDEN, LAUREN, PRINCE, DANNY, RAMOS, APRILsince 04/22/2025

Were you or a family member harmed at Golden Estates Rehabilitation Center?