Golden Palms Rehabilitation and Retirement

Nursing Home · Harlingen, TX

CMS overall rating 4/5 For profit - Limited Liability company

CMS certification number455672

Contact & location

2101 Treasure Hills Boulevard
Harlingen, TX 78550
Cameron County
Phone
(956) 430-3100
ZIP code
78550 – all care providers

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Facility details

Certified beds
60
Residents per day
47.3 (79% occupied)
Ownership
For profit - Limited Liability company
Legal name
Santiago Healthcare LLC
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
November 10, 1986
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 2.6
Health inspections★★★★★ 4/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.44 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.70 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.11 (state 0.95 · U.S. 0.86)
Nurse aides
1.63 (state 2.00 · U.S. 2.32)
Weekend total
2.90 (state 2.98 · U.S. 3.42)
Nursing staff turnover
47.8 (state 55.3 · U.S. 45.8)%
RN turnover
28.6 (state 54.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
April 15, 2026
Health deficiencies (last cycle)
7.0 (state 9.3 · U.S. 9.3)
From complaints
5
Citations on record (3 years)
23 health · 4 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-13 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-14
2026-05-13 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-14
2026-04-15 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-16
2026-04-15 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-16
2026-04-11 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-12
2026-02-20 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-21
2025-12-10 Have 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.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-11
2025-05-15 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-16
2025-05-08 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-09
2025-05-08 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-09
2025-05-08 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-09
2025-04-15 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-01-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-10-03
2025-01-25 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-27
2025-01-25 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-27
2025-01-25 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-27
2024-11-21 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-06-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-06-26
2024-06-25 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-26
2024-02-23 Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
F0626 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-24
2023-11-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-10
2023-11-09 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-10
2023-10-19 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-30

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $15,997 in fines.

DateTypeAmount
2025-01-25Fine$9,113
2024-06-25Fine$2,867
2024-02-23Fine$4,017

Ownership & management

NameRoleSince
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Guzman, Nefi (individual)Administrator · NOT APPLICABLE
Standard Bearer Healthcare Op, LP (organization)Administrator · NOT APPLICABLE
The Ensign Group INC (organization)Administrator · NOT APPLICABLE
Treasure Hills Health Holdings LLC (organization)Administrator · NOT APPLICABLE
Ashton, Andrew (individual)Corporate Officer · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Burton, Spencer (individual)Corporate Officer · NOT APPLICABLE
Christensen, Christopher (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Port, Barry (individual)Corporate Officer · NOT APPLICABLE
Snapper, Suzanne (individual)Corporate Officer · NOT APPLICABLE
Wittekind, Beverly (individual)Corporate Officer · NOT APPLICABLE
Burnam, Soon (individual)Managing Control - Governing Body · NOT APPLICABLE
Guzman, Nefi (individual)Managing Control - Governing Body · NOT APPLICABLE
Guzman, Nefi (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Golden Palms Rehabilitation and Retirement?

Golden Palms Rehabilitation and Retirement has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Golden Palms Rehabilitation and Retirement have?

It has 60 certified beds and cares for about 47 residents per day.

Has Golden Palms Rehabilitation and Retirement been fined?

Yes. CMS lists 3 penalties totaling $15,997 in the last three years.

Who owns Golden Palms Rehabilitation and Retirement?

It is part of The Ensign Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Golden Palms Rehabilitation and Retirement?

(956) 430-3100. The facility is located at 2101 Treasure Hills Boulevard, Harlingen, TX 78550.

Other nursing homes in Harlingen

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.