Golden Palms Rehabilitation and Retirement

2101 Treasure Hills Blvd · Harlingen, TX · 78550 · 9564303100

60 certified beds For profit - Limited Liability company Chain: The Ensign Group

  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 88
Staffing 20% 67
Federal penalties 15% 51
Trend 10% 85
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.593.48 min · 4.1 strong
RN hours / resident-day0.640.55–0.75
Weekend hours / resident-day3.14≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)3 · $15,997

Inspection citations (21 in the current record)

  • Potential for harm · E April 15, 2026

    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.

    Corrected April 16, 2026 · Resident Rights

  • Potential for harm · D April 15, 2026

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected April 16, 2026 · Resident Rights

  • Potential for harm · D April 11, 2026 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 12, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 20, 2026 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 21, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 10, 2025 · found via complaint

    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.

    Corrected December 11, 2025 · Nursing and Physician Services

  • Potential for harm · D May 15, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 8, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected May 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 8, 2025 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected May 9, 2025 · Quality of Life and Care

  • Potential for harm · D May 8, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 15, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 16, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J January 25, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 3, 2024 · Quality of Life and Care

  • Potential for harm · D January 25, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected January 27, 2025 · Quality of Life and Care

  • Potential for harm · D January 25, 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 locked compartments, separately locked, compartments for controlled drugs.

    Corrected January 27, 2025 · Pharmacy Service

  • Potential for harm · D January 25, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected January 27, 2025 · Quality of Life and Care

  • Potential for harm · D November 21, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 22, 2024 · Pharmacy Service

  • Actual harm · G June 25, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 26, 2024 · Quality of Life and Care

  • Potential for harm · D June 25, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 26, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 23, 2024 · found via complaint

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected February 24, 2024 · Resident Rights

  • Potential for harm · D November 9, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 10, 2023 · Quality of Life and Care

  • Potential for harm · E November 9, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 10, 2023 · Quality of Life and Care

  • Potential for harm · D October 19, 2023 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected November 30, 2023 · Environmental

Federal penalties

DateTypeAmount / length
January 25, 2025Fine$9,113
June 25, 2024Fine$2,867
February 23, 2024Fine$4,017

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455672 · certified since November 10, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.