Nursing home
Golden Estates Rehabilitation Center
130 Spencer Ln, San Antonio, TX 78201 · Map
For profit - Limited Liability company · Part of Paramount Healthcare (8 facilities) · 93 certified beds
Golden Estates Rehabilitation Center is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.93 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Aug 15, 2025 cited 12 deficiencies.
- 3 fines totaling $170,769In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Golden Estates Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.93 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.36 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.70 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 61.3% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 12.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 21, 2025 inspection was corrected by November 24, 2025
Penalties in CMS records: 3 fines totaling $170,769, 3 total penalties.
What inspectors found at Golden Estates Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 Deficiencies · Nov 21, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Nov 21, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Nov 21, 2025 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Nov 21, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Aug 15, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Pharmacy Service Deficiencies · Aug 15, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 15, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Aug 15, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · May 30, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · May 30, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 130 Spencer Ln
San Antonio, TX 78201 - CMS certification #
- 675690
- Ownership
- For profit - Limited Liability company
- Certified beds
- 93
- Avg residents/day
- 65.0
- Provider type
- Medicare and Medicaid
- First certified
- 1997-06-04
- Chain
- Paramount Healthcare (8 facilities)
- Setting
- Urban
Part of Paramount Healthcare
Paramount Healthcare operates 8 nursing facilities across the United States. View all Paramount Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Golden Estates Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Methodist Hospital, San Antonio. 2.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Morningside Manor, San Antonio. 0.8 miles away, straight line.
- Nearest home health agency office
- Altima Home Health Agency, Inc, San Antonio. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78201 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Med Center Dialysis, San Antonio, 2.1 miles away, straight line (CMS rating 4 of 5 stars)
University Health System Children'S Kidney Center, San Antonio, 2.8 miles away, straight line
Irc-San Antonio Medical Drive, San Antonio, 2.8 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 100 Medicare hospices tell CMS they serve ZIP code 78201.
River City Hospice & Palliative Care, office in San Antonio, 1.5 miles away, straight line
River City Hospice Of Texas, L.L.C., office in San Antonio, 1.5 miles away, straight line
Alamo Hospice, office in San Antonio, 1.7 miles away, straight line - Nearest geriatric medicine practice
- University Of Texas Health Science Center At San Antonio, San Antonio. 2.5 miles away, straight line. 5 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Golden Estates Rehabilitation Center a good nursing home?
CMS gives Golden Estates Rehabilitation Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Golden Estates Rehabilitation Center staffed?
Golden Estates Rehabilitation Center reports 2.93 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Golden Estates Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Golden Estates Rehabilitation Center have?
Golden Estates Rehabilitation Center is certified for 93 beds.