Palma Real
Nursing Home Facility
1220 Loop 459, Mathis, TX 78368
Palma Real Nursing Center offers all the services of a traditional nursing home or assisted living facility, along with social programs and activities for residents
Operated by Centex, which runs 20 communities in our directory.
Palma Real is licensed for 90 beds, about typical for the area, where senior care communities in San Patricio County average about 90 beds.
Federal reporting puts occupancy at about 57% of its licensed beds, so availability is more likely here than at busier communities nearby.
Medicare rates this community 5 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 2 stars for staffing against 4 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in June 2026 and recorded 9 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 32%.
The community is located in San Patricio County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 19 problems at Palma Real. None of them caused harm to a resident. 9 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Show 1 more
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Palma Real offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 90
- Occupancy 57%
- Nursing hours per resident/day 3.2
- Annual staff turnover 32%
- Last health inspection June 2026
Resident & family reviews
No one has shared a review of Palma Real yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.