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Golden Estates Rehabilitation Center

Nursing Home Facility

130 Spencer Ln, San Antonio, TX 78201

Nursing Home Care Continuing Care (CCRC) Senior Living

Golden Estates Rehabilitation Center is a senior care community located in San Antonio, TX. It provides nursing home care, continuing care (CCRC), and senior living for older adults in the San Antonio area. To learn more or schedule a tour, call (210) 736-4544.

Operated by Paramount Healthcare, which runs 7 communities in our directory.

With 93 beds, Golden Estates Rehabilitation Center is smaller than most nearby options, senior care communities in San Antonio average about 169 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.

Federal reporting puts occupancy at about 68% of its licensed beds.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in August 2025 and recorded 8 deficiencies.

Residents receive about 3.3 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 59%.

The community is located in Bexar County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 32 problems at Golden Estates Rehabilitation Center. 6 findings involved harm to a resident, including 6 that put residents in immediate danger. 17 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 3 times, a total of $161,844.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Inspected November 2025, after a complaint. Corrected by November 24, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected November 2025, after a complaint. Corrected by November 24, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected November 2025, after a complaint. Corrected by November 24, 2025.

  • Could cause more than minimal harm, a pattern 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.

    Inspected August 2025, after a complaint. Corrected by August 16, 2025.

  • Could cause more than minimal harm, a pattern Environmental

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

    Inspected August 2025, after a complaint. Corrected by August 16, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected August 2025, after a complaint. Corrected by August 16, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected August 2025, after a complaint. Corrected by August 16, 2025.

  • Minimal harm or the potential for it, widespread Nursing and Physician Services

    Post nurse staffing information every day.

    Inspected November 2025, after a complaint. Corrected by November 24, 2025.

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.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Golden Estates Rehabilitation Center offers nursing home care, continuing care (CCRC), and senior living.

Facility details

  • Organization type Non profit - Corporation
  • Beds / units 93
  • Religious affiliation Jewish
  • Occupancy 68%
  • Nursing hours per resident/day 3.3
  • Annual staff turnover 59%
  • Last health inspection August 2025

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