Skilled nursing facility · CMS certification number 455672
Golden Palms Rehabilitation and Retirement
Harlingen, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 60
Download this facility’s record (CSV)
In Care Compare’s provider information: Penalties: 3 · Fines: 3 · Fines, total amount: $15,997.00 · Payment denials: 0. The most recent penalty on file: January 25, 2025, Fine, $9,113. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
- Net patient revenue fell from $8.3M in fiscal year 2023 to $7.9M in fiscal year 2024.
- Its result from service to patients: $1.1M (2022), $1.3M (2023), $996K (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $7.9M ranks 258th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 1 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also reports a gain on service to patients.
Every line is computed from figures on this page; nothing is estimated.
Finances, as filed
Medicare cost reports, one column per fiscal year, each year linked to its CMS file. The worksheet, line and column of every figure are in this record’s CSV.
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1435620 | 2023 · report 1379555 | 2022 · report 1359963 | 2021 · report 1360742 | 2020 · report 1289294 | 2019 · report 1270962 | 2018 · report 1238119 | 2017 · report 1208811 | 2016 · report 1174456 | 2015 · report 1178845 | 2014 · report 1149269 | 2013 · report 1115624 | 2012 · report 1082343 | 2011 · report 1013587 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | June 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days in the period | 365 | 364 | 364 | 364 | 365 | 213, not a full year | 364 | 364 | 365 | 364 | 364 | 364 | 365 | 364 |
| Processed by CMS | August 28, 2025 | May 28, 2024 | July 26, 2023 | August 2, 2023 | July 15, 2021 | October 14, 2020 | July 24, 2019 | August 21, 2018 | August 22, 2017 | November 27, 2017 | December 16, 2016 | December 18, 2015 | December 11, 2014 | October 26, 2012 |
| Total patient revenue | $9,874,269 | $10,090,843 | $8,375,115 | $6,359,152 | $5,376,687 | $3,525,593 | $18,117,443 | $17,224,876 | $17,912,376 | $18,082,247 | $17,958,534 | $18,685,902 | $19,966,647 | $19,704,108 |
| Contractual allowances and discounts | $1,977,721 | $1,750,301 | $1,160,420 | $352 | −$405,008 | $296,052 | $8,670,650 | $8,534,258 | $9,003,507 | $9,212,659 | $9,283,943 | $9,567,353 | $10,229,154 | $9,332,392 |
| Net patient revenue | $7,896,548 | $8,340,542 | $7,214,695 | $6,358,800 | $5,781,695 | $3,229,541 | $9,446,793 | $8,690,618 | $8,908,869 | $8,869,588 | $8,674,591 | $9,118,549 | $9,737,493 | $10,371,716 |
| Total operating expenses | $6,900,075 | $7,065,370 | $6,084,545 | $5,308,572 | $7,255,710 | $4,269,821 | $10,225,990 | $9,827,015 | $9,730,082 | $9,736,077 | $9,603,207 | $10,001,649 | $10,413,074 | $10,294,765 |
| Net income from service to patients | $996,473 | $1,275,172 | $1,130,150 | $1,050,228 | −$1,474,015 | −$1,040,280 | −$779,197 | −$1,136,397 | −$821,213 | −$866,489 | −$928,616 | −$883,100 | −$675,581 | $76,951 |
| Total other income | −$51,065 | $1,507 | $8,923 | $6,139 | $834 | −$497 | $216,240 | $213,554 | $239,093 | $216,706 | $248,640 | $251,622 | $326,762 | $315,528 |
| Net income after other income | $945,408 | $1,276,679 | $1,139,073 | $1,056,367 | −$1,473,181 | −$1,040,777 | −$562,957 | −$922,843 | −$582,120 | −$649,783 | −$679,976 | −$631,478 | −$348,819 | $392,479 |
| Net income | $945,408 | $1,276,679 | $1,139,073 | $1,056,367 | −$1,473,181 | −$1,040,777 | −$562,957 | −$923,101 | −$594,370 | −$656,132 | −$679,976 | −$636,218 | −$348,819 | $388,927 |
| Total facility beds, all components | 60 | 60 | 60 | 60 | 60 | 60 | 210 | 160 | 210 | 210 | 210 | 210 | 210 | 210 |
| Bed days available, all components | 21,960 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 2,587 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 5,151 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 8,942 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 16,680 | 18,130 | 16,756 | 14,978 | 12,119 | 7,781 | 60,830 | 60,652 | 60,603 | 58,877 | 56,688 | 58,315 | 59,443 | 55,429 |
| Medicare discharges | 89 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 2 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 270 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 361 | 434 | 396 | 374 | 391 | 283 | 606 | 468 | 447 | 479 | 466 | 547 | 551 | 572 |
| Average length of stay, Medicare, in days | 29.07 | 29.62 | 29 | 34.07 | 27.13 | 24.1 | 22.94 | 23.66 | 25.83 | 26.18 | 25.91 | 26.06 | 27.35 | 25.33 |
| Average length of stay, Medicaid, in days | 2,575.5 | 4,641 | 409.1 | 1,406.5 | 223.33 | 117.67 | 137.27 | 128.13 | 152.8 | 96.75 | — | — | — | — |
| Average length of stay, all patients, in days | 46.2 | 41.77 | 42.31 | 40.05 | 30.99 | 27.49 | 100.38 | 129.6 | 135.58 | 122.92 | 121.65 | 106.61 | 107.88 | 96.9 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2010 · report 430831 | 2009 · report 384216 | 2008 · report 358468 | 2007 · report 304265 | 2006 · report 295151 | 2005 · report 245357 | 2004 · report 237696 | 2003 · report 212226 | 2002 · report 171758 | 2001 · report 162147 | 2000 · report 95288 | 1999 · report 95286 | 1998 · report 95285 | 1997 · report 95283 | 1996 · report 95281 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | September 1, 2008 | September 1, 2006 | September 1, 2005 | September 1, 2004 | September 1, 2003 | September 1, 2002 | September 1, 2001 | September 1, 2000 | September 1, 1999 | September 1, 1998 | September 1, 1997 | September 1, 1996 | September 1, 1995 |
| Period ended | December 31, 2010 | December 31, 2009 | October 31, 2008 | August 31, 2007 | August 31, 2006 | August 31, 2005 | August 31, 2004 | August 31, 2003 | August 31, 2002 | August 31, 2001 | August 31, 2000 | August 31, 1999 | August 31, 1998 | August 31, 1997 | August 31, 1996 |
| Days in the period | 364 | 364 | 60, not a full year | 364 | 364 | 364 | 365 | 364 | 364 | 364 | 365 | 364 | 364 | 364 | 365 |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled |
| Processed by CMS | June 24, 2012 | July 28, 2010 | October 30, 2009 | March 12, 2008 | October 25, 2007 | March 20, 2006 | November 30, 2005 | March 24, 2005 | March 24, 2004 | October 28, 2003 | February 26, 2002 | May 7, 2001 | March 11, 1999 | March 18, 1999 | June 17, 1998 |
| Net patient revenue | $9,168,177 | $8,660,082 | $652,472 | $3,828,845 | $4,411,694 | $3,721,923 | $2,762,922 | $2,324,156 | $2,230,932 | $1,930,264 | $1,780,640 | $2,093,262 | $2,920,196 | $2,513,562 | $2,370,382 |
| Total operating expenses | $9,655,073 | $9,497,923 | $529,993 | $2,987,908 | $2,829,156 | $2,398,552 | $1,972,067 | $2,013,861 | $1,990,968 | $1,793,226 | $1,764,969 | $1,993,338 | $3,190,897 | $3,051,078 | $3,128,762 |
| Net income from service to patients | −$486,896 | −$837,841 | $122,479 | $840,937 | $1,582,538 | $1,323,371 | $790,855 | $310,295 | $239,964 | $137,038 | $15,671 | $99,924 | −$270,701 | −$537,516 | −$758,380 |
| Total other income | $325,680 | $328,627 | $4,561,700 | $3,383,200 | $3,446,026 | $3,500,944 | $3,718,990 | $4,572,122 | $5,202,647 | $4,959,297 | $4,675,670 | $4,689,574 | — | $21,218 | $18,534 |
| Total other expenses | $21,485 | $7,196 | $2,907,247 | $5,771,418 | $4,538,371 | $4,249,241 | $5,316,532 | $5,339,863 | $5,313,292 | $5,095,563 | $4,636,784 | $4,638,299 | — | — | — |
| Net income | −$182,701 | −$516,410 | $1,776,932 | −$1,547,281 | $490,193 | $575,074 | −$806,687 | −$457,446 | $129,319 | $772 | $54,557 | $151,199 | −$270,701 | −$516,298 | −$739,846 |
| Total facility beds, all components | 210 | 210 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 |
| Total patient days, all components | 48,240 | 44,550 | 2,217 | 14,994 | 17,545 | 17,245 | 15,663 | 16,806 | 16,513 | 15,694 | 16,371 | 16,717 | 17,287 | 16,892 | 15,924 |
| Total discharges, all components | 524 | 525 | 85 | 551 | 460 | 447 | 460 | 365 | 340 | 305 | 241 | 274 | 304 | 279 | 345 |
| Average length of stay, Medicare, in days | 27.1 | 27.27 | 18.24 | 15.82 | 22.45 | 20.23 | 14.83 | 20.58 | 21.3 | 20.38 | 18.9 | 17.32 | 20.42 | 18.1 | 16.55 |
| Average length of stay, all patients, in days | 92.06 | 84.86 | 26.08 | 27.21 | 38.14 | 38.58 | 34.05 | 46.04 | 48.57 | 51.46 | 67.93 | 61.01 | 56.87 | 60.54 | 46.16 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
Nurse staffing
Golden Palms Rehabilitation and Retirement: staffing hours by quarter →
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated October 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/01/2019 |
| GUZMAN, NEFI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/14/2025 |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| TREASURE HILLS HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| ASHTON, ANDREW | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/16/2019 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/16/2019 |
| BURTON, SPENCER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/30/2015 |
| CHRISTENSEN, CHRISTOPHER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2014 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2019 |
| PORT, BARRY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2019 |
| SNAPPER, SUZANNE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/01/2009 |
| WITTEKIND, BEVERLY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/29/2008 |
| BURNAM, SOON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 04/16/2019 |
| GUZMAN, NEFI | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2019 |
| GUZMAN, NEFI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2019 |
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of SANTIAGO HEALTHCARE LLC (enrollment ID O20190607000534).
Paused by CMS: Form CMS-855A, December 11, 2025.
| Owner | Individual or organization | Role | Ownership percentage | Association date |
|---|---|---|---|---|
| KEYSTONE CARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 04/17/2019 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100.00 | 04/17/2019 |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 06/01/2019 |
| NEFI GUZMAN | Individual | ADP OF THE SNF | Not stated in the filing | 04/14/2025 |
| STANDARD BEARER HEALTHCARE OP, LP | Organization | ADP OF THE SNF | Not stated in the filing | 01/01/2022 |
| THE ENSIGN GROUP INC | Organization | ADP OF THE SNF | Not stated in the filing | 01/01/2022 |
| TREASURE HILLS HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 01/01/2022 |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 04/14/2025 |
| ANDREW ASHTON | Individual | CORPORATE OFFICER | 0.00 | 04/16/2019 |
| BARRY PORT | Individual | CORPORATE OFFICER | 0.00 | 06/01/2019 |
| BEVERLY B WITTEKIND | Individual | CORPORATE OFFICER | 0.00 | 09/29/2008 |
| CHAD KEETCH | Individual | CORPORATE OFFICER | 0.00 | 06/01/2019 |
| CHRISTOPHER R CHRISTENSEN | Individual | CORPORATE OFFICER | 0.00 | 11/01/2014 |
| SOON BURNAM | Individual | CORPORATE OFFICER | 0.00 | 04/16/2019 |
| SPENCER W BURTON | Individual | CORPORATE OFFICER | 0.00 | 05/30/2015 |
| SUZANNE D SNAPPER | Individual | CORPORATE OFFICER | 0.00 | 08/01/2009 |
| NEFI GUZMAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 06/01/2019 |
| SOON BURNAM | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 04/16/2019 |
| NEFI GUZMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | 0.00 | 06/01/2019 |
Private equity company, real estate investment trust and holding company: No: KEYSTONE CARE LLC; THE ENSIGN GROUP INC; ENSIGN SERVICES INC; STANDARD BEARER HEALTHCARE OP, LP; THE ENSIGN GROUP INC; TREASURE HILLS HEALTH HOLDINGS LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: NEFI GUZMAN; No owner named in the filing; ANDREW ASHTON; BARRY PORT; BEVERLY B WITTEKIND; CHAD KEETCH; CHRISTOPHER R CHRISTENSEN; SOON BURNAM; SPENCER W BURTON; SUZANNE D SNAPPER; NEFI GUZMAN; SOON BURNAM; NEFI GUZMAN.
Changes in ownership
- June 1, 2025, Medicare enrollment ownership file; no longer listed: NEFI GUZMAN (W-2 MANAGING EMPLOYEE); CRAIG FITCH (CORPORATE OFFICER); KEVIN NICCUM (CORPORATE DIRECTOR); first listed: SOON BURNAM (MANAGING CONTROL - GOVERNING BODY), associated since April 16, 2019; BEVERLY B WITTEKIND (CORPORATE OFFICER), associated since September 29, 2008; NEFI GUZMAN (ADP OF THE SNF), associated since April 14, 2025; NEFI GUZMAN (MANAGING CONTROL - GOVERNING BODY), associated since June 1, 2019; SPENCER W BURTON (CORPORATE OFFICER), associated since May 30, 2015; SUZANNE D SNAPPER (CORPORATE OFFICER), associated since August 1, 2009; STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF), associated since January 1, 2022; CHAD A KEETCH (CORPORATE OFFICER), associated since June 1, 2019; CHRISTOPHER R CHRISTENSEN (CORPORATE OFFICER), associated since November 1, 2014; ENSIGN SERVICES, INC. (ADP OF THE SNF), associated since June 1, 2019; THE ENSIGN GROUP INC (ADP OF THE SNF), associated since January 1, 2022; TREASURE HILLS HEALTH HOLDINGS LLC (ADP OF THE SNF), associated since January 1, 2022; a listing under ADP OF THE SNF with no owner named, associated since April 14, 2025; BARRY PORT (CORPORATE OFFICER), associated since June 1, 2019; ANDREW ASHTON (CORPORATE OFFICER), associated since April 16, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- October 31, 2022, Medicare enrollment ownership file; no longer listed: LEE A DANIELS (OTHER); SUZANNE D SNAPPER (OTHER); ALEXANDRA YZAGUIRRE (OFFICER); DAREN SHAW (OTHER); CHRISTOPHER R CHRISTENSEN (OTHER); JOHN NACKEL (OTHER); ROY E CHRISTENSEN (OTHER); ANN SCOTT BLOUIN (OTHER); BARRY M SMITH (OTHER). Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
40 changes on this record are listed in the sections above: owner changes under Changes in ownership, filed cost reports in the finances table.
Inspections
- Cycle 1: health April 15, 2026 (7 deficiencies), fire safety April 15, 2026 (0)
- Cycle 2: health January 25, 2025 (10 deficiencies), fire safety January 25, 2025 (4)
- Cycle 3: health November 9, 2023 (6 deficiencies), fire safety November 9, 2023 (0)
Care Compare inspection summary: NH_SurveySummary_Oct2026.csv, October 1, 2026.
Deficiencies cited
23 deficiencies on file, by tag, newest citation first
every one from a health inspection; 17 cited from a complaint, marked below.
- F 0755, Pharmacy Service Deficiencies: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Cited May 13, 2026 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected May 14, 2026); November 21, 2024 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected November 22, 2024).
- F 0842, Resident Assessment and Care Planning Deficiencies: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Cited May 13, 2026 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected May 14, 2026); April 11, 2026 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected April 12, 2026); February 20, 2026 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected February 21, 2026); May 8, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected May 9, 2025).
- F 0584, Resident Rights Deficiencies: 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. Cited April 15, 2026 (scope and severity E, Deficient, Provider has date of correction, corrected April 16, 2026).
- F 0628, Resident Rights Deficiencies: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Cited April 15, 2026 (scope and severity D, Deficient, Provider has date of correction, corrected April 16, 2026).
- F 0727, Nursing and Physician Services Deficiencies: 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. Cited December 10, 2025 (scope and severity E, from a complaint, Deficient, Provider has date of correction, corrected December 11, 2025).
- F 0656, Resident Assessment and Care Planning Deficiencies: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Cited May 15, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected May 16, 2025); April 15, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected April 16, 2025).
- F 0641, Resident Assessment and Care Planning Deficiencies: Ensure each resident receives an accurate assessment. Cited May 8, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected May 9, 2025).
- F 0692, Quality of Life and Care Deficiencies: Provide enough food/fluids to maintain a resident's health. Cited May 8, 2025 (scope and severity E, from a complaint, Deficient, Provider has date of correction, corrected May 9, 2025).
- F 0686, Quality of Life and Care Deficiencies: Provide appropriate pressure ulcer care and prevent new ulcers from developing. Cited January 25, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected January 27, 2025).
- F 0689, Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Cited January 25, 2025 (scope and severity J, from a complaint, Past Non-Compliance, corrected October 3, 2024); June 25, 2024 (scope and severity G, from a complaint, Deficient, Provider has date of correction, corrected June 26, 2024); November 9, 2023 (scope and severity E, Deficient, Provider has date of correction, corrected November 10, 2023).
- F 0695, Quality of Life and Care Deficiencies: Provide safe and appropriate respiratory care for a resident when needed. Cited January 25, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected January 27, 2025).
- F 0761, Pharmacy Service Deficiencies: 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. Cited January 25, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected January 27, 2025).
- F 0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Cited June 25, 2024 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected June 26, 2024).
- F 0626, Resident Rights Deficiencies: Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Cited February 23, 2024 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected February 24, 2024).
- F 0677, Quality of Life and Care Deficiencies: Provide care and assistance to perform activities of daily living for any resident who is unable. Cited November 9, 2023 (scope and severity D, Deficient, Provider has date of correction, corrected November 10, 2023).
- F 0921, Environmental Deficiencies: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Cited October 19, 2023 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected November 30, 2023).
Care Compare health citations: NH_HealthCitations_Oct2026.csv, October 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 25, 2025 | Fine | $9,113 | 113542 | ||
| June 25, 2024 | Fine | $2,867 | 112993 | ||
| February 23, 2024 | Fine | $4,017 | 112395 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Care Compare provider information
- Provider Type: Medicare and Medicaid
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: SANTIAGO HEALTHCARE LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1986-11-10
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Cameron
- Telephone Number: 9564303100
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Number of Certified Beds: 60
- Average Number of Residents per Day: 48.9
- Overall Rating: 5
- Health Inspection Rating: 4
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 3
- Processing Date: 2026-10-01
Care Compare provider information: NH_ProviderInfo_Oct2026.csv, October 1, 2026.
The citable document with full history — $295
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A figure on Golden Palms Rehabilitation and Retirement’s record that does not match its CMS file? Corrections, quoting 455672.