Velarion Records
Follow this facility
Unsubscribe any time.

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.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-102024 · report 14356202023 · report 13795552022 · report 13599632021 · report 13607422020 · report 12892942019 · report 12709622018 · report 12381192017 · report 12088112016 · report 11744562015 · report 11788452014 · report 11492692013 · report 11156242012 · report 10823432011 · report 1013587
Period beganJanuary 1, 2024January 1, 2023January 1, 2022January 1, 2021January 1, 2020June 1, 2019January 1, 2018January 1, 2017January 1, 2016January 1, 2015January 1, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedDecember 31, 2024December 31, 2023December 31, 2022December 31, 2021December 31, 2020December 31, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Days in the period365364364364365213, not a full year364364365364364364365364
Processed by CMSAugust 28, 2025May 28, 2024July 26, 2023August 2, 2023July 15, 2021October 14, 2020July 24, 2019August 21, 2018August 22, 2017November 27, 2017December 16, 2016December 18, 2015December 11, 2014October 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 components606060606060210160210210210210210210
Bed days available, all components21,960—————————————
Medicare (Title XVIII) patient days2,587—————————————
Medicaid (Title XIX) patient days5,151—————————————
Other-payer patient days8,942—————————————
Total patient days, all components16,68018,13016,75614,97812,1197,78160,83060,65260,60358,87756,68858,31559,44355,429
Medicare discharges89—————————————
Medicaid discharges2—————————————
Other-payer discharges270—————————————
Total discharges, all components361434396374391283606468447479466547551572
Average length of stay, Medicare, in days29.0729.622934.0727.1324.122.9423.6625.8326.1825.9126.0627.3525.33
Average length of stay, Medicaid, in days2,575.54,641409.11,406.5223.33117.67137.27128.13152.896.75————
Average length of stay, all patients, in days46.241.7742.3140.0530.9927.49100.38129.6135.58122.92121.65106.61107.8896.9

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.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2010
Form CMS-2540-962010 · report 4308312009 · report 3842162008 · report 3584682007 · report 3042652006 · report 2951512005 · report 2453572004 · report 2376962003 · report 2122262002 · report 1717582001 · report 1621472000 · report 952881999 · report 952861998 · report 952851997 · report 952831996 · report 95281
Period beganJanuary 1, 2010January 1, 2009September 1, 2008September 1, 2006September 1, 2005September 1, 2004September 1, 2003September 1, 2002September 1, 2001September 1, 2000September 1, 1999September 1, 1998September 1, 1997September 1, 1996September 1, 1995
Period endedDecember 31, 2010December 31, 2009October 31, 2008August 31, 2007August 31, 2006August 31, 2005August 31, 2004August 31, 2003August 31, 2002August 31, 2001August 31, 2000August 31, 1999August 31, 1998August 31, 1997August 31, 1996
Days in the period36436460, not a full year364364364365364364364365364364364365
Report statussettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledas submittedsettledsettled
Processed by CMSJune 24, 2012July 28, 2010October 30, 2009March 12, 2008October 25, 2007March 20, 2006November 30, 2005March 24, 2005March 24, 2004October 28, 2003February 26, 2002May 7, 2001March 11, 1999March 18, 1999June 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 components21021060606060606060606060606060
Total patient days, all components48,24044,5502,21714,99417,54517,24515,66316,80616,51315,69416,37116,71717,28716,89215,924
Total discharges, all components52452585551460447460365340305241274304279345
Average length of stay, Medicare, in days27.127.2718.2415.8222.4520.2314.8320.5821.320.3818.917.3220.4218.116.55
Average length of stay, all patients, in days92.0684.8626.0827.2138.1438.5834.0546.0448.5751.4667.9361.0156.8760.5446.16

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 managerRoleTypeOwnership percentageAssociation
ENSIGN SERVICES INCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2019
GUZMAN, NEFIADP OF THE SNFIndividualNOT APPLICABLEsince 04/14/2025
STANDARD BEARER HEALTHCARE OP, LPADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2022
THE ENSIGN GROUP INCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2022
TREASURE HILLS HEALTH HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2022
ASHTON, ANDREWCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/16/2019
BURNAM, SOONCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/16/2019
BURTON, SPENCERCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/30/2015
CHRISTENSEN, CHRISTOPHERCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2014
KEETCH, CHADCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/01/2019
PORT, BARRYCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/01/2019
SNAPPER, SUZANNECORPORATE OFFICERIndividualNOT APPLICABLEsince 08/01/2009
WITTEKIND, BEVERLYCORPORATE OFFICERIndividualNOT APPLICABLEsince 09/29/2008
BURNAM, SOONMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/16/2019
GUZMAN, NEFIMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 06/01/2019
GUZMAN, NEFIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 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.

OwnerIndividual or organizationRoleOwnership percentageAssociation date
KEYSTONE CARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100.0004/17/2019
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100.0004/17/2019
ENSIGN SERVICES INCOrganizationADP OF THE SNFNot stated in the filing06/01/2019
NEFI GUZMANIndividualADP OF THE SNFNot stated in the filing04/14/2025
STANDARD BEARER HEALTHCARE OP, LPOrganizationADP OF THE SNFNot stated in the filing01/01/2022
THE ENSIGN GROUP INCOrganizationADP OF THE SNFNot stated in the filing01/01/2022
TREASURE HILLS HEALTH HOLDINGS LLCOrganizationADP OF THE SNFNot stated in the filing01/01/2022
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing04/14/2025
ANDREW ASHTONIndividualCORPORATE OFFICER0.0004/16/2019
BARRY PORTIndividualCORPORATE OFFICER0.0006/01/2019
BEVERLY B WITTEKINDIndividualCORPORATE OFFICER0.0009/29/2008
CHAD KEETCHIndividualCORPORATE OFFICER0.0006/01/2019
CHRISTOPHER R CHRISTENSENIndividualCORPORATE OFFICER0.0011/01/2014
SOON BURNAMIndividualCORPORATE OFFICER0.0004/16/2019
SPENCER W BURTONIndividualCORPORATE OFFICER0.0005/30/2015
SUZANNE D SNAPPERIndividualCORPORATE OFFICER0.0008/01/2009
NEFI GUZMANIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing06/01/2019
SOON BURNAMIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing04/16/2019
NEFI GUZMANIndividualOPERATIONAL/MANAGERIAL CONTROL0.0006/01/2019

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 dateTypeFine amountPayment denial beganPayment denial, daysFine ID
January 25, 2025Fine$9,113113542
June 25, 2024Fine$2,867112993
February 23, 2024Fine$4,017112395

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

Other public records in Texas

A figure on Golden Palms Rehabilitation and Retirement’s record that does not match its CMS file? Corrections, quoting 455672.