Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

November 21, 2025 Complaint Investigation

August 20, 2025 Complaint Investigation

Fines and Penalties by Year

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Health Violations by Year

2025 5 violations

Tag 0561 D Apr 17, 2025

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: May 17, 2025
Tag 0645 D Apr 17, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: May 17, 2025
Tag 0686 D Apr 17, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 17, 2025
Tag 0812 E Apr 17, 2025

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

✓ Corrected: May 17, 2025
Tag 0842 D Apr 17, 2025

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

✓ Corrected: May 17, 2025

2024 4 violations

Tag 0656 D Feb 23, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 31, 2024
Tag 0812 E Feb 23, 2024

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

✓ Corrected: Mar 31, 2024
Tag 0919 D Feb 23, 2024

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Mar 31, 2024
Tag 0921 B Feb 23, 2024

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

✓ Corrected: Mar 31, 2024

2023 3 violations

Tag 0880 D Nov 13, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 4, 2023
Tag 0759 E Jan 6, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Feb 17, 2023
Tag 0880 E Jan 6, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 17, 2023

2020 1 violations

Tag 0880 E Jan 30, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 3, 2020

2019 12 violations

Tag 0761 E Jun 19, 2019

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.

✓ Corrected: Jun 27, 2019
Tag 0880 D Jun 19, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 27, 2019
Tag 0558 E Jan 10, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Feb 4, 2019
Tag 0577 E Jan 10, 2019

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

✓ Corrected: Feb 4, 2019
Tag 0656 E Jan 10, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 4, 2019
Tag 0689 E Jan 10, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 4, 2019
Tag 0690 E Jan 10, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Feb 4, 2019
Tag 0726 E Jan 10, 2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Feb 4, 2019
Tag 0759 E Jan 10, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Feb 4, 2019
Tag 0801 E Jan 10, 2019

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Feb 4, 2019
Tag 0812 E Jan 10, 2019

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

✓ Corrected: Feb 4, 2019
Tag 0880 E Jan 10, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 4, 2019

2018 20 violations

Tag 0644 E Apr 24, 2018

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Jun 5, 2018
Tag 0656 E Apr 24, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 11, 2018
Tag 0689 E Apr 24, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 11, 2018
Tag 0825 E Apr 24, 2018

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: May 11, 2018
Tag 0880 E Apr 24, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: May 11, 2018
Tag 0609 D Feb 9, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 16, 2018
Tag 0636 E Feb 9, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Mar 23, 2018
Tag 0644 E Feb 9, 2018

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Mar 23, 2018
Tag 0656 E Feb 9, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 23, 2018
Tag 0658 E Feb 9, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 23, 2018
Tag 0676 E Feb 9, 2018

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Mar 23, 2018
Tag 0688 E Feb 9, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Mar 23, 2018
Tag 0690 E Feb 9, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Mar 23, 2018
Tag 0695 E Feb 9, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Mar 23, 2018
Tag 0697 E Feb 9, 2018

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Mar 23, 2018
Tag 0700 E Feb 9, 2018

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Mar 23, 2018
Tag 0726 E Feb 9, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Mar 23, 2018
Tag 0761 E Feb 9, 2018

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.

✓ Corrected: Mar 23, 2018
Tag 0812 E Feb 9, 2018

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

✓ Corrected: Mar 23, 2018
Tag 0880 E Feb 9, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 23, 2018
🏥 Facility Summary

PALMA REAL is a 4-star nursing home in MATHIS, TX with 90 beds.

Most recent inspection: Data not available. No current violations on record.

📞 3615473318
📍 1220 LOOP 459, MATHIS, TX
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About PALMA REAL

What violations has PALMA REAL received?
PALMA REAL has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of PALMA REAL?
PALMA REAL has a 4-star rating out of 5 from CMS. This is an above-average rating, indicating better quality care compared to most nursing homes. The rating is based on health inspections, staffing levels, and quality measures.
When was PALMA REAL last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is PALMA REAL safe?
Safety at PALMA REAL should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact PALMA REAL?
Phone: 3615473318. Address: 1220 LOOP 459, MATHIS, TX. For visiting hours and admission information, call the facility directly.
What services does PALMA REAL offer?
PALMA REAL is a skilled nursing facility with 90 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near MATHIS, TX?
Compare PALMA REAL with other nursing homes in MATHIS, TX on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.