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Complaint Investigation

Palma Real

Inspection Date: August 20, 2025
Total Violations 2
Facility ID 675312
Location MATHIS, TX
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

evaluations, and how both residents continued with their care. The SW stated Resident #1 continues to be territorial about his dining room spot, so staff try to make sure it is available for him if he eats in the dining room. Record review of the facility's Abuse Protocol dated 04/2019 Indicated: The Patient has the right to be free from Abuse, neglect mistreatment of resident property, and exploitation. This includes but is not limited to freedom from corporal punishment, involuntary seclusion, and any physical or chemical restraint not required in treating the Patient's symptoms. Our facility will not condone Patient Abuse, neglect, mistreatment misappropriation of patient property and exploitation (collectively Patient Abuse by anyone, including staff members, other Patients, consultants, volunteers, staff of other agencies serving the Patient consultants volunteers, staff of other agencies serving eh Patient, family members, legal guardians, sponsors, friends or other individuals. Abuse is defined as the willful infliction of injury unreasonable confinement, intimidation, or punishment with resulting physical harm or pain or mental anguish, or deprivation by a individual, including a caretaker, of goods or services that are necessary to attain or maintain physical or mental and psychosocial well-being. Instances of abuse of all Patient/Resident, irrespective of any physical or mental condition, cause physical harm pain or mental anguish. Willful as used in this definition of abuse, means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm.

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/20/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Palma Real

1220 Loop 459 Mathis, TX 78368

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

updates or interventions for the care plans for these two residents and could not say why the care plans were not updated for Resident #1 and Resident #2. The DON stated will do in-service with IDT team ensure all documentation of any the change of condition and an incident of any type occurs is entered into the care plan with the interventions. The DON stated the incident was not an abuse allegation because both residents had dementia and was reported to the abuse coordinator. Resident #1 stays in his room seldomly comes out and Resident #2 stays on his side of the facility and close to room and the staff keeps an eye on him as he was a fall risk.

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📋 Inspection Summary

PALMA REAL in MATHIS, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MATHIS, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PALMA REAL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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