Palma Real
1220 LOOP 459, Mathis, TX, 78368
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Cantex Continuing Care
- Certified beds
- 90 · avg 61 residents/day
- Total nursing staff turnover
- 34% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 311307
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 4 Medicare-only · 86 Medicaid/Medicare
- Current license effective
- March 1, 2026
- Current license expires
- March 1, 2029
- Initial license date
- November 22, 1988
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Mathis Health Care Center Ltd Co
- Administrator
- Keon Mays
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Cantex Continuing Care chain — 38 facilities across 2 states. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (6 on record)
- Mathis Health Care Center Ltd co
Adp of The Snf · since 2025
- Traniecia Ballard
Operational/managerial Control · since 2025
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
- Andres Alaniz
Adp of The Snf · since 2019
- Melissa Salaiz
Adp of The Snf · since 2016
- Grady Hooper
Corporate Officer · since 2015
Recent change of ownership
March 2023 (3 years ago) · acquired from Palma Real
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 15)
- D0880·Nov 21, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0656·Aug 20, 2025Complaint
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.
- D0600·Aug 20, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0561·Apr 17, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D0842·Apr 17, 2025
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.
- E0812·Apr 17, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0686·Apr 17, 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0645·Apr 17, 2025
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Jan 6, 2023. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Palma Real is a 90-bed nursing home in Mathis, Texas, licensed since 1988 and operated by Mathis Health Care Center Ltd Co under Hamilton County Hospital District. CMS rates it 4 stars overall, with 5 stars on quality measures and 4 stars on health inspections — but 1 star on staffing. About 68% of beds are filled on a given day. The facility is part of Cantex Continuing Care.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Palma Real 1 star on staffing — the lowest tier, shared by roughly 38% of Texas nursing homes. Each resident receives about 177 minutes of nursing care per day, approximately 64 minutes less than at a 4-star-staffing facility in Texas. Of those 177 minutes, only 16 come from a registered nurse. Residents here also require more hands-on care than at a typical facility — more dependent or medically complex on average — so those hours stretch thinner than the raw numbers already suggest.
Nursing staff turnover tells a different story. About 3 in 10 nursing staff left in the past year, below Texas's 25th-percentile cutoff — better than roughly three-quarters of nursing homes in the state. Low turnover means residents are more likely to see familiar faces day to day, even as overall hours per resident remain limited.
One administrator has left in the past year. That is one departure — enough to note, not enough to characterize as instability, but a transition nonetheless.
The facility is running at about 68% of its 90 licensed beds, with roughly 61 residents on a typical day. That figure sits below what most nursing homes carry; it does not automatically indicate a problem, but it lands alongside the staffing and administrator signals rather than in isolation.
Quality measure ratings are 5 stars overall, 5 stars for long-stay residents, and 5 stars for short-stay residents — the top tier on all three tracks. Those ratings draw on clinical outcome data: things like falls, infections, pain management, and hospital readmissions.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With 177 minutes of daily nursing care per resident — 64 minutes below what 4-star-staffing Texas facilities average — ask how many nurses and aides are scheduled on evenings, nights, and weekends specifically.
RN coverage during the day
Reported RN hours average about 16 minutes per resident per day; ask whether a registered nurse is on-site around the clock or only during daytime shifts.
Administrator transition and leadership continuity
One administrator has turned over in the past year — ask who is currently in the role, how long they have been in place, and who holds day-to-day authority.
Current bed availability and waitlist
At roughly 68% occupancy, beds appear available now; ask whether that reflects a true vacancy or pending admissions, and what the typical admission timeline looks like.
How quality outcomes are maintained with current staffing
Five-star quality measures alongside 1-star staffing is an unusual pairing — ask how care plans are reviewed and what processes the team uses to sustain those clinical outcomes.
Resident Council access and meeting schedule
The facility has a Resident Council but no Family Council; ask how family members can raise concerns and whether they can attend or receive summaries of council meetings.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.