Golden Estates Rehabilitation Center
130 SPENCER LN., San Antonio, TX, 78201
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 - Limited Liability company · Chain: Paramount Healthcare
- Certified beds
- 93 · avg 65 residents/day
- Total nursing staff turnover
- 61.3% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 80% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $170,769 total
- Infection control citations
- 1
State licensing & capacity
- License number
- 311417
- Service type
- Medicare/medicaid
- Licensed capacity
- 93 beds
- Bed type breakdown
- 6 Medicare-only · 87 Medicaid/Medicare
- Current license effective
- May 1, 2023
- Current license expires
- May 1, 2026
- Initial license date
- July 5, 1985
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Golden Rehabilitation Center Llc
- Administrator
- April Ramos
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Paramount Healthcare chain — 8 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (11 on record)
- Golden Rehabilitation Center Llc
Adp of The Snf · since 2025
- April Ramos
Adp of The Snf · since 2023
- Danny k Prince
5% or Greater Mortgage Interest · 50% · since 2023
- Grady Hooper
Corporate Officer · since 2023
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
- Lauren p Golden
5% or Greater Mortgage Interest · 25% · since 2023
+ 5 additional owners on the federal record.
Recent change of ownership
May 2023 (3 years ago) · acquired from Golden Estates Rehabilitation Center
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
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 33)
- D0842·Nov 21, 2025Complaint
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.
- C0732·Nov 21, 2025Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0641·Nov 21, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0552·Nov 21, 2025Complaint
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
- D0812·Aug 15, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0761·Aug 15, 2025Complaint
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.
- D0641·Aug 15, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- E0921·Aug 15, 2025Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal penalties
By year
- 20252 fines · $139K
- 20241 fine · $32K
Most recent events
- May 30, 2025Fine · $26K
- Feb 28, 2025Fine · $114K
- Jul 28, 2024Fine · $32K
Largest single fine on record: $114K.
Fire-safety citations
10 Life-Safety-Code citations on file, including 1 at severity J–L. Most recent: Aug 15, 2025. 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
Golden Estates Rehabilitation Center is a 93-bed nursing home in San Antonio (Bexar County) accepting Medicare and Medicaid. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Three fines totaling $170,769 have been assessed — more than eight times the Texas median fine amount of $20,699. The quality-of-care rating is 4 stars. Managed by Golden Rehabilitation Center LLC under a hospital district license.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier among Texas nursing homes, a group that represents about 38% of facilities in the state. Each resident receives roughly 176 minutes of nursing care per day, about 65 minutes less than at a 4-star-staffing facility in Texas. Residents here tend to need more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 176 minutes stretch thinner than the raw number suggests.
About 6 in 10 nursing staff left in the past year, and 8 in 10 registered nurses turned over in the same period. At that pace, a long-stay resident will likely cycle through two or three primary caregivers over the course of a year.
Three CMS fines totaling $170,769 have been assessed. The Texas median fine across facilities that receive any fine at all is $20,699; this facility's total is more than eight times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 70% of its licensed 93 beds, with about 65 residents on an average day. That occupancy sits alongside the other signals above rather than independently.
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
Reported weekend nursing hours here run about 2.5 minutes per resident per hour — ask how many nurses and aides are on duty overnight and on weekends specifically.
Details behind the three fines
CMS has issued three fines totaling $170,769 since the facility's data window; ask what each citation was for and what corrective steps have been taken.
RN turnover and continuity of care
Eight in 10 registered nurses left in the past year — ask how the facility currently recruits and retains RNs and how care plans are handed off when staff change.
Current bed availability and waitlist
The facility is running at about 70% occupancy; ask whether that reflects a recent change in admissions pace or a longer-term pattern, and what is driving it.
Resident Council participation
The facility has a Resident Council but no Family Council — ask how families are kept informed of concerns raised in council meetings and how they can raise issues of their own.
Management company role day-to-day
The facility is licensed to a hospital district but managed by Golden Rehabilitation Center LLC — ask which entity makes staffing and care decisions at the building level.
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.