Golden Estates Rehabilitation Center
130 Spencer Ln, San Antonio, TX, 78201
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Paramount Healthcare
- Certified beds
- 93 · avg 61 residents/day
- Total nursing staff turnover
- 59.2% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $170,769 total
Medicare certification
- CMS Certification Number
- 675690
- Certified beds
- 93 beds · avg 61 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Hamilton County Hospital District
- Chain affiliation
- Paramount Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Paramount Healthcare chain — 8 facilities. Chain-wide average overall rating 2.4 / 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 May 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 32)
- 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.
- 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.
- 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.
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Golden Estates Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.