Palma Real
1220 Loop 459, Mathis, TX 78368 · (361) 547-3318
For profit - Limited Liability company · 90 certified beds
Palma Real has a 5-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2026, found 6 citations (the Texas average is 9.4). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 5 out of 5 stars · Much above average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 9, 2026 found 6 citations. What an inspection citation means
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.June 9, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 9, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 9, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.June 9, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 9, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 9, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- Provide and implement an infection prevention and control program.November 21, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.August 20, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 20, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.April 17, 2025 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 23, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 23, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that a working call system is available in each resident's bathroom and bathing area.February 23, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.February 23, 2024 · F0921 · Level of harm: Potential for minimal harm · Residents affected: Some
- Provide and implement an infection prevention and control program.November 13, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.24 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.37 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.28 | 0.95 | 0.86 |
| Nurse aides | 1.59 | 2.01 | 2.32 |
| Total nursing staff turnover | 31.9% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 90 |
| Average residents per day | 51 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Avir at Portland Portland · ★★★★★ 1 out of 5 stars
- The Premier SNF of Alice Alice · ★★★★★ 3 out of 5 stars
- Windsor Nursing and Rehabilitation Center of Alice Alice · ★★★★★ 2 out of 5 stars
- Meridian Care of Alice Alice · ★★★★★ 1 out of 5 stars
- Gulf Shores Rehabilitation and Healthcare Center Falfurrias · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Palma Real on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.