145 De Chantle Rd, San Antonio, TX 78201
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Golden Estates Rehabilitation Center
San Antonio, TexasMedicare inspection record
About Golden Estates Rehabilitation Center
Golden Estates Rehabilitation Center is a for profit - limited liability company nursing home in San Antonio, TX with 93 certified beds.
Community at a glance
Capacity
93 residents
Location
San Antonio, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
130 Spencer Ln, San Antonio, Texas 78201
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on August 15, 2025, state inspectors cited 8 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 17 minutes with each resident a day, about the same as the Texas average.
Medicare fined Golden Estates Rehabilitation Center 3 times in the last three years, $162,107 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 17 minutes |
| Registered nurse time per resident, per day | 20 minutesBelow the Texas average |
| Nursing staff who left in the past year | 59%Above the Texas average |
Inspections
27 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
November 21, 2025 · Complaint investigation · 4 citations
Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 24, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Nov 24, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 24, 2025Post nurse staffing information every day.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintCorrected Nov 24, 2025
August 15, 2025 · Standard inspection · 4 citations
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Aug 16, 2025Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Aug 16, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 16, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Aug 16, 2025
May 30, 2025 · Complaint investigation · 4 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected May 31, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 31, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 31, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 31, 2025
February 28, 2025 · Complaint investigation · 3 citations+
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Immediate danger to residents, a pattern (level K)Resident RightsFrom a complaintCorrected Mar 1, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 26, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 1, 2025
July 28, 2024 · Standard inspection · 10 citations+
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected Jul 28, 2024Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected Jul 28, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Immediate danger to residents, a few residents (level J)Resident RightsCorrected Jul 28, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jul 28, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 28, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 28, 2024Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 28, 2024Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 28, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 28, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 28, 2024
March 29, 2024 · Complaint investigation · 1 citation+
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 30, 2024
January 19, 2024 · Complaint investigation · 1 citation+
Keep all essential equipment working safely.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Jan 20, 2024
Fines and payment denials
3 fines totaling $162,107 in the last three years.
- May 30, 2025Fine: $16,838
- February 28, 2025Fine: $113,523
- July 28, 2024Fine: $31,746
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Hamilton County Hospital District
- Medicare-certified beds
- 93
- Average residents per day
- 64
- Accepts
- Medicare and Medicaid
- First certified
- June 4, 1997
- Part of a chain
- Paramount Healthcare, 8 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675690
Location
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130 Spencer LnSan Antonio, TX 78201
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Questions about Golden Estates Rehabilitation Center
How did Golden Estates Rehabilitation Center do on its last inspection?+
State inspectors visited on August 15, 2025 and cited 8 health deficiencies, 8 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Golden Estates Rehabilitation Center?+
Nurses and aides spend 3 hours 17 minutes with each resident per day, including 20 minutes from registered nurses. 59% of nursing staff left over the past year.
Has Golden Estates Rehabilitation Center been fined by Medicare?+
Yes. Medicare fined Golden Estates Rehabilitation Center 3 times in the last three years, totaling $162,107.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.