Nursing home / skilled nursing
Palma Real
Nursing home / skilled nursing in Mathis, Texas
| Provider details | |
|---|---|
| Address | 1220 LOOP 459 |
| City | Mathis |
| State | Texas |
| ZIP code | 78368 |
| County | San Patricio |
| Phone | 361-547-3318 |
| Website | https://cantexcc.com/snf/palma-real/ |
| CMS certification number (CCN) | 675312 |
| Ownership | For profit - Limited Liability company |
| Certified beds | 90 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | May 11, 1994 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services, cardiac recovery, chronic care, hospice and palliative care, post-surgical recovery, pulmonary recovery, respite care, stroke recovery, transitional care, intravenous therapy, respiratory therapy, tracheotomy care, wound management, outpatient rehabilitation |
Palma Real is in 1220 LOOP 459, Mathis, TX 78368. Phone: 361-547-3318. Ownership: For profit - Limited Liability company. CMS rates it 5 out of 5 stars overall (health inspection 4, staffing 2, quality measures 5). CMS inspection and staffing detail: total weighted health survey score 40.000; 0 federal fines totaling $0.00; total nursing staff turnover 40.0%.
Palma Real is a 90-bed skilled nursing home in Mathis with views of country fields. It offers 24-hour skilled nursing and physical, occupational, and speech therapy, along with programs for cardiac recovery, stroke recovery, pulmonary recovery, and post-surgical recovery. The home also has private and semi-private rooms, restaurant-style dining, a chapel, a salon, and activities with community outings.
More about this provider
| Palma Real is a 90-bed skilled nursing facility in Mathis offering 24-hour skilled nursing, rehabilitation therapies, and recovery programs including cardiac, pulmonary, stroke, and post-surgical recovery. It also lists amenities such as private rooms, restaurant-style dining, a chapel, a salon, and activities. | |
| Services and programs | 90-bed skilled nursing facility offering cardiac recovery, chronic care, hospice and palliative care, post-surgical recovery, pulmonary recovery, respite care, stroke recovery, transitional care, 24-hour skilled nursing, enteral and parenteral care, intravenous therapy, respiratory therapy, tracheotomy care, wound management, physical, occupational and speech therapies, outpatient rehabilitation, laboratory and X-ray services, discharge planning, nutrition services, social services, and pharmacy services 7 days per week. Amenities include private and semi-private rooms, restaurant-style dining, an in-house cafe, a library, a chapel, a salon/barber shop, an interior courtyard/garden, an outdoor patio, and activities with community outings. |
| Visiting and contact details | Palma Real, 1220 Loop 459, Mathis, Texas 78368; phone 361-547-3318. Resident transportation for doctor's appointments is stated. |
| Website | https://cantexcc.com/snf/palma-real/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 5 of 5 |
| Health inspection rating | 4 of 5 |
| Staffing rating | 2 of 5 |
| Quality measure rating | 5 of 5 |
| Long-stay quality rating | 5 of 5 |
| Short-stay quality rating | 5 of 5 |
| RN staffing hours per resident per day | 0.40 |
| Total nurse staffing hours per resident per day | 3.33 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 36 |
| Total Weighted Health Survey Score | 40.000 |
| Rating Cycle 2/3 Total Health Score | 52 |
| Rating Cycle 1 Health Deficiency Score | 36 |
| Rating Cycle 2/3 Health Deficiency Score | 52 |
| Rating Cycle 1 Standard Survey Health Date | 2026-06-09 |
| Rating Cycle 1 Total Number of Health Deficiencies | 7 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 12 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 6 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 1 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 8 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 1.42072 |
| Registered Nurse turnover | 33.3 |
| Nursing Case-Mix Index Ratio | 1.00742 |
| Total nursing staff turnover | 40.0 |
| Reported LPN Staffing Hours per Resident per Day | 1.38130 |
| Reported Licensed Staffing Hours per Resident per Day | 1.78620 |
| Number of administrators who have left the nursing home | 0 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.54721 |
| Registered Nurse hours per resident per day on the weekend | 0.35518 |
| Total number of nurse staff hours per resident per day on the weekend | 2.78842 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Total Amount of Fines in Dollars | 0.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Chain ID | 100 |
| Chain Name | CANTEX CONTINUING CARE |
| Legal Business Name | HAMILTON COUNTY HOSPITAL DISTRICT |
| Chain Average QM Rating | 4.4 |
| Chain Average Staffing Rating | 2.1 |
| Number of Facilities in Chain | 37 |
| Chain Average Overall 5-star Rating | 3.3 |
| Chain Average Health Inspection Rating | 2.9 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Both |
| Average Number of Residents per Day | 47.3 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in San Patricio County
- Avir At Portland — Portland
Common questions about Palma Real
Where is Palma Real located?
Palma Real is at 1220 LOOP 459, Mathis, Texas 78368.
What care and services does Palma Real offer?
Palma Real offers skilled nursing, rehab services, skilled nursing care, rehabilitation services, cardiac recovery, chronic care, hospice and palliative care, post-surgical recovery.
Is Palma Real Medicare-certified?
Yes. Palma Real is certified for both Medicare and Medicaid.
What is Palma Real's quality rating?
CMS gives Palma Real an overall star rating of 5 out of 5.
How do I contact Palma Real?
Call Palma Real at 361-547-3318.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.