Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Palma Real during CMS and state inspections, most recent first.
A CNA did not perform adequate hand hygiene before assisting a resident with a transfer, lathering hands for only 6 seconds instead of the required duration. The resident had multiple medical conditions and required significant assistance. Facility leadership and policy both confirmed the expectation for at least 15–20 seconds of handwashing to prevent cross contamination.
Failure to Ensure Proper Hand Hygiene Prior to Resident Transfer
Penalty
Summary
A certified nursing assistant (CNA) failed to perform proper hand hygiene prior to assisting a resident with a transfer from bed to wheelchair. During observation, the CNA was seen lathering her hands for only approximately 6 seconds, which is less than the facility's policy requirement of at least 15 seconds and the generally accepted standard of 20 seconds. The CNA later stated in an interview that she believed she had washed her hands for 20 seconds or more and acknowledged that handwashing should be performed for 20 seconds to prevent cross contamination. The last hands-on in-service training for handwashing was conducted in September 2025, and the CNA had participated without reported issues at that time. The resident involved was an elderly female with a history of arteriovenous malformation of cerebral vessels, cerebral infarction, hypertension, and COPD. She had moderate cognitive impairment and required substantial to maximal assistance for transfers. Both the Director of Nursing (DON) and the Assistant Director of Nursing (ADON), who also served as the Infection Preventionist, confirmed in interviews that staff are expected to scrub their hands for at least 20 seconds to prevent cross contamination and reduce infection risk. The facility's hand hygiene policy, last reviewed in August 2019, specifies that hands should be rubbed together vigorously for at least 15 seconds, covering all surfaces.
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Illustrative
What surveyors actually found near you
We read the 33 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Mathis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At River Ridge | 18.7 mi | ★★★★★ | 15 | 1 |
| Windsor Calallen | 19.6 mi | ★★★★★ | 3 | 0 |
| Hacienda Oaks At Beeville | 21.8 mi | ★★★★★ | 4 | 0 |
| Avir At Beeville | 22.1 mi | ★★★★★ | 5 | 0 |
| Robstown Nursing And Rehabilitation Center | 22.4 mi | ★★★★★ | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.