All states › Texas › San Antonio › Golden Estates Rehabilitation Center
130 Spencer Ln. San Antonio, TX 78201 · Bexar County
All 58 nursing homes in San Antonio, TX (53 take Medicaid)
CMS certification number 675690 · See this home on Medicare Care Compare
Is Golden Estates Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Golden Estates Rehabilitation Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.18 hours per resident per day at Golden Estates Rehabilitation Center, below the Texas median of 3.30 (US median: 3.72). About 0.23 of those hours are from registered nurses. On weekends it falls to 2.62 hours, 18% below its all-week average. Ask how weekends are staffed. 53.4% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Golden Estates Rehabilitation Center: Medicare and Medicaid
Golden Estates Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 15, 2025 and found 0 deficiencies, plus 9 from complaint inspections in the same period. In total, inspectors issued 33 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 33 citations at Golden Estates Rehabilitation Center across 9 inspection dates, 18 of them from complaint investigations. 6 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 30, 2025 (complaint inspection). The most common areas cited were pharmacy service (6) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "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" (tag F0584, level K, February 28, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 11, 2026 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
November 21, 2025 · 4 citations · includes complaint inspection
DEnsure that residents are fully informed and understand their health status, care and treatments.
DEnsure each resident receives an accurate assessment.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CPost nurse staffing information every day.
August 15, 2025 · 4 citations · includes complaint inspection
EEnsure 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.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DEnsure each resident receives an accurate assessment.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 30, 2025 · 4 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DEnsure 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.
February 28, 2025 · 3 citations, includes immediate jeopardy · includes complaint inspection
KHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 28, 2024 · 10 citations, includes immediate jeopardy
JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
JEnsure 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DImplement 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.
DEnsure 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.
DProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DProvide and implement an infection prevention and control program.
March 29, 2024 · 1 citation · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
January 19, 2024 · 1 citation · includes complaint inspection
EKeep all essential equipment working safely.
June 4, 2023 · 5 citations, includes immediate jeopardy
KProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure that residents are free from significant medication errors.
Questions to ask on a tour of Golden Estates Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on February 28, 2025 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 28, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $162,107 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 30, 2025 | Fine | $16,838 |
| Feb 28, 2025 | Fine | $113,523 |
| Jul 28, 2024 | Fine | $31,746 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
Add this rating badge to your websiteFree. Shows Golden Estates Rehabilitation Center's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Golden Estates Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 2.6 mi
-
2.6 mi
Methodist Hospital San AntonioEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 18m for patients treated and sent home
- 2.9 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Golden Estates Rehabilitation Center › All nursing homes in San Antonio ›
Compare Golden Estates Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- St. Francis Nursing Home · San Antonio · 5 stars · 3.0 mi
- Remington Transitional Care of San Antonio · San Antonio · 5 stars · 3.9 mi
- The Heights on Huebner · San Antonio · 5 stars · 4.7 mi
- Lakeside Nursing and Rehabilitation Center · San Antonio · 5 stars · 8.0 mi
Other Paramount Healthcare nursing homes in Texas
- Lindan Park Care Center · Richardson · 5 stars
- The Atrium Rehabilitation Center · San Antonio · 4 stars
- Stonemere Rehabilitation Center · Frisco · 4 stars
- Inspiration Hills Rehabilitation Center · San Antonio · 3 stars
- The Laurenwood Nursing and Rehabilitation · Duncanville · 3 stars
- The Lennwood Nursing and Rehabilitation · Dallas · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 8 Paramount Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.