Golden Estates Rehabilitation Center: Staffing, Turnover, and Inspection Record
Golden Estates Rehabilitation Center is a 93-bed for-profit nursing home in San Antonio, Texas, part of Paramount Healthcare. In the CMS August 2026 release it reported 1.95 nurse aide hours per resident per day, 3% below the Texas average of 2.00, and 58.5% nursing staff turnover (Texas average 55.3%).
Golden Estates Rehabilitation Center
130 Spencer Ln.San Antonio, TX 78201
Bexar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Golden Estates Rehabilitation Center, nurse aides logged 1.95 hours per resident per day, 3% below the Texas average. With about 64 residents a day, that works out to roughly 124 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 20% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.95 | 2.00 | 2.32 |
| Licensed practical nurses | 1.00 | 0.95 | 0.86 |
| Registered nurses | 0.34 | 0.43 | 0.69 |
| All nursing staff | 3.29 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.62 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
58.5% of nursing staff at Golden Estates Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 57.1%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 15, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 8 health deficiencies (Texas average 9.3). CMS lists 3 fines totaling $161,844 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 30, 2025 | Fine | $16,575 |
| Feb 28, 2025 | Fine | $113,523 |
| Jul 28, 2024 | Fine | $31,746 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Golden Estates Rehabilitation Center holds 2 of 5 overall; the Texas average is 2.6.
About Golden Estates Rehabilitation Center
- Ownership: For profit - Limited Liability company
- Chain: Paramount Healthcare, 8 homes
- Legal name: Hamilton County Hospital District
- Medicare and Medicaid certified since: Jun 4, 1997
- Councils: resident council
- Area: urban
Nursing homes near Golden Estates Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Morningside Manor San Antonio | 0.8 | 147 | 1.97 | 3.60 | 15.8% | 4 | $5,000 |
| The Lev at San Antonio San Antonio | 1.8 | 106 | 2.10 | 3.09 | 41.5% | 1 | $174,496 |
| The Sarah Roberts French Home San Antonio | 2.4 | 60 | 1.59 | 3.27 | — | 2 | None |
| Inspiration Hills Rehabilitation Center San Antonio | 2.4 | 134 | 2.07 | 3.21 | 41.4% | 3 | None |
| Oak Park Nursing and Rehabilitation Center San Antonio | 2.5 | 170 | 1.97 | 3.19 | 50.0% | 2 | $9,280 |
| The Atrium Rehabilitation Center San Antonio | 2.5 | 87 | 2.53 | 4.31 | 64.0% | 4 | $9,600 |
| The Heights at Medical Center San Antonio | 2.8 | 134 | 1.96 | 3.00 | 56.3% | 1 | $22,052 |
| St. Francis Nursing Home San Antonio | 3.0 | 107 | 2.24 | 3.34 | 22.9% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.