Palma Real: Staffing, Turnover, and Inspection Record
Palma Real is a 90-bed for-profit nursing home in Mathis, Texas, part of Cantex Continuing Care. In the CMS August 2026 release it reported 1.59 nurse aide hours per resident per day, 21% below the Texas average of 2.00, and 31.9% nursing staff turnover (Texas average 55.3%).
Palma Real
1220 Loop 459Mathis, TX 78368
San Patricio 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 Palma Real, nurse aides logged 1.59 hours per resident per day, 21% below the Texas average. With about 51 residents a day, that works out to roughly 81 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.59 | 2.00 | 2.32 |
| Licensed practical nurses | 1.28 | 0.95 | 0.86 |
| Registered nurses | 0.37 | 0.43 | 0.69 |
| All nursing staff | 3.24 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.72 | 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
31.9% of nursing staff at Palma Real left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 50.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 9, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Palma Real holds 5 of 5 overall; the Texas average is 2.6.
About Palma Real
- Ownership: For profit - Limited Liability company
- Chain: Cantex Continuing Care, 37 homes
- Legal name: Hamilton County Hospital District
- Medicare and Medicaid certified since: May 11, 1994
- Councils: resident and family councils
- Area: urban
Nursing homes near Palma Real
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at River Ridge Corpus Christi | 18.7 | 120 | 1.84 | 3.15 | 60.9% | 3 | $22,932 |
| Windsor Calallen Corpus Christi | 19.6 | 120 | 1.84 | 3.00 | 30.8% | 4 | $4,823 |
| Hacienda Oaks at Beeville Beeville | 21.8 | 101 | 1.75 | 3.42 | 29.3% | 4 | None |
| Avir at Beeville Beeville | 22.1 | 120 | 2.37 | 3.75 | 29.7% | 4 | $38,687 |
| Robstown Nursing and Rehabilitation Center Robstown | 22.4 | 94 | 1.58 | 2.71 | 53.1% | 2 | $12,055 |
| Live Oak Nursing and Rehabilitation Center George West · abuse citation | 25.1 | 96 | 2.07 | 3.37 | 32.2% | 2 | $56,980 |
| Windsor Nursing and Rehabilitation Center of Alice Alice | 27.3 | 136 | 1.96 | 3.20 | 41.4% | 2 | $31,463 |
| The Premier SNF of Alice Alice | 27.3 | 104 | 1.79 | 2.99 | 92.5% | 3 | 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.