PALMA REAL
1220 LOOP 459, Mathis, TX 78368
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident & Family Councils Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask PALMA REAL, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
How PALMA REAL Compares
PALMA REAL is a 90-bed for-profit nursing facility in Mathis, Texas. It holds an overall CMS rating of 5 out of 5 stars, above the Texas average of 2.6 stars. Its strongest area is quality measures (5 stars), while staffing (2 stars) is its weakest. Its rate of high-risk residents with pressure ulcers (0.3%) is below the Texas average of 3.8%, a favorable sign for resident care. With 90 certified beds, it has notable available capacity at roughly 57% occupied.
By the numbers vs. Texas average
- Long-stay antipsychotic medication use: 5.0% — better than the Texas average of 9.6% (48% lower).
- Falls with major injury: 3.8% — worse than the Texas average of 3.3%.
- High-risk pressure ulcers: 0.3% — better than the Texas average of 3.8% (93% lower).
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Texas averages across 1177 facilities tracked by ElderVoice.
Questions to Ask PALMA REAL
Use these facility-specific questions when calling admissions, touring the building, or comparing PALMA REAL with other nursing homes in Mathis.
How is PALMA REAL addressing its staffing levels rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What practices help PALMA REAL keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 5.0% here versus 9.6% across Texas. Lower is generally better for this CMS measure.
What is PALMA REAL doing to reduce falls with major injury?
Falls with major injury is 3.8% here versus 3.3% across Texas. Lower is generally better for this CMS measure.
Why is PALMA REAL's occupancy below many full facilities?
The facility reports roughly 57% occupancy across 90 certified beds. Lower occupancy can mean availability, but families should ask whether renovations, staffing, reputation, or service mix are factors.
How can a new family connect with existing councils at PALMA REAL?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at PALMA REAL?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Mathis
Mathis sits in San Patricio County, where adults 65 and older make up about 14.9% of the population — a higher share of seniors than Texas as a whole (12.5% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.
- Residents 65+
- 9,948 (14.9%)
- Median age
- 35.6 years
- Median household income
- $56,111
- Median home value
- $129,400
Demographics for San Patricio County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Mathis.
Facility Details
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