2101 Treasure Hills Boulevard, Harlingen, TX 78550 · Cameron County · (956) 430-3100
60 certified beds, about 47 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986
CMS Care Compare ratings, data as of September 1, 2026 · CCN 455672 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 15, 2026, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 23 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 3 fines totaling $15,997 in the last three years; the largest was $9,113, and the latest is dated January 25, 2025.
Nurses and nurse aides worked 3.44 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.
47.8% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
Inspectors wroteBased on interviews and record review, the facility failed to provide pharmaceutical services that included the accurate acquiring and receiving of all drugs and biologicals to meet the needs of each resident for 1 (Resident #1) of 3 residents. The facility failed to ensure that Resident #1 received his Theophylline medication on 4/25/26 as prescribed on the medication reconciliation physician orders signed and dated 4/24/26. The deficient practice could result in exacerbation of the resident's condition and disease process.
Inspectors wroteBased on interview and record review, the facility failed to maintain medical records in accordance with accepted professional standards and practices that were complete, accurately documented, readily accessible, and systematically organized for 1 (Resident #1) of 3 residents reviewed for accurate medical records. The facility failed to accurately document the administration of Theophylline on Resident #1's MAR on 4/27/26. This deficient practice could place residents at risk of having incomplete or inaccurate records and residents receiving delayed or inadequate treatment or care.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure residents had the right to a safe, clean, comfortable, and homelike environment including but not limited to receiving treatment and supports for daily living safely for 8 of 19 resident A-Beds (1201-A, 1202-A, 1205-A, 1207-A, 1209-A, 1211-A, 1213-A, and 1215-A) reviewed for environment. The facility failed to ensure resident rooms 1201-A, 1202-A, 1205-A, 1207-A, 1209-A, 1211-A, 1213-A, and 1215-A had a covering or door on their closets. This deficient practice could place residents at risk of their personal belongings being seen, touched, or stolen.
Inspectors wroteBased on record reviews and interviews, the facility failed to send a copy of the residents' discharge notice, prior to discharge, to the representative of the Office of State Long-Term Care (LTC) Ombudsman of the residents' transfer or discharge and the reasons for the move for 2 of 2 (Resident #1 and Resident #53) reviewed for residents' discharge.1. Resident #1 was discharged to the hospital on 1/11/26 without a notice to the LTC state ombudsman.2. Resident #53 was discharged home on [DATE] without a notice to the LTC state ombudsman. These failures could place residents at risk of not knowing their rights and receiving the services of the state LTC Ombudsman.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure resident medical records were kept in accordance with accepted professional standards and practices, the facility must maintain medical records on each resident that are complete and accurately documented for 1 of 4 residents (Resident #1) reviewed for clinical records. The facility failed to ensure the ADON entered the verbal physician orders that she took from the nurse practitioner immediately in Resident #1's records on 03/19/2026. This failure could place residents at risk for incorrect treatment decisions, evaluation, and treatment plans compromising patient safety due to insufficient information records.
Inspectors wroteBased on interview and record review the facility failed to maintain medical records on each resident that were complete and accurately documented, in accordance with accepted professional standards and practices, for 1 of 2 residents (Resident #1) whose records were reviewed for accuracy and completeness. The facility failed to document in Resident #1's medical record when Resident #1 was sent to the hospital on [DATE] for evaluation to right heel wound. The facility failed to document the physician's order for evaluation to right heel wound. These failures could place residents at risk for errors in care. The findings Include: [...]
Inspectors wroteBased on interviews and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week, for 13 ([DATE]th,10th, 23rd, 24th, and 31st, [DATE]th, 7th, and 21st, and [DATE]th, 18th, 19th, 25th, and 26th, 2025) of 90 days reviewed for RN hours, for the period from [DATE], through [DATE]. The facility failed to have any RN coverage on weekends for [DATE]st, [DATE]th, 18th, 19th, 25th, and 26th, 2025. The facility failed to have less than 8 hours of RN coverage on weekends for [DATE]th,10th, 23rd, and 24th, and [DATE]th, 7th, and 21st, 2025. This failure could place residents at risk of harm by denying residents the advanced critical thinking skills a registered nurse could provide.
Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs that were identified in the comprehensive assessment for 2 of 3 residents (Residents #1 and #2) reviewed for care plans. 1. The facility failed to ensure Resident #1's care plan reflected he was a 2 person assist for toileting. 2. The facility failed to ensure Resident #2's care plan reflected he was a 2 person assist for toileting. These failures could place residents at risk of not receiving the necessary care and services.
Inspectors wroteBased on interviews and record review, the facility failed to offer a therapeutic diet when there was a nutritional problem and the health care provider ordered a therapeutic diet for 1 (Resident #1) of 3 residents reviewed for diets. The facility failed to administer Resident #1 with liquid protein (on 02/28/25, 03/02/25, 03/03/25, 03/04/25, 03/08/25, 03/09/25, 03/10/25, 03/11/25, 03/12/25, 03/14/25, 03/16/25, 03/17/25, 03/19/25, 03/20/25, 03/21/25, and 03/24/25) and Nepro (on 02/28/25, 03/01/25, 03/03/25, 03/04/25, 03/06/25, 03/07/25, 03/09/25, 03/12/25, 03/13/25, 03/15/25, and 03/24/25) supplements as ordered by her physician. This failure could affect residents on therapeutic diets by placing them at increased risk for significant weight loss and malnutrition.
Inspectors wroteBased on interviews and record review, the facility failed to ensure the assessment accurately reflected the resident's status for 2 (Resident #1 and Resident #2) of 3 residents reviewed for accuracy of assessments. The facility failed to ensure Resident #1 and Resident #2 were coded in the MDS for dialysis. This failure could place residents at risk of improper or incorrect care and services necessary for their physical, mental, and psychosocial well-being.
Inspectors wroteBased on interviews and record review, the facility failed to maintain medical records in accordance with accepted professional standards and practices that were complete and accurately documented for 1 (Resident #1) of 3 residents reviewed for accuracy of records, in that: LVN A failed to document Resident #1's change of condition for nausea on 03/24/25. This failure could affect residents whose records are maintained by the facility and could place them at risk for errors in care.
Inspectors wroteBased on interviews and record review the facility failed develop and implement a comprehensive person-centered care plan for each resident, consistent with resident needs, that included measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs, for 1 (Resident #1) of 5 residents reviewed for care plans. The facility failed to develop a comprehensive person-centered care plan for Resident #1 to address her behaviors (e.g. not offloading, not wearing heel protectors, weight bearing, refusing to attend dialysis, drinking soda or too much fluid, and not following dietary recommendations such as eating fried chicken). This failure could place the residents at risk of not receiving appropriate interventions and care to meet their current needs as indicated on the comprehensive care plans.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for 1 of 1 resident (Resident #1) reviewed for accidents. The facility failed to ensure an exit door was secured to prevent elopement. Resident #1 eloped from the facility on 9/19/24 and was found by hospital security guards. The non-compliance was identified as past non-compliance. The Immediate Jeopardy began on 9/19/24 and ended on 10/3/24. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk of sustaining serious injury, harm, and death.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure that a resident with pressure ulcers received necessary treatment and services consistent with professional standards of practice to promote healing and prevent infections for 1 of 3 (Resident #19) residents reviewed for quality of care. The facility failed to ensure LVN C labeled and dated Resident #19's wound treatment dressing after completing wound care on 01/23/2025. This deficient practice could affect residents who receive wound care treatments by placing them at risk for receiving inadequate treatments resulting in the worsening of the wounds.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents who needed respiratory care were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 5 (Resident #39) residents reviewed for respiratory care. The facility failed to ensure Resident #39's oxygen was administered at the correct setting of 3 liters per minute on 01/22/2025 as ordered by the physician. This deficient practice could place residents who receive respiratory care at an increased risk of developing respiratory complications and a decreased quality of care.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to store all drugs and biologicals under proper temperature controls, for 1 of 3 (black fridge) refrigerators in the medication storage reviewed, in that, The black fridge was not maintained between 35-40 degrees as per facility policy. This failure placed residents at risk for harm by not receiving the therapeutic effects of their medications.
Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 6 residents (Residents #6), reviewed for pharmaceutical services, in that: The facility failed to ensure Resident #6 had his physician ordered Ceftriaxone sodium (antibiotic) available on 01/31/24. This failure could place residents at risk for not receiving medication as ordered.
Inspectors wroteBased on interview, and record review, the facility failed to ensure that the resident environment remained as free of accident hazards as is possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 of 4 residents (Resident #1) reviewed for accidents and hazards. The facility failed to ensure Resident #1's environment remained free of hazards. On 06/19/24 at around 4:00pm - 6:00pm Resident #1 was found by the ADON with altered mental status and a bottle of rubbing alcohol that was ¼ empty on a dresser at the foot of his bed after Medical Records staff had found 2 bottles of alcohol in residents room earlier in the morning. This deficient practice could place the residents at risk for harm, or serious injury.
Inspectors wroteBased on interviews and record reviews the facility failed to ensure all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (which included to the State Survey Agency) in accordance with State law through established procedures for 1 of 4 residents (Resident #1) reviewed for reporting alleged allegation of abuse. [...]
Inspectors wroteBased on interview and record review, the facility failed to establish and follow written policy on permitting residents to return to the facility after they were hospitalized for one (Resident #1) of one resident reviewed for transfer/discharge. The facility failed to admit Resident #1 back to facility after he was sent to the hospital on [DATE]. This failure could place residents at risk of not receiving the care and services to meet their needs and could affect their mental and emotional well-being.
Inspectors wroteBased on interview and record review the facility failed to ensure adequate supervision and assistive devices to prevent accidents for 1 of 8 resident (Resident #30) reviewed for accidents. The facility failed to provide Resident #30 with adequate supervision, resulting in falls on 09/22/23, 10/06/23, 10/9/2023, 10/09/23, 10/10/23, 10/11/23, 10/14/23, and 10/15/23. This deficient practice could lead to the injury of residents that are at risk for falls.
Inspectors wroteBased on interviews and record reviews the facility failed to ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good personal hygiene for 1 of 3 residents (Resident # 21) reviewed for ADLs care provided to dependent residents. The facility failed to ensure Resident #21 received baths or showers consistently based on records reviewed from 10/25/2023-11/06/2023 referencing resident showers. This failure could place residents at risk of not receiving necessary services to maintain good personal hygiene, skin integrity, or decreased self- esteem.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public for 3 of 10 therapy gym equipment reviewed for environement The facility failed to ensure the therapy gym equipment was not stained and rusted during resident therapy sessions. This failure could place residents at risk of not having a sanitary and functional equipment while receiving therapy treatments.
4 fire safety citations on file: 4 on January 25, 2025.
| Date | Penalty | Amount or length |
|---|---|---|
| January 25, 2025 | Fine | $9,113 |
| June 25, 2024 | Fine | $2,867 |
| February 23, 2024 | Fine | $4,017 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.44 | 3.39 | 3.86 |
| Registered nurses | 0.70 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.90 | 2.98 | 3.42 |
| Nurse aides | 1.63 | ||
| Licensed practical nurses | 1.11 | ||
| Nursing staff turnover (share who left in a year) | 47.8% | 55.3% | 45.8% |
| Registered nurse turnover | 28.6% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.13 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.65 on weekdays and 2.90 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.62 in April to June 2025 to 3.44 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.44 | 0.70 | 3.65 | 2.90 | 0.0% | 0 of 90 | 47 |
| Oct to Dec 2025 | 3.59 | 0.64 | 3.77 | 3.14 | 0.0% | 0 of 92 | 45 |
| Jul to Sep 2025 | 3.81 | 0.69 | 4.09 | 3.11 | 0.0% | 0 of 92 | 44 |
| Apr to Jun 2025 | 3.62 | 0.73 | 3.87 | 2.99 | 0.0% | 0 of 91 | 45 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.5 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.7 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.5 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.3 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.6 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.4 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Golden Palms Rehabilitation and Retirement's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (64.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
64.7% this home
Better than the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 164 eligible stays.
9.7% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 174 eligible stays.
6.7% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 84 eligible stays.
68.4% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 38 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 83 residents counted.
1.3% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 83 residents counted.
100.0% this home
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 40 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: SANTIAGO HEALTHCARE LLC. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Burnam, Soon | Managing control - governing body | Individual | 04/16/2019 | |
| Guzman, Nefi | Managing control - governing body | Individual | 06/01/2019 | |
| Ashton, Andrew | Corporate officer | Individual | 04/16/2019 | |
| Burnam, Soon | Corporate officer | Individual | 04/16/2019 | |
| Burton, Spencer | Corporate officer | Individual | 05/30/2015 | |
| Christensen, Christopher | Corporate officer | Individual | 11/01/2014 | |
| Keetch, Chad | Corporate officer | Individual | 06/01/2019 | |
| Port, Barry | Corporate officer | Individual | 06/01/2019 | |
| Snapper, Suzanne | Corporate officer | Individual | 08/01/2009 | |
| Wittekind, Beverly | Corporate officer | Individual | 09/29/2008 | |
| Guzman, Nefi | Operational/managerial control | Individual | 06/01/2019 | |
| Ensign Services Inc | Adp of the SNF | Organization | 06/01/2019 | |
| Standard Bearer Healthcare Op, LP | Adp of the SNF | Organization | 01/01/2022 | |
| The Ensign Group Inc | Adp of the SNF | Organization | 01/01/2022 | |
| Treasure Hills Health Holdings LLC | Adp of the SNF | Organization | 01/01/2022 | |
| Guzman, Nefi | Adp of the SNF | Individual | 04/14/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.