GOLDEN ESTATES REHABILITATION CENTER – SAN ANTONIO, TX

CMS Verified | 2026-03-01

Golden Estates Rehabilitation Center

130 SPENCER LN, San Antonio, TX 78201
(210) 736-4544
93 beds
All San Antonio facilities
1.0*
Overall
1.0*
Health Inspection
4.0*
Quality Care
1.0*
Staffing
64.06
Score /100
#10688
National Rank

#10688
of 14703 facilities
National
27.3% position
#834
of 1177 in TX
State Rank
#44
of 62 in Bexar
County Rank
#43
of 58 in San Antonio
City Rank
#3
of 3 in ZIP 78201
ZIP Rank






About Golden Estates Rehabilitation CenterGolden Estates Rehabilitation Center is located at 130 Spencer Ln, San Antonio, TX, reachable at (210) 736-4544. This For profit – Limited Liability company facility operates 93.0 certified beds and serves an average of 65 residents per day. It is part of the Paramount Healthcare network (8 facilities nationwide). Medicare and Medicaid services have been provided since 1997-06-04. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Golden Estates Rehabilitation Center

Address

130 Spencer Ln, San Antonio, TX 78201

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 93 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: PARAMOUNT HEALTHCARE

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 7 fine(s) over 5 years
5-Year Trend
Declining over 5 years
64.06
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#10688 of 14703 nationally – #834 of 1177 in Texas

Who Is This Facility Best For?

Golden Estates Rehabilitation Center may be considered for families with limited options in San Antonio, TX, but its lower CMS ratings suggest careful due diligence is warranted. It performs well for short-stay and post-acute rehabilitation patients. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

5 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightGolden Estates Rehabilitation Center currently provides 2 hours 56 minutes of total nurse staffing per resident per day, including 22 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 61.3%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing2 hours 56 minutes
Nurse Aide Hours1 hour 42 minutes
Licensed Practical Nurse (LPN) Hours52 minutes
Registered Nurse (RN) Hours22 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 30 minutes
Weekend Registered Nurse (RN) Hours11 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 3 fine(s) totaling $170,769. 10 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 3
Total Fines Amount $170769.0
Payment Denials 0
Total Penalties 3
Abuse Flag on Record N
Total Weighted Health Survey Score 191.5 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#10,688
of 14,703
National
Bottom 27%
#834
TX State
Bottom 29% in TX
#44
of 62
️ Bexar County
#44 of 62
#43
of 58
️ San Antonio
#43 of 58
#3
of 3
ZIP 78201
#3 of 3

Nationally, Golden Estates Rehabilitation Center ranks 10688th out of 14,703 facilities (composite score: 64.1/100), placing it in the below average nationwide. Within TX, it ranks 834th out of 1,177 nursing homes. In San Antonio, it ranks 43rd out of 58 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #13,400 nationally and RN hours rank #11,619 nationally (#593 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 3.38 #8,837 / 14,703 #460 / 1,177 Below average
2023 3.43 #8,400 / 14,703 #397 / 1,177 Below average
2024 3.09 #11,906 / 14,703 #670 / 1,177 ⚠️ Bottom 25%
2025 3.30 #10,861 / 14,703 #487 / 1,177 Below average
2026 2.93 #13,400 / 14,703 #966 / 1,177 ⚠️ Bottom 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.63 #6,294 / 14,703 #126 / 1,177 Above average
2023 0.33 #11,597 / 14,703 #525 / 1,177 ⚠️ Bottom 25%
2024 0.18 #13,803 / 14,703 #1,000 / 1,177 ⚠️ Bottom 10%
2025 0.40 #10,765 / 14,703 #461 / 1,177 Below average
2026 0.36 #11,619 / 14,703 #593 / 1,177 ⚠️ Bottom 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Golden Estates Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1997-06-04. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (210) 736-4544 or your local Medicaid office to verify current eligibility.

Golden Estates Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 64.1/100, placing it #10688 of 14703 facilities nationally and #834 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Golden Estates Rehabilitation Center receives a reported average of 2 hours 56 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 22 minutes; Licensed Practical Nurse (LPN) — 52 minutes; Nurse Aide — 1 hour 42 minutes. On weekends, total nurse staffing is 2 hours 30 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 61.3%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 3 fine(s) totaling $170,769. 10 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 3 fine(s) totaling $170,769, and 0 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 191.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Golden Estates Rehabilitation Center ranks 10688th out of 14,703 facilities (composite score: 64.1/100), placing it in the below average nationwide. Within TX, it ranks 834th out of 1,177 nursing homes. In San Antonio, it ranks 43rd out of 58 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #13,400 nationally and RN hours rank #11,619 nationally (#593 in TX). Our composite quality score of 64.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in San Antonio, visit: https://nursinghomesnearme.org/texas/san-antonio/

Contact and Location

ADR
Address

130 SPENCER LN, San Antonio, TX 78201
Get directions on Google Maps

TEL
LLC
Legal Name

HAMILTON COUNTY HOSPITAL DISTRICT

MAP
Browse by Location

All Texas ·
Bexar County ·
San Antonio ·
ZIP 78201

Facility Details

Number of Certified Beds 93
Average Residents / Day 65 (70% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Bexar County, TX
City San Antonio, TX
ZIP Code 78201
Approved Since June 4, 1997
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675690
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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