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COASTAL PALMS NURSING & REHABILITATION

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COASTAL PALMS NURSING & REHABILITATION is a for profit - corporation facility in PORTLAND, TX with 97 certified beds and a 1-star overall CMS rating. The facility has 27 deficiency records on file. Total penalties: $119K.

221 CEDAR DR, PORTLAND, TX 78374

Phone: 3616431888

Overall Rating

1/5

Health Inspection

2/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
675850
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
97
Residents
77
In Hospital
Yes
County
San Patricio
Last Inspection
Sep 9, 2025

Staffing Data

RN Hours
0.25 (nat'l avg: 0.68)
LPN Hours
0.97
CNA Hours
1.64
Total Nursing Hours
2.86 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
65.9%
RN Turnover
55.6%

What the CMS Record Reveals About COASTAL PALMS NURSING & REHABILITATION

COASTAL PALMS NURSING & REHABILITATION operates 97 certified beds in PORTLAND, TX with approximately 77 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (1★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 27 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $119K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.86 total nursing hours per resident day (national average 3.89), with RN coverage at 0.25 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, COASTAL PALMS NURSING & REHABILITATION falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 65.9%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (27 most recent)

D — Isolated - Minimal harm Sep 9, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 30, 2025

D — Isolated - Minimal harm Sep 9, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 30, 2025

E — Pattern - Minimal harm Sep 9, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 30, 2025

D — Isolated - Minimal harm Sep 9, 2025 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Sep 30, 2025

E — Pattern - Minimal harm Sep 9, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Sep 30, 2025

D — Isolated - Minimal harm Sep 9, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 30, 2025

D — Isolated - Minimal harm Sep 9, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Sep 30, 2025

E — Pattern - Minimal harm Jul 1, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 4, 2025

E — Pattern - Minimal harm Aug 16, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Sep 20, 2024

F — Widespread - Minimal harm Aug 16, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 16, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 16, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 16, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 16, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 16, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Sep 20, 2024

D — Isolated - Minimal harm Aug 16, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Sep 20, 2024

G — Isolated - Actual harm Jul 26, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 8, 2024

D — Isolated - Minimal harm Apr 11, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 12, 2024

K — Pattern - Jeopardy Apr 11, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 12, 2024

D — Isolated - Minimal harm Apr 11, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 12, 2024

K — Pattern - Jeopardy Apr 11, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Apr 12, 2024

D — Isolated - Minimal harm Nov 15, 2023 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Nov 21, 2023

D — Isolated - Minimal harm Sep 11, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 28, 2023

E — Pattern - Minimal harm May 5, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm May 5, 2023 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Jun 16, 2023

D — Isolated - Minimal harm Mar 31, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 16, 2023

D — Isolated - Minimal harm Mar 31, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: May 16, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 36.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 68.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 30.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 90.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 19.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 3.9% Yes

Penalty History 2 penalties totaling $119K

Date Type Amount
Jul 26, 2024 Fine $9K
Apr 11, 2024 Fine $110K

Frequently Asked Questions

What is the overall CMS rating for COASTAL PALMS NURSING & REHABILITATION?
COASTAL PALMS NURSING & REHABILITATION has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (4★).
What are the staffing levels at COASTAL PALMS NURSING & REHABILITATION?
COASTAL PALMS NURSING & REHABILITATION reports 2.86 total nursing hours per resident day (national average: 3.89). RN hours are 0.25 per resident day (national average: 0.68). Nursing staff turnover is 65.9%.
How many beds does COASTAL PALMS NURSING & REHABILITATION have?
COASTAL PALMS NURSING & REHABILITATION has 97 certified beds with approximately 77 residents. The facility is located at 221 CEDAR DR, PORTLAND, TX 78374.
Does COASTAL PALMS NURSING & REHABILITATION have any deficiencies on record?
Yes, COASTAL PALMS NURSING & REHABILITATION has 27 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has COASTAL PALMS NURSING & REHABILITATION received any fines or penalties?
Yes, COASTAL PALMS NURSING & REHABILITATION has received 2 penalties totaling $119K.
Who owns COASTAL PALMS NURSING & REHABILITATION?
COASTAL PALMS NURSING & REHABILITATION is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was COASTAL PALMS NURSING & REHABILITATION last inspected?
The most recent health inspection for COASTAL PALMS NURSING & REHABILITATION was on Sep 9, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for COASTAL PALMS NURSING & REHABILITATION?
COASTAL PALMS NURSING & REHABILITATION is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial