Coastal Palms Nursing & Rehabilitation
221 CEDAR DR, Portland, TX 78374
Portland, Texas · CMS verdict
Coastal Palms Nursing & Rehabilitation holds a 1 of 5 CMS overall star rating - below the Texas state average of 2.8, reflecting below-average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Coastal Palms Nursing & Rehabilitation in Portland, Texas holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 35 of 100 (grade F). The 97-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 35 is built
Each segment is a dimension's weighted points toward the score, summing to 35.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Coastal Palms Nursing & Rehabilitation's overall quality rating at 1 out of 5 stars, a composite of three sub-ratings: health inspection (2/5), staffing (1/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Portland, Texas, this facility operates 97 certified beds with an average daily census of roughly 77 residents - an occupancy rate of about 79%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 79% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Texas, Coastal Palms Nursing & Rehabilitation is one of 413 for profit - corporation nursing homes CMS rates. Its 1-star overall rating sits below the for profit - corporation-segment average of 2.8 stars, ahead of roughly 0% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (27 total). CMS has levied 2 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Coastal Palms Nursing & Rehabilitation compares to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where Coastal Palms Nursing & Rehabilitation ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, Coastal Palms Nursing & Rehabilitation’s 1-star overall rating is higher than 0% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
267 Texas homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 97 |
| Residents | 77 |
| Ownership | For profit - Corporation |
| County | San Patricio |
| Penalties | 2 |
| Deficiencies | 27 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Coastal Palms Nursing & Rehabilitation? ▾
CMS rates Coastal Palms Nursing & Rehabilitation at 1 out of 5 stars overall. The three sub-ratings behind that number: health inspection 2/5, staffing 1/5, quality measures 4/5.
How much does a nursing home cost per month in Texas? ▾
CareScout's 2025 survey puts Texas's median semi-private nursing home rate at $5,627 per month ($67,525 per year), with private rooms averaging $7,604 per month.
What services does Coastal Palms Nursing & Rehabilitation offer? ▾
Coastal Palms Nursing & Rehabilitation operates as a skilled nursing facility (97 beds with approximately 77 current residents) under for profit - corporation ownership. CMS inspections have recorded 27 deficiencies and 2 penalties there.
Does Coastal Palms Nursing & Rehabilitation have any deficiencies or penalties? ▾
Coastal Palms Nursing & Rehabilitation has multiple deficiencies (27 total) and 2 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Texas elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 675850.
Read our methodology - how this data is sourced, computed, and verified.