Coastal Palms Nursing & Rehabilitation

    221 Cedar Dr, Portland, TX, 78374
    4.1 · 64 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Caring staff but inconsistent safety

    I have mixed feelings. The staff, nurses and therapists were often warm, attentive and went above and beyond - the building was clean and home-like, meals and activities were good, and families felt supported. However, chronic short-staffing, long waits for help and meds, communication breakdowns, occasional medication/feeding failures and safety/neglect lapses from unresponsive administration are serious concerns; I appreciate the caring people but would be cautious about consistency and safety.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.06 · 64 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      4.2
    • Meals

      3.3
    • Amenities

      2.6
    • Value

      5.0

    Pros

    • Small community size (~25 residents) fostering a home-like atmosphere
    • Cheerful, warm environment with happy residents
    • Many friendly, caring, and compassionate staff and caregivers
    • Several individual staff regularly praised (nurses, CAs, DON, activity director, receptionists, PA, therapy team, kitchen and laundry)
    • High cleanliness and odor-free facility reported by multiple reviewers
    • Varied activities and strong faith-based programming (Bible study, Catholic communion, church service, bingo, walkers group, games)
    • Kitchenettes available in rooms and meals served in a common dining room
    • Tasty meals and occasional in-room delivery (coffee, orange juice)
    • Knowledgeable and attentive therapy/staff who support skilled nursing transitions
    • Strong safety precautions and secure environment noted by some reviewers
    • Home-like feel and responsiveness to families during visits
    • Support services (laundry, therapy, kitchen) appreciated by families

    Cons

    • Chronic short-staffing and insufficient staffing levels
    • Significant delays in basic care response (long waits for assistance, 3–4 hour waits to be changed)
    • Inconsistent quality of nursing care (some nurses rude or unprofessional)
    • Medication administration problems, delays, and occasional shortages
    • Reported neglectful incidents (patients left in waste, delayed feeding, inadequate feeding, alleged medication failures)
    • Unprofessional or unhelpful administration and poor handling of grievances
    • Maintenance understaffed (only one maintenance person) and unavailable off-hours
    • Facility maintenance issues (insufficient electrical outlets, bathrooms malfunctioning, accessibility barriers)
    • Noise and disruptive visitors reported on some occasions
    • Customer service problems (long hold times, unresponsive staff)
    • Highly inconsistent experience between shifts/individual staff leading to unpredictability of care
    • Serious adverse events alleged by some reviewers, including death shortly after care concerns

    Summary review

    Overall sentiment about Coastal Palms Nursing & Rehabilitation is strongly mixed and polarized. Many reviewers praise the facility for being small, warm, and home-like, with individual staff members singled out repeatedly for compassionate, attentive care. At the same time, a number of reviews describe serious lapses in care, staffing shortages, and management issues that raise safety concerns. The aggregate picture is of a facility that can provide excellent, loving care in many cases but also exhibits variability and risk tied to staffing, shift-to-shift inconsistency, and administrative responsiveness.

    Staff and clinical care: The most frequent positive theme is the human side of care. Numerous reviewers describe friendly, caring, and compassionate caregivers, nurses, therapy staff, and support personnel. Several named employees and roles (nurses, certified aides, DON, activity director, receptionists, PA, kitchen and laundry staff, therapy team) receive specific praise for going above and beyond. Therapy staff in particular are mentioned as knowledgeable and helpful during skilled nursing transitions. Conversely, the negatives in clinical care are significant and recurring: many reviewers report chronic short-staffing, slow nurse response times, long waits for basic help (examples include 3–4 hour waits to be changed), and delayed medication administration (Tylenol delays and medication shortages). Multiple reviews allege neglectful incidents — patients left in soiled conditions, denied bedpans, delayed or improper feeding, misinformation about baths, and at least one account alleging a patient died shortly after care concerns were raised. There are also reports of medication administration failures and other safety lapses. The pattern suggests that quality of care is inconsistent and closely tied to staffing levels and specific personnel on duty.

    Facilities, maintenance, and cleanliness: There is a split in perceptions of the physical environment. Many reviewers find the facility clean, odor-free, well-maintained and even “immaculate,” praising housekeeping, laundry, and the overall home-like setting. Others, however, report serious sanitary and infrastructure concerns — filthy rooms, barely functioning bathrooms, and unsafe/unsanitary conditions. Maintenance staffing and responsiveness are a recurrent issue: reviewers mention there being only one maintenance person who is not available off-hours, limited electrical outlets in rooms (no double outlets), and accessibility problems (an entry device that is unusable, need for a step stool). These mixed reports point to variability (some rooms/areas in good repair while others are neglected) and potential gaps in after-hours maintenance coverage.

    Dining and activities: Dining and activities receive generally positive comments. Meals are repeatedly described as tasty, with options for dining in a common dining room and kitchenettes available for self-prep in some rooms. Some residents received special in-room touches (coffee, orange juice delivery) and reviewers describe meals as a source of satisfaction. Activities are varied and robust given the facility’s small size — Bible study, Catholic communion, church services, bingo, mobile carts, game groups (dominos, checkers), makeup technique classes, walkers group, and regular outings or visiting groups. This programming supports social engagement and a faith-based approach for residents who value that model.

    Management, communication, and customer service: Opinions about administration and management are sharply divided. Several reviews praise specific administrative staff and describe professional, helpful interactions. In contrast, other reviewers describe unprofessional administration, intimidation, false statements, mishandling of grievances, and poor communication. Customer service issues also surface — long hold times, unhelpful reception staff, and negative impressions during phone interactions. A recurring theme is that family presence appears to improve treatment or responsiveness, suggesting that advocacy matters and outcomes may change when families are actively involved.

    Notable patterns and risk factors: The dominant risk theme is inconsistency. Positive reports show that Coastal Palms can operate at a high level — compassionate staff, good cleanliness, tasty meals, and effective therapy. Negative reports show that when short-staffing, maintenance gaps, or particular personnel problems occur, consequences can be severe, including neglect, patient discomfort or harm, and unaddressed grievances. The variability across reviewers indicates that experiences may depend heavily on shift staffing, individual caregivers, and management responsiveness at the time of care. Safety is called out as a strength by some (security praised), yet other reviewers explicitly labeled the facility unsafe and reported injuries or major lapses.

    Practical considerations for prospective residents and families: If you are considering Coastal Palms, weigh the two sides carefully. Ask detailed, specific questions during a tour: current staffing ratios by shift, medication management processes, examples of how they handle after-hours maintenance and accessibility issues, how grievances are logged and resolved, and whether they can provide references from families who recently had long stays. Observe the facility at different times (meal times, evenings, and weekends) to assess consistency, cleanliness, and staffing responsiveness. Inquire about faith-based programming if that is important, and request specifics about therapy capabilities and recent outcomes. Given the reports of inconsistent care and occasional serious incidents, families who prioritize reliability and safety should request transparent documentation about incident histories, staffing plans, and managerial accountability before committing.

    Bottom line: Coastal Palms appears capable of providing compassionate, clean, and engaging care for many residents, especially in a small, home-like setting with strong activity and faith-based options. However, repeated reports of short-staffing, delayed or neglected care, medication problems, and uneven management response create meaningful concerns. The facility may be a good fit for families who see strong staff members during tours and who can advocate regularly, but it carries risk for those who require consistently reliable, high-acuity support unless the facility can demonstrate dependable staffing and robust quality-control practices.

    Location

    Map showing location of Coastal Palms Nursing & Rehabilitation

    About Coastal Palms Nursing & Rehabilitation

    Coastal Palms Nursing & Rehabilitation sits in Portland, TX, near local attractions, medical centers, pharmacies, and doctors, and the place has earned a 4-star rating from the Centers for Medicare & Medicaid Services, with a 7.8 out of 10 overall community score, which makes it the third highest in Portland, and the facility gives seniors access to short-term and long-term care, skilled nursing, memory care for those living with Alzheimer's or dementia, as well as rehabilitation therapies and respite care for families who need a break or temporary support. Residents can choose to live in large private or semi-private rooms, with options for studio layouts and share/companion spaces, and they'll find indoor and outdoor common areas that let folks gather, enjoy social activities, art, music, gardening, and even outings, and there's an outdoor courtyard and covered patios for fresh air. Meals come cooked by chefs and planned by a dietician, offering local home-style cuisine with options to dine with others in a welcoming dining room or to eat in private areas with family and friends, and Wi-Fi is available throughout the community, plus there's an on-site salon for haircuts and such. Staff at Coastal Palms supports daily living with incontinence care, diabetic and non-ambulatory support, therapies for various rehabilitation needs, and memory care services that keep safety and routine in mind, and they're known to create personalized care plans tuned to each person's needs and encourage residents to help themselves as much as possible, all while supporting both independence and meaningful daily living with activities, therapy, and social interactions. The full-time staff gives both medical and personal attention and runs a structured program to maintain a high quality of life, making sure therapies and care plans fit each individual, and they also handle transportation to doctor appointments and help with discharge planning. There's an emphasis on letting residents stay active and involved, with programs that focus on making connections with other residents, families, and the care team, whether that's through dining, shared living spaces, or activity groups, and specialized nursing staff is always available so residents feel secure while having the opportunity to maintain their independence for as long as possible.

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