facebook tracking Palo Duro Nursing Home, Claude TX: CMS Ratings & Inspections
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Palo Duro Nursing Home

All states › Texas › Claude › Palo Duro Nursing Home

405 S Collins St Claude, TX 79019 · Armstrong County

(806) 226-5121

Accepts Medicare Accepts Medicaid 66 certified beds For profit

CMS certification number 455641 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Palo Duro Nursing Home a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Palo Duro Nursing Home as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8. Inspectors issued 21 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 2.50 hours per resident per day at Palo Duro Nursing Home, below the Texas median of 3.30 (US median: 3.72). About 0.33 of those hours are from registered nurses. On weekends it falls to 2.28 hours, 9% below its all-week average. 46.4% of nursing staff left within a year (Texas median 50.2%). 2 administrators left in the past year.

Nursing care per resident per day 2.50 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.33 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.28 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 46.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 57.1% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds66
Residents per day 43 About 65% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1986
Part of a chainGulf Coast Ltc Partners
Legal business nameCHILDRESS COUNTY HOSPITAL DISTRICT
Located in a hospitalYes

Paying for care at Palo Duro Nursing Home: Medicare and Medicaid

Palo Duro Nursing Home is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on August 20, 2025 and found 6 deficiencies. In total, inspectors issued 21 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 21 citations at Palo Duro Nursing Home across 5 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 21 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (9) and quality of life and care (3). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, July 30, 2024).

August 20, 2025 · 6 citations

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Sep 19, 2025)

EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Sep 19, 2025)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Sep 19, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Sep 19, 2025)

DProvide care or services that was trauma informed and/or culturally competent.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Deficient, Provider has date of correction (Sep 19, 2025)

DEmploy staff that are licensed, certified, or registered in accordance with state laws.

Potential for more than minimal harm · Administration Deficiencies · Tag F0839 · Deficient, Provider has date of correction (Sep 19, 2025)

July 15, 2025 · 1 citation · includes complaint inspection

EDevelop, implement, and/or maintain an effective training program for all new and existing staff members.

Potential for more than minimal harm · Administration Deficiencies · Tag F0940 · Complaint inspection · Deficient, Provider has date of correction (Aug 8, 2025)

July 30, 2024 · 6 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 30, 2024)

EAssure that each resident’s assessment is updated at least once every 3 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has date of correction (Aug 30, 2024)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Aug 30, 2024)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Aug 30, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Aug 30, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 30, 2024)

November 20, 2023 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Dec 20, 2023)

June 1, 2023 · 7 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 1, 2023)

EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jul 1, 2023)

EPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Jul 1, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 1, 2023)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 1, 2023)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jul 1, 2023)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jul 1, 2023)

Questions to ask on a tour of Palo Duro Nursing Home

  1. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  2. Several administrators left in the past year. What has changed for residents since then?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 4/5 1/5 4/5
August 2026 3/5 4/5 1/5 3/5
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Location

Nearby nursing homes

Ware Memorial Care Center Amarillo · 27.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 120 beds · Medicaid
Georgia Manor Nursing Home Amarillo · 28.5 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 76 beds · Medicaid
Clarendon Nursing Home Clarendon · 29.1 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 61 beds · Medicaid
Legacy Rehabilitation and Living Amarillo · 29.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 150 beds · Medicaid
Heritage Convalescent Center Amarillo · 31.3 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 116 beds · Medicaid

More nursing homes near Palo Duro Nursing Home ›   All nursing homes in Claude ›

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Other Gulf Coast Ltc Partners nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 20 Gulf Coast Ltc Partners nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/claude/palo-duro-nursing-home/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.