facebook tracking Palomino Place, Mesquite TX: CMS Ratings & Inspections
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Palomino Place

All states › Texas › Mesquite › Palomino Place

3160 Gus Thomasson Road Mesquite, TX 75150 · Dallas County

(469) 329-4002

All 8 nursing homes in Mesquite, TX (8 take Medicaid)

Cited for abuse Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 676422 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on 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 Palomino Place 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 Palomino Place 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 34 citations in the last three years. CMS imposed 4 penalties, including $165,086 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 5 out of 5. CMS currently shows its abuse icon for this home (see above).

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 3.65 hours per resident per day at Palomino Place, above the Texas median of 3.30 (US median: 3.72). About 0.50 of those hours are from registered nurses. On weekends it falls to 3.18 hours, 13% below its all-week average. 52.7% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.65 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.50 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.18 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 52.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 55.6% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 84 About 70% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMarch 2017
Part of a chainCantex Continuing Care
Legal business nameDALLAS COUNTY HOSPITAL DISTRICT

Paying for care at Palomino Place: Medicare and Medicaid

Palomino Place 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.

Health inspections

The most recent standard inspection was on December 11, 2025 and found 10 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 34 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 34 citations at Palomino Place across 12 inspection dates, 16 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 27, 2025 (complaint inspection). The most common areas cited were pharmacy service (9) and quality of life and care (9). The most serious was cited under the CMS rule to "provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist" (tag F0755, level J, August 27, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

August 11, 2026 · 1 citation · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Aug 12, 2026)

August 5, 2026 · 1 citation · includes complaint inspection

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Aug 6, 2026)

May 22, 2026 · 1 citation, includes actual harm · includes complaint inspection

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (May 23, 2026)

December 11, 2025 · 10 citations

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Dec 12, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Dec 12, 2025)

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 (Dec 12, 2025)

EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Dec 12, 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 (Dec 12, 2025)

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 · Deficient, Provider has date of correction (Dec 12, 2025)

DProvide care by qualified persons according to each resident's written plan of care.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0659 · Deficient, Provider has date of correction (Dec 12, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Dec 12, 2025)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 12, 2025)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Deficient, Provider has date of correction (Dec 12, 2025)

August 27, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Aug 28, 2025)

July 30, 2025 · 2 citations, includes actual harm · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Aug 14, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Aug 14, 2025)

June 27, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure that residents are free from significant medication errors.

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Aug 6, 2025)

February 1, 2025 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Past Non-Compliance (Oct 11, 2024)

August 22, 2024 · 9 citations · includes complaint inspection

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Sep 11, 2024)

EProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Sep 11, 2024)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Sep 11, 2024)

EImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Sep 11, 2024)

EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Sep 11, 2024)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Sep 11, 2024)

EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0805 · Deficient, Provider has date of correction (Sep 11, 2024)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Sep 11, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Sep 11, 2024)

July 26, 2024 · 4 citations · includes complaint inspection

EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Complaint inspection · Deficient, Provider has date of correction (Aug 15, 2024)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Past Non-Compliance (May 16, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Aug 15, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Aug 15, 2024)

February 13, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jan 25, 2024)

July 19, 2023 · 2 citations

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Jul 20, 2023)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Jul 20, 2023)

Questions to ask on a tour of Palomino Place

  1. Inspectors cited the home at the immediate-jeopardy level on August 27, 2025 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 22, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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

4 penalties in the last three years, including $165,086 in fines.

DateTypeAmount or length
Aug 27, 2025 Fine $10,516
Jun 27, 2025 Fine $145,743
Jun 27, 2025 Payment Denial 14 days of payments denied
Feb 13, 2024 Fine $8,827

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 2/5 2/5 5/5
August 2026 2/5 2/5 2/5 4/5
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Location

Hospitals near Palomino Place

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 1.1 mi
    Dallas Regional Medical Center Mesquite
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 46m for patients treated and sent home
  • 4.3 mi
    Texas Regional Medical Center at Sunnyvale Sunnyvale
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 3h 48m for patients treated and sent home
  • 4.5 mi
    White Rock Medical Center Dallas
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 3h 23m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Willowbend Nursing and Rehabilitation Center Mesquite · 1.3 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 162 beds · Medicaid
Town East Rehabilitation and Healthcare Center Mesquite · 1.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 130 beds · Medicaid
Edgewood Rehabilitation and Care Center Mesquite · 2.1 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 142 beds · Medicaid
Christian Care Communities and Services Mesquite Mesquite · 2.3 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 180 beds · Medicaid
Mesquite Village Wellness & Rehabilitation Mesquite · 2.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 1/5 149 beds · Medicaid

More nursing homes near Palomino Place ›   All nursing homes in Mesquite ›

Compare Palomino Place with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Other Cantex Continuing Care nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Cantex Continuing Care 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/mesquite/palomino-place/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.