All states › Texas › Mesquite › Palomino Place
3160 Gus Thomasson Road Mesquite, TX 75150 · Dallas County
All 8 nursing homes in Mesquite, TX (8 take Medicaid)
CMS certification number 676422 · See this home on Medicare Care Compare
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.
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%).
About this nursing home
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.
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.
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.
December 11, 2025 · 10 citations
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide safe and appropriate respiratory care for a resident when needed.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care by qualified persons according to each resident's written plan of care.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
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.
July 30, 2025 · 2 citations, includes actual harm · includes complaint inspection
HProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
June 27, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that residents are free from significant medication errors.
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.
August 22, 2024 · 9 citations · includes complaint inspection
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide enough food/fluids to maintain a resident's health.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DKeep residents' personal and medical records private and confidential.
DProvide and implement an infection prevention and control program.
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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
DProvide and implement an infection prevention and control program.
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.
July 19, 2023 · 2 citations
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
Questions to ask on a tour of Palomino Place
- 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?
- CMS cited the home under its abuse and neglect rules on May 22, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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.
| Date | Type | Amount 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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1.1 mi
Dallas Regional Medical Center MesquiteEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 46m for patients treated and sent home
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4.3 mi
Texas Regional Medical Center at Sunnyvale SunnyvaleEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 48m for patients treated and sent home
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4.5 mi
White Rock Medical Center DallasEmergency room ★★☆☆☆ Medicare overall 2 of 5Median 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
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
- C C Young Memorial Home · Dallas · 5 stars · 6.5 mi
- Pure Health Transitional Care at Texas Health Pres · Dallas · 5 stars · 8.3 mi
- Ventana by Buckner · Dallas · 5 stars · 9.3 mi
- The Legacy Midtown Park · Dallas · 5 stars · 9.7 mi
Other Cantex Continuing Care nursing homes in Texas
- Carrara · Plano · 5 stars
- Coronado at Stone Oak · San Antonio · 5 stars
- Crestview Court · Cedar Hill · 5 stars
- Prairie Estates · Frisco · 5 stars
- Oakwood Manor Nursing Home · Vidor · 5 stars
- Bonne Vie · Port Arthur · 5 stars
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.