Texas › Armstrong County › Claude
Palo Duro Nursing Home
405 S Collins St, Claude, TX 79019
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Palo Duro Nursing Home, in Claude, Texas, is certified for 66 beds under for-profit, corporation ownership and belongs to the Gulf Coast Ltc Partners chain.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 1 and quality measures 3.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (6, 7, 8 by cycle, most recent first), none at the actual-harm level. That is 31.8 per 100 beds, more than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.0 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 39.1%.
Compared with county, state and nation
| Measure | This facility | Armstrong Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 21 | 25 | 28.7 |
| Citations per 100 beds | 31.8 | 31.8 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.0 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 39.1% | 39.1% | 52.1% | 45.8% |
| Fines listed | $0 | $0 | $16,801 | — |
County and state figures are medians across facilities (1 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Aug 2025, 30 Jul 2024.
Severity mix: D ×11 E ×8 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Aug 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 19 Sep 2025 |
| 20 Aug 2025 | F0727 | Have 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. | E | Standard survey | 19 Sep 2025 |
| 20 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Sep 2025 |
| 20 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Sep 2025 |
| 20 Aug 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 19 Sep 2025 |
| 20 Aug 2025 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Standard survey | 19 Sep 2025 |
| 15 Jul 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Complaint investigation | 8 Aug 2025 |
| 30 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Aug 2024 |
| 30 Jul 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 30 Aug 2024 |
| 30 Jul 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 30 Aug 2024 |
| 30 Jul 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 30 Aug 2024 |
| 30 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 30 Aug 2024 |
| 30 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Aug 2024 |
| 20 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Dec 2023 |
| 1 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Jul 2023 |
| 1 Jun 2023 | F0578 | Honor 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. | E | Standard survey | 1 Jul 2023 |
| 1 Jun 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 1 Jul 2023 |
| 1 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 1 Jul 2023 |
| 1 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Jul 2023 |
| 1 Jun 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 Jul 2023 |
| 1 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 39.1%, RNs 66.7%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 31.2% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Childress County Hospital District. Chain: Gulf Coast Ltc Partners (20 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Claudetx LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| Claudetx LLC | Adp of the snf | NOT APPLICABLE | 10/21/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Palo Duro Nursing Home been cited for?
21 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Palo Duro Nursing Home been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Palo Duro Nursing Home compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Palo Duro Nursing Home?
It is part of the Gulf Coast Ltc Partners chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Claudetx LLC. Individual owners and managers are not listed on this site.
When was Palo Duro Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 20 Aug 2025; the most recent standard health survey was 20 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.