Palomino PlaceCMS ratings, inspections and fines
- Address
- 3160 Gus Thomasson Road, Mesquite, TX 75150
- CCN
- 676422
- Ownership type
- For-profit, corporation
- Certified beds
- 120
- Residents per day
- 88
- CMS flags
- CMS abuse icon
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Palomino Place an overall rating of 2 of 5 stars. The last standard survey was on 11 Dec 2025. The latest survey cycle has 12 health citations. The median for nursing homes in Texas is 8. CMS lists 3 fines with a total of $165,086 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Dallas County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 81 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 11 Dec 2025 | 12 | 8 |
| Cycle 2 | 22 Aug 2024 | 13 | 8 |
| Cycle 3 | No date | 7 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 23 May 2026 |
| 11 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 Dec 2025 |
| 11 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 12 Dec 2025 |
| 11 Dec 2025 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard survey | 12 Dec 2025 |
| 11 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 12 Dec 2025 |
| 11 Dec 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 12 Dec 2025 |
| 11 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 12 Dec 2025 |
| 11 Dec 2025 | F0761 | Ensure 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. | D | Standard survey | 12 Dec 2025 |
| 11 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Dec 2025 |
| 11 Dec 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 12 Dec 2025 |
| 11 Dec 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 12 Dec 2025 |
| 27 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | Complaint investigation | 28 Aug 2025 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jul 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | Complaint investigation | 14 Aug 2025 |
| 30 Jul 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 14 Aug 2025 |
| 27 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 6 Aug 2025 |
| 1 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 11 Oct 2024 |
| 22 Aug 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 11 Sep 2024 |
| 22 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 11 Sep 2024 |
| 22 Aug 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 11 Sep 2024 |
| 22 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 11 Sep 2024 |
| 22 Aug 2024 | F0758 | Implement 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. | E | Standard survey | 11 Sep 2024 |
| 22 Aug 2024 | F0803 | Ensure 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. | E | Standard survey | 11 Sep 2024 |
| 22 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 11 Sep 2024 |
| 22 Aug 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 11 Sep 2024 |
| 22 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 11 Sep 2024 |
Survey cycle 3: 7 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Jul 2024 | F0585 | Honor 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. | E | Complaint investigation | 15 Aug 2024 |
| 26 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 16 May 2024 |
| 26 Jul 2024 | F0761 | Ensure 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. | D | Complaint investigation | 15 Aug 2024 |
| 26 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 15 Aug 2024 |
| 13 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 25 Jan 2024 |
| 19 Jul 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Jul 2023 |
| 19 Jul 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 20 Jul 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 27 Aug 2025 | Fine | $10,516 | |
| 27 Jun 2025 | Fine | $145,743 | |
| 27 Jun 2025 | Payment denial | 14 | |
| 13 Feb 2024 | Fine | $8,827 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.64 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.54 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 1.06 | 0.95 | |
| Nurse aides | 2.04 | 2.00 | |
| All nurse staff, weekends | 3.19 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 52.7%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 55.6%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.4% | 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 | 3.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.3% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.5% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Dallas County Hospital District
- Chain
- Cantex Continuing Care (37 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Dallas County Hospital District | 5% or greater direct ownership interest | 100% | 1 May 2020 |
| Palomino Continuing Care Center Ltd. Co. | Operational/managerial control | 1 May 2020 | |
| Palomino Continuing Care Center Ltd. Co. | Adp of the snf | 31 Mar 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Dallas County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Willowbend Nursing and Rehabilitation Center | Mesquite | 3 of 5 | 15 | $70,415 | 22 Jan 2026 | |
| Town East Rehabilitation and Healthcare Center | Mesquite | 1 of 5 | 14 | $25,673 | 5 Sep 2025 | |
| Edgewood Rehabilitation and Care Center | Mesquite | 4 of 5 | 5 | $0 | 15 May 2025 | |
| Christian Care Communities and Services Mesquite | Mesquite | 4 of 5 | 6 | $28,941 | 13 Mar 2025 | |
| Mesquite Village Wellness & Rehabilitation | Mesquite | 3 of 5 | 13 | $8,021 | 7 Aug 2025 | |
| Golden Acres Living and Rehabilitation Center | Dallas | 3 of 5 | 11 | $0 | 22 Jan 2026 | |
| Le Reve Rehabilitation & Memory Care | Dallas | 1 of 5 | 10 | $120,553 | 22 Sep 2025 | |
| Cheyenne Medical Lodge | Mesquite | 5 of 5 | 9 | $0 | 16 Jun 2026 | |
| Mesquite Tree Nursing Center | Mesquite | 4 of 5 | 9 | $0 | 5 Mar 2026 | |
| Advanced Health & Rehab Center of Garland | Garland | 1 of 5 | 22 | $181,828 | 10 Apr 2025 | |
| Villages of Lake Highlands | Dallas | 2 of 5 | 7 | $29,022 | 16 May 2025 | |
| Balch Springs Nursing Home | Balch Springs | 2 of 5 | 7 | $28,012 | 7 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Palomino Place (CCN 676422). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/palomino-place-mesquite-tx-676422/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Palomino Place last inspected?
- The latest inspection with a citation in the CMS record was on 22 May 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 22 Aug 2024.
- Who operates Palomino Place?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Cantex Continuing Care. The CMS ownership file names Palomino Continuing Care Center Ltd. Co. for operational or managerial control. This site does not show the names of persons.
- Is Palomino Place a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.