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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasPalomino Place

Palomino Place

3160 Gus Thomasson Road, Mesquite, TX 751504693294002
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
5/5
Beds
120
certified
3 fine(s) totaling $248,987

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 120 certified beds with an average of 90 residents per day (75% occupancy)

• Last health inspection found 14 deficiencies (inspected Aug 22, 2024)

• Has been fined a total of $248,987 across 3 fine(s)

• Total nursing staff: 3.51 hours per resident per day

• Staff turnover rate: 50.5% (high)

• Part of the Cantex Continuing Care chain (38 facilities)

Palomino Place is a 2-star Medicare and Medicaid certified nursing home in Mesquite, Texas with 120 certified beds. It has been operating since 2017. The facility scored below average compared to Texas facilities.

Beds
120
Avg Residents/Day
90
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 15, 2017
Sprinklers
Yes
Council
Resident
County
Dallas
Last Inspection
Aug 22, 2024
Deficiencies (Cycle 1)
14
Weighted Score
191.8
Infection Citations
1

Deficiency Citations (24)

F0755Immediate Jeopardy

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

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0686Actual Harm

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

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0690Potential for Harm

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

Survey: Jul 30, 2025Corrected: NoCycle: 1
F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

Survey: Jun 27, 2025Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Feb 1, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0692Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0804Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0805Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 22, 2024Corrected: NoCycle: 1
F0585Potential for Harm

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.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0755Potential for Harm

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

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

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

Survey: Feb 13, 2024Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Jul 19, 2023Corrected: NoCycle: 2
F0804Potential for Harm

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

Survey: Jul 19, 2023Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Mar 21, 2023Corrected: NoCycle: 3
F0677Potential for Harm

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

Survey: Jun 15, 2022Corrected: NoCycle: 3
F0689Actual Harm

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

Survey: Jun 15, 2022Corrected: NoCycle: 3
Total Fines
$248,987
Number of Fines
3
Payment Denials
1
Total Penalties
4

Penalty History

FineFeb 13, 2024
$8,827
FineAug 27, 2025
$15,940
FineJun 27, 2025
$224,220
Payment DenialJun 27, 2025
14 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.98 hrs
National avg: 2.35 hrs
LPN1.22 hrs
National avg: 0.86 hrs
RN0.31 hrs
National avg: 0.68 hrs
Total Nursing3.51 hrs
National avg: 3.89 hrs
Weekend Total3.02 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
50.5%
RN Turnover
50.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
DALLAS COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 1, 2020
PALOMINO CONTINUING CARE CENTER LTD. CO.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 1, 2020
HILBURN, JEFFREYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2022
CASTANEDA, EDMUNDOCORPORATE OFFICERIndividualN/AJan 10, 2022
CERISE, FREDERICKCORPORATE OFFICERIndividualN/AMar 24, 2014

Nearby Nursing Homes

All Texas facilities

Willowbend Nursing and Rehabilitation Center

Mesquite, TX · 162 beds

For profit$94,394 in fines
Health
Staffing
Quality
1.3 mi

Town East Rehabilitation and Healthcare Center

Mesquite, TX · 130 beds

For profit$38,860 in finesAbuse
Health
Staffing
Quality
1.9 mi

Edgewood Rehabilitation and Care Center

Mesquite, TX · 142 beds

For profit
Health
Staffing
Quality
2.1 mi

Christian Care Communities and Services Mesquite

Mesquite, TX · 180 beds

Non profit$36,753 in fines
Health
Staffing
Quality
2.3 mi

Mesquite Village Wellness & Rehabilitation

Mesquite, TX · 149 beds

For profit$8,021 in fines
Health
Staffing
Quality
2.9 mi

Cheyenne Medical Lodge

Mesquite, TX · 139 beds

Government
Health
Staffing
Quality
4.3 mi

Frequently Asked Questions

What is the CMS rating for Palomino Place?▾
Palomino Place has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated below average.
Has Palomino Place had any health inspection violations?▾
Palomino Place had 14 deficiency citations in its most recent health inspection (Aug 22, 2024). The facility has been fined a total of $248,987 across 3 fine(s). It also has 1 infection control citation(s).
What are the staffing levels at Palomino Place?▾
Palomino Place provides 3.51 total nursing staff hours per resident per day, including 0.31 RN hours, 1.22 LPN hours, and 1.98 nurse aide hours. The total staff turnover rate is 50.5%.
How many beds does Palomino Place have?▾
Palomino Place has 120 certified beds with an average of 90 residents per day, resulting in approximately 75% occupancy. The facility is For profit - Corporation owned and is part of the Cantex Continuing Care chain.
Are there other nursing homes near Palomino Place?▾
Yes, there are 7 other nursing homes in Mesquite, Texas with an average rating of 3.3/5. You can compare all facilities on the Mesquite nursing homes page.

Part of Cantex Continuing Care

This chain operates 38 facilities. View all →