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HomeTexasPalomino Place

Palomino Place

3160 Gus Thomasson Road, Mesquite, TX 751504693294002WebsiteGoogle Maps
4.3on Google(368 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
4/5
Beds
120
certified
3 fine(s) totaling $165,086

How Palomino Place Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
3.64 hrs/day
TX average
3.39 hrs/day
Above state average
RN hours per resident
0.54 hrs/day
TX average
0.43 hrs/day
Above state average
Staff turnover
52.7%
TX average
55.3%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 3.64 hours per resident per day, above the state average of 3.39.
Reported RN time is 0.54 hours per resident per day, above the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
16
deficiency citations
Inspected Aug 22, 2024
Most recent cycle
13
deficiency citations
Inspected Dec 11, 2025
The most recent cycle recorded 3 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Dallas County 65+
290,461
11.2% of county
County Population
2,604,053
Dallas County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 2 out of 5.

Beds
120
Avg Residents/Day
87.8
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
Dec 11, 2025
Deficiencies (Cycle 1)
13
Weighted Score
158.3
Infection Citations
0

Deficiency Citations (32)

F0600Actual Harm

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

Survey: May 22, 2026Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0921Potential for Harm

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

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0659Potential for Harm

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

Survey: Dec 11, 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: Dec 11, 2025Corrected: NoCycle: 1
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: Dec 11, 2025Corrected: NoCycle: 1
F0919Potential for Harm

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

Survey: Dec 11, 2025Corrected: NoCycle: 1
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: 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: Feb 1, 2025Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0692Potential for Harm

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

Survey: Aug 22, 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: Aug 22, 2024Corrected: NoCycle: 2
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: 2
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: 2
F0804Potential for Harm

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

Survey: Aug 22, 2024Corrected: NoCycle: 2
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: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Aug 22, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 22, 2024Corrected: NoCycle: 2
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: 3

+ 2 more deficiencies

Total Fines
$165,086
Number of Fines
3
Payment Denials
1
Total Penalties
4

Penalty History

FineFeb 13, 2024
$8,827
FineAug 27, 2025
$10,516
FineJun 27, 2025
$145,743
Payment DenialJun 27, 2025
14 days denied

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

Nurse Aide2.04 hrs
National avg: 2.32 hrs
LPN1.06 hrs
National avg: 0.86 hrs
RN0.54 hrs
National avg: 0.69 hrs
Total Nursing3.64 hrs
National avg: 3.86 hrs
Weekend Total3.19 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
52.7%
RN Turnover
55.6%
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 (8)

NameRoleTypeOwnership %Since
DALLAS COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 1, 2020
CASTANEDA, EDMUNDOCORPORATE OFFICERIndividualN/AJan 10, 2022
CERISE, FREDERICKCORPORATE OFFICERIndividualN/AMar 24, 2014
PALOMINO CONTINUING CARE CENTER LTD. CO.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 1, 2020
HILBURN, JEFFREYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 1, 2022
PALOMINO CONTINUING CARE CENTER LTD. CO.ADP OF THE SNFOrganizationN/AMar 31, 2025
HILBURN, JEFFREYADP OF THE SNFIndividualN/AJun 1, 2022
JOHNSON, NICOLEADP OF THE SNFIndividualN/AJan 19, 2023

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Palomino Place and nearby alternatives.

All Texas facilities
Palomino Place
Mesquite, TXCurrent facility
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $165,086
Willowbend Nursing and Rehabilitation Center
Mesquite, TX1.3 mi
CMS
3/5
Health
2/5
Staffing
2/5
Recorded fines: $94,394
Town East Rehabilitation and Healthcare Center
Mesquite, TX1.9 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $25,673
Edgewood Rehabilitation and Care Center
Mesquite, TX2.1 mi
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: None
Christian Care Communities and Services Mesquite
Mesquite, TX2.3 mi
CMS
4/5
Health
3/5
Staffing
4/5
Recorded fines: $28,941
Mesquite Village Wellness & Rehabilitation
Mesquite, TX2.9 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: $8,021
Golden Acres Living and Rehabilitation Center
Dallas, TX3.2 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Palomino Place
Mesquite, TX · Current facility
—2/52/52/5$165,086
Willowbend Nursing and Rehabilitation Center
Mesquite, TX
1.3 mi3/52/52/5$94,394
Town East Rehabilitation and Healthcare Center
Mesquite, TX
1.9 mi1/51/51/5$25,673
Edgewood Rehabilitation and Care Center
Mesquite, TX
2.1 mi4/54/51/5None recorded
Christian Care Communities and Services Mesquite
Mesquite, TX
2.3 mi4/53/54/5$28,941
Mesquite Village Wellness & Rehabilitation
Mesquite, TX
2.9 mi3/53/51/5$8,021
Golden Acres Living and Rehabilitation Center
Dallas, TX
3.2 mi3/53/53/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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 2/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Palomino Place cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Palomino Place participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Palomino Place had any health inspection violations?▾
Palomino Place had 13 deficiency citations in its most recent health inspection (Dec 11, 2025). The current CMS dataset records 3 fine(s) totaling $165,086.
What are the staffing levels at Palomino Place?▾
Palomino Place provides 3.64 total nursing staff hours per resident per day, including 0.54 RN hours, 1.06 LPN hours, and 2.04 nurse aide hours. The total staff turnover rate is 52.7%.
How many beds does Palomino Place have?▾
Palomino Place has 120 certified beds with an average of 87.8 residents per day, resulting in approximately 73% 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. This page lists 6 nearby nursing homes in Texas, including 5 in Mesquite. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Palomino Place?▾
On Google Maps, Palomino Place has a rating of 4.3 out of 5 based on 368 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Cantex Continuing Care

This chain operates 38 facilities. View all →