For profit - Corporation · 120 certified beds · CMS number 676422
Palomino Place, Mesquite, TX
CMS records 32 health deficiencies at Palomino Place in Mesquite, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 11, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $165,086 and 1 payment denial in the last three years.
- 32deficiencies, 3 cycles (TX median 25)
- 11in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $165,086fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Palomino Place as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Palomino Place may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (11 deficiencies)
Standard inspection Dec 11, 2025. CMS counts 11 health deficiencies and 1 fire safety deficiency in this cycle.
May 22, 2026 · Complaint inspection
1 deficiency, highest G
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date May 23, 2026
Dec 11, 2025 · Standard inspection
10 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 12, 2025
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 12, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 12, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 12, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 12, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 12, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 12, 2025
F659 · Care by qualified staff per plan
Requirement cited (CMS): Provide care by qualified persons according to each resident's written plan of care.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 12, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 12, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 12, 2025
Previous cycle: 14 deficiencies (standard inspection Aug 22, 2024)
Standard inspection Aug 22, 2024. CMS counts 14 health deficiencies and 1 fire safety deficiency in this cycle.
Aug 27, 2025 · Complaint inspection
1 deficiency, highest J
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Aug 28, 2025
Jul 30, 2025 · Complaint inspection
2 deficiencies, highest H
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 14, 2025
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- H Actual harm (not immediate jeopardy), pattern
- Status
- Correction date Aug 14, 2025
Jun 27, 2025 · Complaint inspection
1 deficiency, highest J
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Aug 6, 2025
Feb 1, 2025 · Complaint inspection
1 deficiency, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Oct 11, 2024
Aug 22, 2024 · Standard + complaint inspection
9 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 11, 2024
F805 · Food prepared for individual needs
Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 11, 2024
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 11, 2024
F803 · Menus that meet nutritional needs
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 11, 2024
F758 · Psychotropic drug safeguards
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 11, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 11, 2024
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 11, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 11, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 11, 2024
Earlier cycle: 7 deficiencies (standard inspection Jul 19, 2023)
Standard inspection Jul 19, 2023. CMS counts 7 health deficiencies and 1 fire safety deficiency in this cycle.
Jul 26, 2024 · Complaint inspection
4 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 15, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 15, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), May 16, 2024
F585 · Grievances and how they are handled
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 15, 2024
Feb 13, 2024 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Jan 25, 2024
Jul 19, 2023 · Standard inspection
2 deficiencies, highest E
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 20, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 20, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Palomino Place; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F755 Pharmacy services and a consultant pharmacist | 4 | Aug 27, 2025; Feb 1, 2025 (PNC); Aug 22, 2024; Jul 26, 2024 (PNC) |
| F677 Help with daily care | 3 | Dec 11, 2025; Aug 22, 2024; Jul 19, 2023 |
| F880 Infection prevention and control program | 3 | Dec 11, 2025; Aug 22, 2024; Jul 26, 2024 |
| F690 Bladder, bowel, and catheter care | 2 | Dec 11, 2025; Jul 30, 2025 |
| F761 Drug labeling and secure storage | 2 | Dec 11, 2025; Jul 26, 2024 |
| F804 Palatable, attractive food at safe temperatures | 2 | Aug 22, 2024; Jul 19, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Aug 27, 2025 | Fine | $10,516 |
| Jun 27, 2025 | Fine | $145,743 |
| Jun 27, 2025 | Payment Denial | 14 days from Jul 31, 2025 |
| Feb 13, 2024 | Fine | $8,827 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.64 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.54 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.19 h
- Nursing staff turnover
- 52.7% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 2 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Palomino Place, copied as published; Texas medians are ours.
Facility details
- Address
- 3160 Gus Thomasson Road, Mesquite, TX 75150
- Phone
- (469) 329-4002
- County
- Dallas
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Cantex Continuing Care
- Certified beds
- 120
- Average residents per day
- 87.8
- In Medicare/Medicaid since
- Mar 15, 2017
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 4 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 3 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
- How does the home support residents who need help with toileting or incontinence? (F690, cited 2 times)
Other nursing homes in Mesquite and the same chain
- Town East Rehabilitation and Healthcare Center
Mesquite · 37 deficiencies - Willowbend Nursing and Rehabilitation Center
Mesquite · 31 deficiencies - Mesquite Village Wellness & Rehabilitation
Mesquite · 26 deficiencies - Mesquite Tree Nursing Center
Mesquite · 25 deficiencies - Christian Care Communities and Services Mesquite
Mesquite · 23 deficiencies - Cheyenne Medical Lodge
Mesquite · 22 deficiencies - Sorrento
San Antonio · 50 deficiencies - The Crescent
Sugar Land · 43 deficiencies - Park Valley Inn Health Center
Round Rock · 42 deficiencies - The Colonnades at Reflection Bay
Pearland · 42 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.