Nursing home
Palomino Place
3160 Gus Thomasson Road, Mesquite, TX 75150 · Map
For profit - Corporation · Part of Cantex Continuing Care (38 facilities) · 120 certified beds
Palomino Place is a Medicare-certified nursing home in Mesquite, Texas. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.51 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Dec 11, 2025 cited 14 deficiencies.
- 3 fines totaling $248,987In CMS records: 4 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Palomino Place compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.51 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.31 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.98 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 50.5% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 14.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $248,987, 4 total penalties, 1 Medicare payment denial.
What inspectors found at Palomino Place
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Dec 11, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential 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.
Pharmacy Service Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential 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.
Quality of Life and Care Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential for harm
Provide care by qualified persons according to each resident's written plan of care.
Resident Assessment and Care Planning Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Dec 11, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 11, 2025 · Full report (PDF) - Immediate jeopardy
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Aug 27, 2025 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jul 30, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3160 Gus Thomasson Road
Mesquite, TX 75150 - CMS certification #
- 676422
- Ownership
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 90.0
- Provider type
- Medicare and Medicaid
- First certified
- 2017-03-15
- Chain
- Cantex Continuing Care (38 facilities)
- Setting
- Urban
Part of Cantex Continuing Care
Cantex Continuing Care operates 38 nursing facilities across the United States. View all Cantex Continuing Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Palomino Place using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2021, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jan 25, 2021: fatality or catastrophe inspection, complete (health). Case closed Jun 28, 2021. No violations cited. OSHA record. OSHA recorded the employer as Palomino Continuing Care Center LTD Co. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Dallas Regional Medical Center, Mesquite. 2.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Willowbend Nursing and Rehabilitation Center, Mesquite. 1.3 miles away, straight line.
- Nearest home health agency office
- Cater 2 You Home Health Care, Mesquite. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Kroger Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75150 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Premier Mesquite, Mesquite, 1.3 miles away, straight line (CMS rating 3 of 5 stars)
Regional Dialysis Center Of Mesquite LLC, Mesquite, 1.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Metro East Dialysis Center, Mesquite, 2.2 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 103 Medicare hospices tell CMS they serve ZIP code 75150.
Cornerstone Hospice Care LLC, office in Mesquite, 0.4 miles away, straight line
Texas Hospice Services, LLC, office in Mesquite, 0.4 miles away, straight line
Amazing Hands Hospice, LLC, office in Mesquite, 0.5 miles away, straight line - Nearest geriatric medicine practice
- Vmd Primary Providers North Texas PLLC, Garland. 7.8 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Palomino Place a good nursing home?
CMS gives Palomino Place an overall rating of 2 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Palomino Place staffed?
Palomino Place reports 3.51 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Palomino Place had inspection problems?
Its most recent CMS inspection cited 14 deficiencies.
How many beds does Palomino Place have?
Palomino Place is certified for 120 beds.