Palomino Place

Nursing Home · Mesquite, TX

CMS overall rating 2/5 Abuse citation For profit - Corporation

CMS certification number676422
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

3160 Gus Thomasson Road
Mesquite, TX 75150
Dallas County
Phone
(469) 329-4002
ZIP code
75150 – all care providers

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Facility details

Certified beds
120
Residents per day
87.8 (73% occupied)
Ownership
For profit - Corporation
Legal name
Dallas County Hospital District
Chain
Cantex Continuing Care (37 facilities, avg 3.1★)
Medicare certified since
March 15, 2017
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.64 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.54 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.06 (state 0.95 · U.S. 0.86)
Nurse aides
2.04 (state 2.00 · U.S. 2.32)
Weekend total
3.19 (state 2.98 · U.S. 3.42)
Nursing staff turnover
52.7 (state 55.3 · U.S. 45.8)%
RN turnover
55.6 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
December 11, 2025
Health deficiencies (last cycle)
12.0 (state 9.3 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
32 health · 3 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-22 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-05-23
2025-12-11 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-11 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-11 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-11 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-11 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-11 Provide care by qualified persons according to each resident's written plan of care.
F0659 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-11 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-11 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-11 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-08-27 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-08-28
2025-07-30 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 H
Actual harm		 Corrected 2025-08-14
2025-07-30 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-14
2025-06-27 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-08-06
2025-02-01 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-11
2024-08-22 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 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.
F0758 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 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.
F0803 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-07-26 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.
F0585 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-15
2024-07-26 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-16
2024-07-26 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-15
2024-07-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-15
2024-02-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-01-25
2023-07-19 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20
2023-07-19 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

4 penalties in the last three years, including $165,086 in fines.

DateTypeAmount
2025-08-27Fine$10,516
2025-06-27Payment Denial14 days payment denial
2025-06-27Fine$145,743
2024-02-13Fine$8,827

Ownership & management

NameRoleSince
Dallas County Hospital District (organization)5%+ Direct Ownership Interest · 100%
Hilburn, Jeffrey (individual)Administrator · NOT APPLICABLE
Johnson, Nicole (individual)Administrator · NOT APPLICABLE
Palomino Continuing Care Center LTD. Co. (organization)Administrator · NOT APPLICABLE
Castaneda, Edmundo (individual)Corporate Officer · NOT APPLICABLE
Cerise, Frederick (individual)Corporate Officer · NOT APPLICABLE
Hilburn, Jeffrey (individual)Operational/managerial Control · NOT APPLICABLE
Palomino Continuing Care Center LTD. Co. (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Palomino Place?

Palomino Place has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Palomino Place have?

It has 120 certified beds and cares for about 88 residents per day.

Has Palomino Place been fined?

Yes. CMS lists 4 penalties totaling $165,086 in the last three years.

Who owns Palomino Place?

It is part of Cantex Continuing Care and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Palomino Place?

(469) 329-4002. The facility is located at 3160 Gus Thomasson Road, Mesquite, TX 75150.

Other nursing homes in Mesquite

Compare all nursing homes in Mesquite, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.