Palo Duro Nursing Home

405 S Collins St · Claude, TX · 79019 · 8062265121

66 certified beds For profit - Corporation Chain: Gulf Coast Ltc Partners Hospital-based

  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

79% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 60
Serious harm & abuse 20% 100
Staffing 20% 49
Federal penalties 15% 100
Trend 10% 63
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.053.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day2.73≈ weekday level
Nursing turnover / year79%median 45%
Fines (3-yr window)none

Inspection citations (21 in the current record)

  • Potential for harm · D August 20, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected September 19, 2025 · Resident Rights

  • Potential for harm · D August 20, 2025

    Ensure each resident receives an accurate assessment.

    Corrected September 19, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 20, 2025

    Provide activities to meet all resident's needs.

    Corrected September 19, 2025 · Quality of Life and Care

  • Potential for harm · D August 20, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected September 19, 2025 · Quality of Life and Care

  • Potential for harm · E August 20, 2025

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected September 19, 2025 · Nursing and Physician Services

  • Potential for harm · D August 20, 2025

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Corrected September 19, 2025 · Administration

  • Potential for harm · E July 15, 2025 · found via complaint

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected August 8, 2025 · Administration

  • Potential for harm · E July 30, 2024

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected August 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 30, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected August 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 30, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected August 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F July 30, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 30, 2024 · Nutrition and Dietary

  • Potential for harm · D July 30, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected August 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 30, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 30, 2024 · Infection Control

  • Potential for harm · D November 20, 2023 · found via complaint

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

    Corrected December 20, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E June 1, 2023

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected July 1, 2023 · Resident Rights

  • Potential for harm · D June 1, 2023

    Ensure each resident receives an accurate assessment.

    Corrected July 1, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E June 1, 2023

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected July 1, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E June 1, 2023

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

    Corrected July 1, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 1, 2023

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

    Corrected July 1, 2023 · Quality of Life and Care

  • Potential for harm · F June 1, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 1, 2023 · Nutrition and Dietary

  • Potential for harm · E June 1, 2023

    Provide and implement an infection prevention and control program.

    Corrected July 1, 2023 · Infection Control

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455641 · certified since February 19, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.