Palomino Place
3160 Gus Thomasson Road · Mesquite, TX · 75150 · 4693294002
120 certified beds For profit - Corporation Chain: Cantex Continuing Care
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $156,104 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$156,104 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 3.10 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 3 · $164,931 |
Inspection citations (31 in the current record)
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Potential for harm · D December 11, 2025
Ensure each resident receives an accurate assessment.
Corrected December 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025
Provide care by qualified persons according to each resident's written plan of care.
Corrected December 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 11, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 12, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 12, 2025 · Quality of Life and Care
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Potential for harm · E December 11, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 12, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2025
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.
Corrected December 12, 2025 · Pharmacy Service
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Potential for harm · E December 11, 2025
Provide and implement an infection prevention and control program.
Corrected December 12, 2025 · Infection Control
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Potential for harm · D December 11, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 12, 2025 · Environmental
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Potential for harm · E December 11, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 12, 2025 · Environmental
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Immediate jeopardy · J August 27, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 28, 2025 · Pharmacy Service
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Actual harm · H July 30, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 14, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 14, 2025 · Quality of Life and Care
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Immediate jeopardy · J June 27, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 6, 2025 · Pharmacy Service
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Potential for harm · D February 1, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 11, 2024 · Pharmacy Service
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Potential for harm · D August 22, 2024
Keep residents' personal and medical records private and confidential.
Corrected September 11, 2024 · Resident Rights
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Potential for harm · E August 22, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected September 11, 2024 · Quality of Life and Care
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Potential for harm · E August 22, 2024
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.
Corrected September 11, 2024 · Pharmacy Service
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Potential for harm · E August 22, 2024
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.
Corrected September 11, 2024 · Nutrition and Dietary
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Potential for harm · E August 22, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 11, 2024 · Nutrition and Dietary
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Potential for harm · E August 22, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected September 11, 2024 · Nutrition and Dietary
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Potential for harm · E August 22, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 11, 2024 · Quality of Life and Care
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Potential for harm · E August 22, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 11, 2024 · Pharmacy Service
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Potential for harm · D August 22, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 11, 2024 · Infection Control
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Potential for harm · E July 26, 2024 · found via complaint
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.
Corrected August 15, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 27, 2025 | Fine | $10,361 |
| June 27, 2025 | Fine | $145,743 |
| June 27, 2025 | Payment Denial | 14 days |
| February 13, 2024 | Fine | $8,827 |
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 676422 · certified since March 15, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.