3605 INTERSTATE 30 STE C, Mesquite, TX 75150
Adult Day Services
Adult day servicesDaytime supervision & activitiesRespite for caregivers
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Prices not published
About Palomino Place
Palomino Place in Mesquite, Texas provides skilled nursing and rehabilitation care designed to help seniors regain strength and independence. Our experienced team focuses on personalized recovery plans, compassionate support, and the clinical expertise families trust during critical care transitions.
Community at a glance
Capacity
120 residents
Location
Mesquite, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
3160 Gus Thomasson Road, Mesquite, Texas 75150
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare flags Palomino Place for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on December 11, 2025, state inspectors cited 11 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 38 minutes with each resident a day, above the Texas average of 3 hours 23 minutes.
Medicare fined Palomino Place 3 times in the last three years, $165,086 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 38 minutesAbove the Texas average |
| Registered nurse time per resident, per day | 32 minutesAbove the Texas average |
| Nursing staff who left in the past year | 53% |
Inspections
30 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 22, 2026 · Complaint investigation · 1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 23, 2026
December 11, 2025 · Standard inspection · 10 citations
Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 12, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Dec 12, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 12, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Dec 12, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 12, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 12, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 12, 2025Make sure that a working call system is available in each resident's bathroom and bathing area.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Dec 12, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 12, 2025Provide care by qualified persons according to each resident's written plan of care.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 12, 2025
August 27, 2025 · Complaint investigation · 1 citation+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintCorrected Aug 28, 2025
July 30, 2025 · Complaint investigation · 2 citations+
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a pattern (level H)Quality of Life and CareFrom a complaintCorrected Aug 14, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 14, 2025
June 27, 2025 · Complaint investigation · 1 citation+
Ensure that residents are free from significant medication errors.
Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintCorrected Aug 6, 2025
February 1, 2025 · Complaint investigation · 1 citation+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintAlready fixed by Oct 11, 2024
August 22, 2024 · Standard inspection · 9 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Sep 11, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Sep 11, 2024Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 11, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 11, 2024Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Sep 11, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 11, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Sep 11, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Sep 11, 2024Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 11, 2024
July 26, 2024 · Complaint investigation · 4 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Aug 15, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 15, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintAlready fixed by May 16, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Aug 15, 2024
February 13, 2024 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Jan 25, 2024
Fines and payment denials
3 fines totaling $165,086 and 1 Medicare payment denial in the last three years.
- August 27, 2025Fine: $10,516
- June 27, 2025Payment denial, 14 days
- June 27, 2025Fine: $145,743
- February 13, 2024Fine: $8,827
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Dallas County Hospital District
- Medicare-certified beds
- 120
- Average residents per day
- 88
- Accepts
- Medicare and Medicaid
- First certified
- March 15, 2017
- Part of a chain
- Cantex Continuing Care, 37 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 676422
Location
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3160 Gus Thomasson RoadMesquite, TX 75150
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Questions about Palomino Place
How did Palomino Place do on its last inspection?+
State inspectors visited on December 11, 2025 and cited 11 health deficiencies, 1 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Palomino Place?+
Nurses and aides spend 3 hours 38 minutes with each resident per day, including 32 minutes from registered nurses. 53% of nursing staff left over the past year.
Has Palomino Place been fined by Medicare?+
Yes. Medicare fined Palomino Place 3 times in the last three years, totaling $165,086.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.