Nursing home report
Mesquite, TX · Medicare-certified · 120 beds
Palomino Place in Mesquite, TX has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and 2-star staffing rating. It reported 3.53 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $156,104 in fines in the last 24 months along with a recent federal penalty.
Health inspections
Staffing
3.5342 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5342.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 755 — 42 CFR §483.45 — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited June 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2025 — limited pattern, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: H
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited December 2025 — limited pattern, potential for harm.
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 10 health deficiencies.
A federal fine of $10,361 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
A federal payment denial was recorded.
A federal fine of $145,743 was recorded.
On record with Medicare: 3 fines · $164,931 in total fines · 1 payment denial.
Federal fine
Aug 27, 2025
Medicare/Medicaid payment denial
Jun 27, 2025
Federal fine
Jun 27, 2025
Federal fine
Feb 13, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
