Nursing home report
Mesquite, TX · Medicare-certified · 120 beds
Palomino Place in Mesquite, TX has a 2-star overall rating, with 2-star health inspection and staffing ratings and 4-star quality measures. It reports nurse staffing below the federal benchmark (3.64 vs 4.1 hours per resident per day), has $156,259 in fines in the last 24 months, and a recent federal penalty.
Health inspections
Staffing
3.6404 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6404.
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 protect residents from abuse and neglect by others. Cited May 2026 — isolated incident, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
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 $10,516 was recorded.
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 · $165,086 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
Now operated by Dallas County Hospital District, previously Palomino Continuing Care Center LTD. CO..
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.
