Federal inspection record · CMS data as of October 1, 2026
Palo Duro Nursing Home
405 S Collins St, Claude, TX · (806) 226-5121
- Certified beds
- 66
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- Gulf Coast Ltc Partners
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 19, 1986
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Palo Duro Nursing Home carries 37 inspection points. That is fewer than 80% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
21 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning9E
- D
Ensure each resident receives an accurate assessment.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
Quality of Life and Care3E
- E
Provide activities to meet all resident's needs.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights2E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
Administration2E
- D
Employ staff that are licensed, certified, or registered in accordance with state laws.
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services1E
- E
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.
Inspection history
2025-08-20
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-07-30
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2023-06-01
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 30 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
2 h 30 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 57% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 2.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 1.0 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts better | 99.3% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 2.2% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.7 pts better | 1.6% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 2.7% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.1 pts worse | 25.9% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication15.8 pts worse | 25.6% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.4 pts better | 11.5% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts worse | 18.3% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4 pts worse | 16.5% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 3.4% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.1 pts better | 97.8% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.8 pts worse | 69.6% | 85.4% | 80.1% |
·
Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Claudetx LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Claudetx LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Gleisner, Stoney | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gleisner, Stoney | Adp Of The SNF · Individual | 0% | 1 facilities |
| Holcomb, Holly | Corporate Officer · Individual | 0% | 12 facilities |
| Mistretta, Cassandra | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Pfeifer, Mary | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Stewart, Randy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stewart, Randy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stratton, Emilee | Corporate Officer · Individual | 0% | 11 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services3C
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Smoke1D
- D
Inspect, test, and maintain automatic sprinkler systems.
·
Other homes nearby
-
Ware Memorial Care Center
Amarillo, TX
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 58 min
- Fines
- $81,894
-
Georgia Manor Nursing Home
Amarillo, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 15 min
- Fines
- $8,031
-
Clarendon Nursing Home
Clarendon, TX
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 26 min
- Fines
- $7,551