Mesquite, TX

Palomino Place

2-star overall rating with 1-star inspections with $248,987 in total fines with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3160 Gus Thomasson Road, Mesquite, TX

(469) 329-4002

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cantex Continuing Care

Operator or chain grouping

Approved since

2017-03-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

38 facilities

Chain averages 3 overall / 3 health / 2 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.31

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.22

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.98

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.51

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.53

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.02

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.16

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

3.43

CMS adjusted total nurse staffing hours

Case-mix index

1.40

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,216

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

36.99

Composite VBP score used to determine payment impact.

Payment multiplier

0.9903

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.79

Baseline 21.47% · Performance 20.14% · Measure score 2.79 · Achievement 2.79 · Improvement 2.50

Healthcare-associated infections

4.74

Baseline 7.38% · Performance 6.42% · Measure score 4.74 · Achievement 4.74 · Improvement 3.52

Total nurse turnover

6.01

Baseline 100.00% · Performance 51.11% · Measure score 6.01 · Achievement 3.07 · Improvement 6.01

Adjusted total nurse staffing

1.26

Baseline 3.64 hours · Performance 3.44 hours · Measure score 1.26 · Achievement 1.26 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.53%	10.72% 1.8 pts worse	No Different than the National Rate · Eligible stays 183 · Observed rate 15.85% · Lower 95% interval 9.96%
Discharge to community	54.92%	50.57% 4.4 pts better	No Different than the National Rate · Eligible stays 186 · Observed rate 44.62% · Lower 95% interval 46.32%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	99.24%	95.27% 4 pts better	Numerator 130 · Denominator 131
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 131
Discharge self-care score	58.82%	53.69% 5.1 pts better	Numerator 60 · Denominator 102
Discharge mobility score	30.39%	50.94% 20.5 pts worse	Numerator 31 · Denominator 102
Pressure ulcers or injuries, new or worsened	0.76%	2.29% 1.5 pts better	Numerator 1 · Denominator 131 · Adjusted rate 0.77%
Healthcare-associated infections requiring hospitalization	6.42%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 131 · Observed rate 6.87% · Lower 95% interval 4.11%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 128
Staff flu vaccination coverage	15.13%	42% 26.9 pts worse	Numerator 23 · Denominator 152
Discharge function score	45.1%	56.45% 11.4 pts worse	Numerator 46 · Denominator 102
Transfer of health information to provider	97.06%	95.95% 1.1 pts better	Numerator 33 · Denominator 34
Transfer of health information to patient	92.68%	96.28% 3.6 pts worse	Numerator 76 · Denominator 82
Resident COVID-19 vaccinations up to date	94.23%	25.2% 69 pts better	Numerator 49 · Denominator 52

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	97.1% 2.1 pts better	93.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.5% · Q4 98.5% · 4Q avg 99.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	3.3% 1.4 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 4.5% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.4%	2.7% 2.3 pts better	11.4% 11 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4%
Percentage of long-stay residents who lose too much weight	0.4%	3.3% 2.9 pts better	5.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.1%	18.9% 7.8 pts better	19.6% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 7.7% · Q3 10.7% · Q4 13.3% · 4Q avg 11.1%
Percentage of long-stay residents who received an antipsychotic medication	1.7%	10.8% 9.1 pts better	16.7% 15 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	22.6%	15.4% 7.2 pts worse	16.3% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 22.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.5%	16.1% 5.4 pts worse	14.9% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 26.0% · Q3 16.7% · Q4 30.8% · 4Q avg 21.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.2%	15.0% 0.8 pts better	19.8% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 14.9% · Q3 13.5% · Q4 21.0% · 4Q avg 14.2%
Percentage of long-stay residents with pressure ulcers	3.0%	4.2% 1.2 pts better	5.1% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.3% · Q3 2.4% · Q4 4.6% · 4Q avg 3.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	89.7% 9.6 pts better	81.7% 17.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.2% · Q4 97.4% · 4Q avg 99.3%
Percentage of short-stay residents who had an outpatient emergency department visit	5.6%	12.0% 6.4 pts better	12.0% 6.4 pts better	Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 6.2% · Expected 12.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	1.5% 1.1 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.5% · Q3 0.0% · Q4 0.6% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	99.6%	88.0% 11.6 pts better	79.7% 19.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 99.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.5%	25.9% 2.4 pts better	23.9% 0.4 pts better	Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 24.7% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-11 · Fire 2025-12-11

14 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-08-22 · Fire 2024-08-22

14 health deficiencies

Top issue: Pharmacy Service (5 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-07-19 · Fire 2023-07-19

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-04

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-12-05

F · Potential for more than minimal harm 2024-08-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-20

C · Minimal harm 2023-07-19

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-07-20

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-11

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-12-12

E · Potential for more than minimal harm 2025-12-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-12-12

E · Potential for more than minimal harm 2025-12-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-12

E · Potential for more than minimal harm 2025-12-11

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-12-11

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-12-11

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-12-11

F659 · Resident Assessment and Care Planning Deficiencies

Health

Provide care by qualified persons according to each resident's written plan of care.

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-12-11

F690 · Quality of Life and Care Deficiencies

Health

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 2025-12-12

D · Potential for more than minimal harm 2025-12-11

F761 · Pharmacy Service Deficiencies

Health

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 2025-12-12

D · Potential for more than minimal harm 2025-12-11

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-12-12

J · Immediate jeopardy 2025-08-27

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-08-28

H · Actual harm 2025-07-30

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-08-14

D · Potential for more than minimal harm 2025-07-30

F690 · Quality of Life and Care Deficiencies

Health

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 2025-08-14

J · Immediate jeopardy 2025-06-27

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-08-06

D · Potential for more than minimal harm 2025-02-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-11