Palomino Place
3160 GUS THOMASSON ROAD, Mequite, TX, 75150
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Cantex Continuing Care
- Certified beds
- 120 · avg 90 residents/day
- Total nursing staff turnover
- 50.5% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $248,987 total
- Payment denials
- 1 denial
- Infection control citations
- 1
State licensing & capacity
- License number
- 307777
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 18 Medicare-only · 102 Medicaid/Medicare
- Current license effective
- May 1, 2026
- Current license expires
- May 1, 2029
- Initial license date
- March 15, 2017
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Dallas County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Dallas County Hospital District
- Administrator
- Jeffrey Hilburn
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Cantex Continuing Care chain — 38 facilities across 2 states. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (7 on record)
- Palomino Continuing Care Center Ltd. Co.
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2023
- Nicole r. Johnson
Adp of The Snf · since 2023
- Jeffrey Dean Hilburn
Operational/managerial Control · since 2022
- Edmundo Castaneda
Corporate Officer · since 2022
- Dallas County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2020
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 32)
- E0921·Dec 11, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0919·Dec 11, 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0880·Dec 11, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Dec 11, 2025
Pharmacy Service Deficiencies
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.
- E0695·Dec 11, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0690·Dec 11, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0677·Dec 11, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0659·Dec 11, 2025
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Federal penalties
By year
- 20252 fines · $240K · 1 payment denial
- 20241 fine · $8,827
Most recent events
- Aug 27, 2025Fine · $16K
- Jun 27, 2025Payment denial · 14 days · starting Jul 31, 2025
- Jun 27, 2025Fine · $224K
- Feb 13, 2024Fine · $8,827
Largest single fine on record: $224K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Dec 4, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Palomino Place is a 120-bed Medicare/Medicaid nursing home in Mesquite, Dallas County, operated by Dallas County Hospital District under the Cantex Continuing Care chain. CMS rates it 2 stars overall, with a 1-star health inspection rating. Three federal fines have totaled $248,987 since the facility's records were last processed — more than 12 times the Texas median. Quality-of-care measures rate 5 stars, and the license is active through 2029.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 211 minutes of nursing care per day — roughly 30 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so those same 211 minutes stretch thinner than the raw number suggests.
Three CMS fines total $248,987. The Texas median for fined facilities is about $20,699, and roughly 30% of Texas nursing homes have no fines at all. This facility's total is approximately 12 times that state median.
Quality-of-care measures rate 5 stars — the top tier — for long-stay residents, and 4 stars for short-stay residents. That is the facility's strongest data point in the CMS record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Health inspection rating of 1 star
CMS assigned a 1-star health inspection rating — ask what specific deficiencies drove that score and what corrective steps have been taken since.
Nearly $249,000 in federal fines
Three fines totaling $248,987 far exceed the Texas median; ask what violations triggered each fine and how staffing or care practices changed afterward.
Staffing hours below 4-star threshold
Residents receive about 211 nursing minutes per day — 30 minutes below the Texas 4-star benchmark — ask how shifts are covered on nights and weekends when census runs near 90 residents.
Resident council structure and access
A Resident Council meets here, but no Family Council exists; ask how family members currently raise concerns and whether a Family Council is being organized.
5-star quality measures alongside low staffing
Quality-of-care measures rate 5 stars despite a 2-star staffing rating; ask how the facility achieves those outcomes and which metrics are tracked month to month.
Cantex chain oversight at this location
Palomino Place operates under the Cantex Continuing Care chain; ask who the regional director is and how frequently they visit this specific building.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.