CareWitness
Federal record · CMS Care Compare · CCN 676422 · Processed JUN 1 2026
CareWitnessTexasMesquiteNursing HomesPalomino Place

Palomino Place

3160 Gus Thomasson Road, Mesquite, TX, 75150

Type
Nursing home
Medicare/Medicaid certified · CCN 676422

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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 June 2026.

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CMS Star Ratings

Overall1 / 5
Health inspections1 / 5
Staffing2 / 5
Quality measures4 / 5

Facility & Staffing

Ownership
For profit - Corporation · Chain: Cantex Continuing Care
Certified beds
120 · avg 84 residents/day
Total nursing staff turnover
53.8%near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
RN turnover
50%near the Texas averageTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
Administrators who left
0 departednear the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
3 fines · $164,931 total
Payment denials
1 denial

Medicare certification

CMS Certification Number
676422
Certified beds
120 beds · avg 84 residents/day
Ownership type
For profit - Corporation
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Dallas County Hospital District
Chain affiliation
Cantex Continuing Care

CMS Care Compare, processing date June 1, 2026

Federal ownership record

Non-profitOther

Chain affiliation

Part of the Cantex Continuing Care chain — 38 facilities across 2 states. Chain-wide average overall rating 3.2 / 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 May 2026.

Federal inspection record

31 health citations on file3 immediate-jeopardy findings13 from complaints3 federal fines totalling $165K1 payment denial

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 31)

  • 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.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20252 fines · $156K · 1 payment denial
  • 20241 fine · $8,827

Most recent events

  • Aug 27, 2025Fine · $10K
  • Jun 27, 2025Payment denial · 14 days · starting Jul 31, 2025
  • Jun 27, 2025Fine · $146K
  • Feb 13, 2024Fine · $8,827

Largest single fine on record: $146K.

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 Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Palomino Placeinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.