Palo Duro Nursing Home
405 S COLLINS ST, Claude, TX, 79019
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: Gulf Coast Ltc Partners
- Certified beds
- 66 · avg 39 residents/day
- Total nursing staff turnover
- 87.9% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 100% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 148490
- Service type
- Medicare/medicaid
- Licensed capacity
- 66 beds
- Bed type breakdown
- 7 Medicare-only · 59 Medicaid/Medicare
- Current license effective
- December 1, 2023
- Current license expires
- December 1, 2026
- Initial license date
- September 1, 1971
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Childress County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Palo Duro Management Llc
- Administrator
- Ruegenea Davidson
Texas HHS licensing registry · as of April 16, 2026
About this community
Palo Duro Nursing Home is a 66-bed Medicare- and Medicaid-certified nursing home in Claude, Texas, licensed since 1971 and managed by Palo Duro Management LLC under the Gulf Coast LTC Partners chain. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier — and a 2-star quality-measures rating. About 39 of 66 beds are occupied. No fines have been issued and no abuse findings are on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the bottom tier, shared by roughly 38% of Texas nursing homes. Each resident receives about 177 minutes of nursing care per day, 64 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than average — they are sicker or less mobile than a typical facility's population — so the same staffing hours stretch thinner than the raw minutes suggest.
Nine in 10 nursing staff left in the past year. That rate sits well above the Texas 75th percentile of 60%, which means turnover here is higher than at least three-quarters of nursing homes in the state. A long-stay resident will likely go through two or three primary caregivers over the course of a year. RN turnover ran at 10 in 10 — every registered nurse on staff turned over in the same period.
Two administrators left in the past year. That level of leadership change affects scheduling, care-plan oversight, and staff continuity in ways that extend beyond any single department.
The facility is operating at about 59% of its 66 licensed beds, with roughly 39 residents on an average day. Low occupancy at a facility with a 1-star staffing rating and very high turnover can reflect difficulty attracting and retaining residents, though occupancy data alone does not explain the cause.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current staffing levels today
With a 1-star CMS staffing rating and 177 minutes of nursing care per resident per day, ask how many nurses and aides are scheduled on a typical day shift and overnight.
Who is the current administrator
Two administrators left in the past year — ask who is currently in the role, how long they have been there, and whether the position is considered filled permanently.
RN presence on nights and weekends
Reported RN hours average 43 minutes per resident per day; ask whether a registered nurse is on-site or on-call during overnight and weekend shifts.
What drove recent staff departures
Nine in 10 nursing staff left in the past year — ask what the facility has changed in hiring, pay, or scheduling to stabilize the team.
Why occupancy is below 60%
Roughly 39 of 66 beds are filled; ask whether the low census reflects a planned renovation, admission holds, or another specific reason.
How the Resident Council operates
The facility has a Resident Council but no Family Council; ask how often the council meets, who facilitates it, and how concerns raised there reach management.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.