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 HHS 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 HHS licensing registry · as of April 16, 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 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.