Palomino Place: A Comprehensive Review

Introduction

How we compiled this profile: this overview is put together from public sources, including Medicare's Care Compare (its ratings, staffing levels, and inspection results), state licensing records, and the facility's own published information. It reflects the most recent data available and is not based on a personal visit. Confirm current pricing, availability, and care details with the facility before making a decision.

Palomino Place is a Medicare and Medicaid certified nursing home at 3160 Gus Thomasson Road in Mesquite, Texas. The same campus also markets other senior living options, but this review focuses on the skilled nursing home and draws on federal inspection, staffing, and penalty data published by Medicare.gov Care Compare. It covers the facility's star ratings, staffing levels, recent inspection results, and fines.

At a glance

Facility overview and setting

Location and environment

Palomino Place sits in Mesquite, a suburb just east of Dallas in Dallas County. Medicare classifies it as an urban facility, though the ranch-style design gives it more of a settled-in, residential feel than that label suggests.

Care levels offered

Palomino Place offers four care levels:

• Independent living
• Assisted living
• Memory care
• Nursing home services

This range allows residents to move between levels as their needs change.

Care services and medical support

Rehabilitation programs

The facility offers rehabilitation for:

• Cardiac recovery
• Post-surgical recovery
• Pulmonary recovery
• Stroke recovery
• Transitional care

Extended care services

The facility also provides:

• Chronic care management
• Hospice and palliative care
• Respite care

Staffing and care quality

According to Medicare.gov Care Compare, total nurse staffing at Palomino Place averages 3.53 hours per resident per day, close to the roughly 3.5 hour benchmark Medicare uses as a reference point. Registered nurse time averages 0.38 hours per resident per day. Medicare rates the facility 2 out of 5 stars for staffing, and reported total nursing staff turnover over the most recent year was about 54 percent.

Amenities and living environment

Property amenities

Room amenities

Rooms come with these amenities and services included.

Daily life and activities

The facility does not publish a detailed daily activity schedule. Based on available information, residents can access:

• Social gatherings in the game room and living areas
• Fitness center for physical activity
• Library with computers and reading materials

Medicare ratings and inspection results

Star ratings from Medicare

On Medicare.gov Care Compare, Palomino Place holds an overall rating of 1 out of 5 stars, which Medicare describes as much below average. The overall score combines three areas: health inspections, staffing, and quality measures.

Health inspection rating: 1 out of 5 stars (much below average).

Staffing rating: 2 out of 5 stars (below average).

Quality measures rating: 4 out of 5 stars (above average). Quality measures are drawn largely from data the facility reports itself.

Recent inspections and penalties

Palomino Place's most recent standard health inspection was completed on December 11, 2025. Surveyors identified 14 health deficiencies that cycle, 10 from the standard survey and 4 from complaint investigations. The previous inspection cycle recorded 15 deficiencies.

• Over the recent reporting period, Medicare records show 3 fines against the facility totaling $164,931, plus one payment denial, for 4 penalties in total.
• Medicare does not currently flag Palomino Place with its abuse icon, which marks facilities cited for abuse, neglect, or exploitation.

Ownership and facility profile

Palomino Place is a 120-bed nursing home that averages about 84 residents per day. It is certified for both Medicare and Medicaid and has participated in those programs since March 2017.

The facility is for-profit and operates as part of the Cantex Continuing Care chain. Medicare lists the legal business name as Dallas County Hospital District.

Recommendations for prospective residents

Schedule an in-person tour

With few public reviews, visiting in person is important. During your tour, try to:

• Watch how staff interact with residents in different areas of the facility
• Ask to see upper floors and resident rooms, not just the main entrance
• Eat a meal during regular dining hours
• Ask about staff-to-resident ratios on weekends and evenings
• Request a copy of the current month's activity calendar
• Ask about staff turnover in the past year

Assess care needs carefully

Before choosing a care level at Palomino Place, identify your specific needs:

• Help needed with daily tasks such as bathing, dressing, and medication
  • Mobility and fall risk
  • Memory or cognitive support needs
  • Medical conditions requiring specialized care
  • Preferred social activities and engagement
  • Discuss your assessment with your doctor for recommendations.

Explore financial options

Look into all available payment sources:

• Check long-term care insurance policies for coverage
• Ask about Veterans Aid & Attendance benefits if you qualify
• Investigate Medicaid eligibility if finances are tight
• Ask the facility about past rate increases and their policy going forward
• Ask whether the base rate covers all services or if there are additional fees

Conclusion

Palomino Place is a Medicare and Medicaid certified nursing home in Mesquite, Texas. Its federal ratings are mixed: an overall rating of 1 out of 5 stars, driven by a 1-star health inspection score and 2-star staffing, but a stronger 4-star quality measures score. Staffing hours sit near the national benchmark, and the facility carries recent fines but no abuse flag.

An in-person tour and comparison with other facilities in the area will help you decide if Palomino Place fits your needs. The multiple care levels mean you can potentially move within the facility if your care needs change over time.