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Nursing HomeMedicaid

Palo Duro Nursing Home

Strong Medicare quality ratings; families often praise compassionate memory care navigation. Still worth an in-person visit.

405 S Collins St, Claude, TX 7901966 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 10 Google reviews

5
4
3
2
1
Palo Duro Nursing Home Nursing Home in Claude, TX — Street View
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What this means for your family

This facility shows strong signs of improvement under new administration, with particular strengths in compassionate memory care and staff communication. However, families should be extremely vigilant regarding hygiene and skin care during short-term or respite stays, as a previous serious incident was reported.

Google Reviews

Google Reviews

10 reviews analyzed
Families seeking memory care or long-term placement will find highly compassionate staff members, particularly noted for their ability to navigate complex Alzheimer's challenges. While recent reviews highlight a positive change in administration and improved care, there is a critical historical concern regarding severe neglect and hygiene issues during short-term stays.

Quality Themes

Tap a score for details
FoodN/AStaff9.0Clean1.0Activities5.0MedsN/AMemory10.0Comms8.0ValueN/A

Strengths

  • Compassionate memory care navigation
  • Warm and helpful nursing staff
  • Engaging community activities and social events
  • Improved administration and leadership

Concerns

  • Severe neglect regarding hygiene and skin integrity during respite care

Rating Trends

Tap a year to see what changed

2343.02019(2)1.02020(2)5.02022(1)3.72024(3)5.02025(4)

Distribution

5
7
4
0
3
0
2
0
1
3

How They Respond to Reviews

40%response rate
Defensive

The owner responds to positive reviews with brief, generic gratitude but addresses negative reviews by arguing with the reviewer, citing regulatory findings to deny claims, or using personal anecdotes to discredit the reviewer's perspective.

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your memory care team; could you tell us more about how they support residents with cognitive changes?
  • 2What specific steps are in place to ensure residents maintain excellent hygiene and skin integrity, especially during short-term or respite stays?
  • 3With the recent improvements in leadership and administration, what new changes have you implemented to enhance the overall cleanliness of the facility?
  • 4Could you describe the types of engaging social events or community activities that residents participate in throughout the week?
  • 5How does the nursing team manage medical emergencies or changes in health status during the overnight hours?
  • 6We noticed you are very active in responding to feedback; how does the facility use resident and family input to improve daily care?

Personalized based on this facility's data


Key Review Excerpts

The staff navigate these day to day challenges with compassion, keep me informed, navigate me through the hard decisions, and do their best every day in caring for her.

Memory care family member · 2024★★★★★

By far in all of my 25 yrs. of dedicating my life to this type of dentistry, I can honestly say that this skilled nursing facility truly cares about the well being of their pts..

Visiting dental professional · 2025★★★★★

The wonderful nursing staff took very good care of her for several years and my mother loved her nurses and C.N.A.’s.

Long-term resident's family · 2019★★★★★
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
63%
Registered nurses for medical care
Total Nursing
3.05hrs
74%
All nurses + aides combined
Staff Turnover
79%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

4

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
TX
96.9%
Armstrong
73.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility34.6%
Worse than Avg
Here
34.6%
US
15.4%
TX
9.4%
Armstrong
18.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Armstrong
76.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.6%
Worse than Avg
Here
29.6%
US
14.4%
TX
16.1%
Armstrong
15.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.0%
Mixed vs Avgs
Here
26.0%
US
19.4%
TX
14.2%
Armstrong
26.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
12.1%
TX
2.5%
Armstrong
6.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
81.8%
TX
89.2%
Armstrong
50.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Armstrong
58.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Armstrong
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (9.1)
2 complaint-triggered

Palo Duro Nursing Home shows persistent deficiencies across multiple areas, with families filing complaints that led to two inspections. The facility struggles most with resident assessment and care planning, infection control, and heating/ventilation systems. While most issues are reportedly corrected, recurring problems with assessment processes and an uncorrected ventilation deficiency suggest ongoing operational challenges that warrant careful consideration during your visit.

Aug 20, 2025Routine
8
0679ModerateCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0727ModerateCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0699MinorCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0839MinorCorrected

Administration Deficiencies

Employ staff that are licensed, certified, or registered in accordance with state laws.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jul 15, 2025Complaint
1
0940ModerateCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Jul 30, 2024Routine
7
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0638ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Nov 20, 2023Complaint
1
0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Jun 1, 2023Routine
8
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0578ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0645ModerateCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Childress County Hospital District

Organization Type

for profit

Management Company

PALO DURO MANAGEMENT LLC

Administrator

RUEGENEA DAVIDSON

Chain Affiliation

Chain Name

Gulf Coast Ltc Partners

Chain Size

19 facilities nationwide

Chain avg rating: 2.4/5 · Rank 6 of 20

Ownership & Management

Key personnel

Holcomb, HollyOfficer / DirectorStratton, EmileeOfficer / DirectorClaudetx LLCManagerGleisner, StoneyManagerMistretta, CassandraManager
Source: Medicare provider data

Contact

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References & Resources

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