Palo Duro Nursing Home
Strong Medicare quality ratings; families often praise compassionate memory care navigation. Still worth an in-person visit.
based on 10 Google reviews

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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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“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..”
“The wonderful nursing staff took very good care of her for several years and my mother loved her nurses and C.N.A.’s.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
9
measures
4
measures
4
measures
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Routine8
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jul 15, 2025Complaint1
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Jul 30, 2024Routine7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Nov 20, 2023Complaint1
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, 2023Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Ownership & Operations
Who Operates This Facility
Childress County Hospital District
for profit
PALO DURO MANAGEMENT LLC
RUEGENEA DAVIDSON
Chain Affiliation
Gulf Coast Ltc Partners
19 facilities nationwide
Chain avg rating: 2.4/5 · Rank 6 of 20
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
10 reviews from families & visitors
Official Website
Visit pdnnursing.com
Medicare data downloads
Original nursing home datasets
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