Palomino Place
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 378 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (14 vs median 8.0)
- High staff turnover (50%)
Below average in Texas · Critically understaffed (RN) · Above average staffing · Below chain average · $248,987 in fines
What this means for your family
This facility is an excellent choice if your primary priority is high-quality nutrition and social engagement. However, if your loved one requires strict hygiene monitoring or rapid medical response, you should closely supervise care, as multiple families have reported issues with call button responsiveness and cleanliness.
Google Reviews
Google Reviews
378 reviews on Google“Palomino Place is highly regarded for its exceptional culinary services, specifically the work of Chef Ira Brown, and its engaging activities program led by Nikki. While many families praise the compassionate nursing and rehabilitation teams, there are serious, recurring reports regarding delayed response times to call buttons and instances of inadequate hygiene care.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional culinary services and food quality
- Engaging and motivating activities program
- Compassionate and skilled rehabilitation therapy
- Friendly and professional administrative staff
Concerns
- Slow response times to call buttons (mentioned by 3 reviewers)
- Issues with hygiene and cleanliness of residents (mentioned by 3 reviewers)
- Staffing shortages affecting care delivery (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 211 analyzed
How They Respond to Reviews
The owner relies heavily on a small set of templated responses. Positive reviews are met with repetitive, canned phrases, while negative reviews are met with a standardized redirection to a corporate email address.
Questions for Your Tour
- 1We've heard wonderful things about the food quality here; could you tell us more about how the culinary team plans daily meals for residents?
- 2The activity program sounds very engaging; what are some of the favorite group outings or motivating programs currently available?
- 3How does the nursing team ensure that call buttons are answered promptly, especially during busy shifts or overnight hours?
- 4Could you walk us through your specific protocols for medication management to ensure everything is handled accurately and timely?
- 5What steps are being taken to maintain high standards of cleanliness and personal hygiene for all residents in their private rooms?
- 6We noticed the administrative team is very responsive to feedback; how do you involve families in the care planning process when concerns arise?
Personalized based on this facility's data
Key Review Excerpts
“Chef Ira Brown is truly a culinary gem! Every dish he prepares is packed with incredible flavor, rich in depth, and clearly made with love.”
“The facility is clean and has a peaceful atmosphere. The therapists are knowledgeable, compassionate, and truly dedicated to their patients.”
“From the moment we walked in, there was a persistent, overwhelming smell of urine throughout the hallways that made it clear cleanliness was not a priority.”
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
13
measures
2
measures
2
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed 15 complaints triggering inspections at this facility, signaling ongoing concerns about care quality. The most recurring problems involve medication management, daily care assistance, and infection control. While the facility reports correcting deficiencies when cited, the persistent pattern of complaints—including recent medication errors and pressure ulcer care issues—suggests families should carefully evaluate whether care standards meet their loved one's needs.
Dec 11, 2025Routine10
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Dec 4, 2025Complaint1
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Aug 27, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 30, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Jun 27, 2025Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Feb 1, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal Penalties
Fine
Aug 27, 2025
$10,361
Fine
Jun 27, 2025
$145,743
Payment Denial
Jun 27, 2025
14-day denial
Fine
Feb 13, 2024
$8,827
Ownership & Operations
Who Operates This Facility
Dallas County Hospital District
for profit
DALLAS COUNTY HOSPITAL DISTRICT
JEFFREY HILBURN
Chain Affiliation
Cantex Continuing Care
38 facilities nationwide
Chain avg rating: 3.2/5 · Rank 35 of 37
Ownership & Management
Owners
Dallas County Hospital District
Owner · Organization
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
378 reviews from families & visitors
Official Website
Visit cantexcc.com
Medicare data downloads
Original nursing home datasets
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