Medicare shows an abuse citation on record. Review the linked inspection sources and ask the facility about corrective action before deciding.
based on 380 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare shows an abuse citation on record. Read the linked source details, ask the administrator what corrective action was taken, and independently verify the facility’s current status before deciding.
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
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Concerns
Rating Trends
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Distribution · 214 analyzed
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.
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
measures
Residents on antipsychotic medication
Residents whose walking got worse
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 vaccinated for pneumonia
Residents whose bladder or bowel control got worse
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
Detailed Medicare record · up to 3-year lookback
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal Penalties
Fine
Aug 27, 2025
$10,516
Fine
Jun 27, 2025
$145,743
Payment Denial
Jun 27, 2025
14-day denial
Fine
Feb 13, 2024
$8,827
Dallas County Hospital District
for profit
DALLAS COUNTY HOSPITAL DISTRICT
JEFFREY HILBURN
Cantex Continuing Care
37 facilities nationwide
Chain avg rating: 3.2/5 · Rank 35 of 37
Owners
Dallas County Hospital District
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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Google Reviews
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Official Website
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EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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