Skilled nursing facility · CMS certification number 676422
Palomino Place
Mesquite, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 4 · Fines: 3 · Fines, total amount: $165,086.00 · Payment denials: 1. The most recent penalty on file: August 27, 2025, Fine, $10,516. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 11, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,724,421 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,656,584 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,067,837 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,752,396 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $315,441 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,951 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $321,392 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $321,392 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,851 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 17,250 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 14,295 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 36,396 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 154 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 167 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 533 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 854 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 103.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448469, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,246,899 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,064,041 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,182,858 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,134,800 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$951,942 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $880,680 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$71,262 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$71,262 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,254 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 467 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 457.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376447, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,260,540 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,920,512 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,340,028 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,758,286 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$418,258 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $744,175 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $325,917 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $318,363 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,449 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 392 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 755.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374041, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,902,280 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,122,784 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,779,496 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,280,394 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$500,898 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $843,022 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $342,124 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $342,123 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,895 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 322 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 587.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1314370, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for May 1, 2020 to September 30, 2020 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 18, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,048,524 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $974,276 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,074,248 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,104,311 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$30,063 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,122 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $30,059 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $30,058 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,824 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 616 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1284089, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 24, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,634,347 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,822,607 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,811,740 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,026,345 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$214,605 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,879 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$207,726 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$207,726 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,101 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 373 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 783.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310891, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 12, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,279,196 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,261,685 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,017,511 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,058,740 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,041,229 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,170 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,036,059 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,036,060 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,621 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 504 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 178.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240502, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for March 15, 2017 to December 31, 2017 — a reporting period of 291 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,318,931 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,894,251 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,424,680 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,473,931 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,049,251 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$214 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,049,465 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,049,466 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,281 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 314 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 82.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208194, read from the public cost report file SNF10FY2017.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DALLAS COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2020 |
| HILBURN, JEFFREY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2022 |
| JOHNSON, NICOLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/19/2023 |
| PALOMINO CONTINUING CARE CENTER LTD. CO. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/31/2025 |
| CASTANEDA, EDMUNDO | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/10/2022 |
| CERISE, FREDERICK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/24/2014 |
| HILBURN, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2022 |
| PALOMINO CONTINUING CARE CENTER LTD. CO. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2020 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of DALLAS COUNTY HOSPITAL DISTRICT (enrollment ID O20200519001356).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DALLAS COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 05/01/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| JEFFREY DEAN HILBURN | Individual | ADP OF THE SNF | Not stated in the filing | 06/01/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICOLE R. JOHNSON | Individual | ADP OF THE SNF | Not stated in the filing | 01/19/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PALOMINO CONTINUING CARE CENTER LTD. CO. | Organization | ADP OF THE SNF | Not stated in the filing | 03/31/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EDMUNDO CASTANEDA | Individual | CORPORATE OFFICER | 0.00 | 01/10/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FREDERICK P CERISE | Individual | CORPORATE OFFICER | 0.00 | 03/24/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY DEAN HILBURN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 06/01/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PALOMINO CONTINUING CARE CENTER LTD. CO. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 05/01/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- July 1, 2025: TRACY SIMMS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ROBIN F UNDERHILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TARA HORTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: EDMUNDO CASTANEDA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: EDMUNDO CASTANEDA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHANNAN DAWN BRADLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHANNAN DAWN BRADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: NICOLE R. JOHNSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 19, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DALLAS COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JEFFREY DEAN HILBURN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JEFFREY DEAN HILBURN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PALOMINO CONTINUING CARE CENTER LTD. CO. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PALOMINO CONTINUING CARE CENTER LTD. CO. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: EDMUNDO CASTANEDA (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- March 1, 2024: TRACY SIMMS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TRACY SIMMS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: EDMUNDO CASTANEDA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since January 10, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: EDMUNDO CASTANEDA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since January 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SHANNAN DAWN BRADLEY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since December 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SHANNAN DAWN BRADLEY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since December 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
Recent changes on this record
- August 11, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 5, 2026: A deficiency was cited under tag F 0761, scope and severity D. NH_HealthCitations_Oct2026.csv
- March 11, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 1, 2025: TRACY SIMMS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ROBIN F UNDERHILL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TARA HORTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: EDMUNDO CASTANEDA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: EDMUNDO CASTANEDA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHANNAN DAWN BRADLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHANNAN DAWN BRADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: NICOLE R. JOHNSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 19, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DALLAS COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JEFFREY DEAN HILBURN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JEFFREY DEAN HILBURN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PALOMINO CONTINUING CARE CENTER LTD. CO. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 31, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: PALOMINO CONTINUING CARE CENTER LTD. CO. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: EDMUNDO CASTANEDA (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- April 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 1, 2024: TRACY SIMMS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: TRACY SIMMS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since May 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: EDMUNDO CASTANEDA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since January 10, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: EDMUNDO CASTANEDA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since January 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SHANNAN DAWN BRADLEY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since December 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- March 1, 2024: SHANNAN DAWN BRADLEY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2024; associated with this enrollment since December 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- February 28, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 24, 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- May 18, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- January 15, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- August 12, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 11, 2025 | December 11, 2025 | 13 | 1 |
| 2 | August 22, 2024 | August 22, 2024 | 14 | 1 |
| 3 | July 19, 2023 | July 19, 2023 | 7 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
34 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| August 11, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | August 12, 2026 |
| August 5, 2026 | Health | F 0761 | 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. | D | Yes | Deficient, Provider has date of correction | August 6, 2026 |
| May 22, 2026 | Health | F 0600 | 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. | G | Yes | Deficient, Provider has date of correction | May 23, 2026 |
| December 11, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | December 12, 2025 |
| December 11, 2025 | Health | F 0656 | 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. | D | No | Deficient, Provider has date of correction | December 12, 2025 |
| December 11, 2025 | Health | F 0659 | Resident Assessment and Care Planning Deficiencies | Provide care by qualified persons according to each resident's written plan of care. | D | No | Deficient, Provider has date of correction | December 12, 2025 |
| December 11, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | December 12, 2025 |
| December 11, 2025 | Health | F 0690 | 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. | D | No | Deficient, Provider has date of correction | December 12, 2025 |
| December 11, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | E | No | Deficient, Provider has date of correction | December 12, 2025 |
| December 11, 2025 | Health | F 0761 | 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. | D | No | Deficient, Provider has date of correction | December 12, 2025 |
| December 11, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | December 12, 2025 |
| December 11, 2025 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | December 12, 2025 |
| December 11, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | No | Deficient, Provider has date of correction | December 12, 2025 |
| August 27, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | Yes | Deficient, Provider has date of correction | August 28, 2025 |
| July 30, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | Yes | Deficient, Provider has date of correction | August 14, 2025 |
| July 30, 2025 | Health | F 0690 | 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. | D | Yes | Deficient, Provider has date of correction | August 14, 2025 |
| June 27, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | J | Yes | Deficient, Provider has date of correction | August 6, 2025 |
| February 1, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Past Non-Compliance | October 11, 2024 |
| August 22, 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | September 11, 2024 |
| August 22, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Yes | Deficient, Provider has date of correction | September 11, 2024 |
| August 22, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| August 22, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Yes | Deficient, Provider has date of correction | September 11, 2024 |
| August 22, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| August 22, 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| August 22, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| August 22, 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | No | Deficient, Provider has date of correction | September 11, 2024 |
| August 22, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | September 11, 2024 |
| July 26, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Yes | Deficient, Provider has date of correction | August 15, 2024 |
| July 26, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Past Non-Compliance | May 16, 2024 |
| July 26, 2024 | Health | F 0761 | 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. | D | Yes | Deficient, Provider has date of correction | August 15, 2024 |
| July 26, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | August 15, 2024 |
| February 13, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | January 25, 2024 |
| July 19, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | July 20, 2023 |
| July 19, 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | July 20, 2023 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| August 27, 2025 | Fine | $10,516 | 135697 | ||
| June 27, 2025 | Fine | $145,743 | 133894 | ||
| June 27, 2025 | Payment Denial | July 31, 2025 | 14 | ||
| February 13, 2024 | Fine | $8,827 | 112349 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | DALLAS COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2017-03-15 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Dallas |
| Telephone Number | 4693294002 |
| Chain Name | CANTEX CONTINUING CARE |
| Chain ID | 100 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 87.8 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on Palomino Place: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 11, 2026: A deficiency was cited under tag F 0880, scope and severity D. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for Palomino Place
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676422.