Palomino Place: Immediate Jeopardy Feeding Tube Violation - TX
The declaration came on August 26, 2025. Inspectors provided the facility with an immediate jeopardy template at 4:49 that afternoon and demanded a plan to remove the threat.
The Director of Nursing told inspectors she would personally conduct random observations of medication passes for residents on feeding tubes going forward. She said she would in-service, educate, and discipline the nurse responsible. An incident report would be completed, she said, and the resident would be assessed and the physician notified.
The administrator, who said he had worked at the facility for three years, described his own role in the plan as to "overlook and ensure everything in the Plan of Removal was completed." He said a quality assurance meeting had been held on August 26 and would continue monthly.
Inspectors lifted the immediate jeopardy finding on August 27. The facility was not out of the woods.
Even with the declaration removed, Palomino Place remained out of compliance. The reason: not all staff had completed training on the plan meant to prevent another incident. Inspectors classified the remaining violation as isolated in scope, with potential for more than minimum harm.
The resident who received the medication incorrectly had not yet been assessed at the time inspectors were documenting the violation. Whether the physician had been reached was not recorded.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Palomino Place from 2025-08-27 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
Palomino Place in Mesquite, TX was cited for immediate jeopardy violations during a health inspection on August 27, 2025.
The declaration came on August 26, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.