Palomino Place
Palomino Place in Mesquite, TX — inspection on August 27, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Summary and Review of All New Admits/readmits to ensure compliance and knowledge of all residents who were NPO and/or who may have had their diet status changed.
The DON said the process would occur daily for 2 weeks, weekly for 2 weeks and then monthly x 2.
The DON said on weekends and holidays, the Nurse Supervisor/Designee would be completing the audit/review.
The DON said new or pulled staff would be trained to pass medications by being in-serviced with 72 hours on the floor as well as a check-off for g-tube medications.
The DON said if the issue occurred in the future, she would take immediate action to in-service, educate, and discipline the nurse who did the infraction.
The DON said an incident report would be completed, and the resident would be assessed and notify the physician.
The DON said she would be completing random observations of medication pass for residents with a feeding tube.An interview on 08/27/25 at 12:50 PM with the Administrator revealed he had worked at the facility for 3 years.
The Administrator said his role in the Plan of Removal would be to overlook and ensure everything in the Plan of Removal was completed.
The Administrator said a QAPI meeting was held on 08/26/25 and would continue monthly.An IJ was identified on 08/26/25.
The IJ template was provided to the facility on [DATE] at 4:49 PM.
While the IJ was removed on 08/27/25, the facility remained out of compliance at a scope of isolated and a severity level of potential for more than minimum harm because all staff had not been trained on the Plan of Removal.
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