Palomino Place
Inspection Findings
F-Tag F0755
F 0755 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Administration, Enteral Administration of Medications (with skill competency and test), and [NAME] Foliage Picture Protocol and green wrist bands. Staff were able to identify residents with NPO status. Staff were able to verbalize the procedure of how to know to administer medications through a feeding tube instead of orally.An interview with the DON on 08/27/25 at 12:23 PM revealed she had worked at the facility for 3 years. She said her role in the Plan of Removal would be to review the Order Listing Report, the 24-Hour 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 REDACTED] 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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Palomino Place in Mesquite, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Mesquite, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Palomino Place or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.