Nursing HomeInspections

Palo Duro Nursing Home

Nursing home in Claude, TX

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
405 S Collins St, Claude, TX 79019
Phone
(806) 226-5121
Listed under
For-profit, No fines or payment denials in 3 years
Medicare CCN
455641
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
66
Average residents per day
43
Ownership
For-profit, corporation
Legal business name
Childress County Hospital District
Chain
Gulf Coast LTC Partners (20 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 19, 1986
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455641. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Aug 20, 2025. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 1, 2023 to Aug 20, 2025): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 20, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 20, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 20, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 20, 2025Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration		D
Potential for more than minimal harm, isolated
Aug 20, 2025Provide activities to meet all resident's needs.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Aug 20, 2025Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Jul 15, 2025Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 30, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 30, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 30, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 30, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jul 30, 2024Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 21. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.50 hours
Registered nurse (RN) time per resident per day
0.33 hours
Nurse aide time per resident per day
1.39 hours
Total nurse staffing on weekends
2.28 hours
Nursing staff turnover (yearly)
46%
RN turnover (yearly)
57%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error