How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Palo Duro Nursing Home
405 S Collins St, Claude, TX 79019 (opens Google Maps) · Armstrong County · (806) 226-5121· 66 certified beds · avg 32 residents/day · certified since Feb 19, 1986 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: GULF COAST LTC PARTNERS (20 facilities, chain avg rating 2.4★)
4/5
Health inspection rating (on-site)
inspected Aug 20, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.12
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. F-0679
The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. F-0727
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. F-0550
View all 21 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 20, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Aug 20, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727 |
| Aug 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Aug 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Aug 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699 |
| Aug 20, 2025 | D · Potential for more than minimal harm, isolated | The facility employed staff who were not licensed, certified, or registered as required by state law. · F-0839 |
| Jul 15, 2025 | E · Potential for more than minimal harm, pattern | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. · from a complaint · F-0940 |
| Jul 30, 2024 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jul 30, 2024 | E · Potential for more than minimal harm, pattern | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · F-0638 |
| Jul 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Jul 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Jul 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Jul 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Nov 20, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| Jun 1, 2023 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jun 1, 2023 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Jun 1, 2023 | E · Potential for more than minimal harm, pattern | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Jun 1, 2023 | E · Potential for more than minimal harm, pattern | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Jun 1, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jun 1, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jun 1, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).
All citationsSerious citations (G–L)
2023
All citations: 8
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 6 | 0 | F |
| 2025 | 7 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.12
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.43
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.86
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.12 | 3.46 | 3.95 | bottom 32% in Texas; bottom 18% in the U.S. |
| Registered Nurse hours | 0.43 | 0.44 | 0.69 | top 41% in Texas; bottom 26% in the U.S. |
| Weekend total nurse staffing | 2.86 | 3.04 | 3.50 | bottom 45% in Texas; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.34 | 0.48 | top 33% in Texas; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 39.1 | 55.3 | 45.8 | top 18% in Texas; top 34% in the U.S. |
| RN turnover (%) | 66.7 | 54.6 | 42.9 | bottom 34% in Texas; bottom 15% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.04, RN 0.41, weekend 2.79.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.04 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Palo Duro Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Claudetx LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Claudetx LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/21/2025 |
| Gleisner, Stoney | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| Gleisner, Stoney | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Holcomb, Holly | Individual | Corporate Officer | NOT APPLICABLE | 05/29/2021 |
| Mistretta, Cassandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Pfeifer, Mary | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Stewart, Randy | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2010 |
| Stewart, Randy | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2010 |
| Stratton, Emilee | Individual | Corporate Officer | NOT APPLICABLE | 03/18/2018 |
All 10 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Gulf Coast LTC Partners — 20 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Panola County Nursing & Rehabilitation — Carthage, TX · overall 3/5
- Teague Nursing and Rehabilitation — Teague, TX · overall 5/5
- The Oaks at Longview — Longview, TX · overall 3/5
- Wells LTC Nursing & Rehabilitation — Wells, TX · overall 1/5abuseSFF
- Woodlake Nursing Center — Clute, TX · overall 3/5
- Woodland Park Nursing & Rehab — Shepherd, TX · overall 1/5
- Arlington Residence and Rehabilitation Center — Arlington, TX · overall 1/5
- Avir at Bryan — Bryan, TX · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 19 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you learn about each resident's background and history, and how does that shape their care?"
- "How do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
- "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 39% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Ware Memorial Care Center | 27.9 mi | Amarillo, TX | ★★★★☆ | 3/5 | |
| Georgia Manor Nursing Home | 28.5 mi | Amarillo, TX | ★★☆☆☆ | 3/5 | |
| Clarendon Nursing Home | 29.1 mi | Clarendon, TX | ★★★☆☆ | 4/5 | |
| Legacy Rehabilitation and Living | 29.6 mi | Amarillo, TX | ★★☆☆☆ | 2/5 | |
| Heritage Convalescent Center | 31.3 mi | Amarillo, TX | ★★☆☆☆ | 3/5 | |
| Windflower Health Center | 31.3 mi | Amarillo, TX | ★★★★☆ | 4/5 | |
| Amarillo Medical Lodge | 31.3 mi | Amarillo, TX | ★★★★★ | 5/5 | |
| Landmark of Amarillo Rehabilitation and Nursing Ce | 31.4 mi | Amarillo, TX | ★★★☆☆ | 3/5 | |
| Kirkland Court Health and Rehabilitation Center | 31.7 mi | Amarillo, TX | ★☆☆☆☆ | 1/5 | abuse |
| Amarillo Center for Skilled Care | 31.7 mi | Amarillo, TX | ★★★☆☆ | 3/5 | |
| Ussery Roan Texas State Veterans Home | 32.0 mi | Amarillo, TX | ★★★☆☆ | 3/5 | |
| Five Points Nursing and Rehabilitation | 32.8 mi | Amarillo, TX | ★★★★☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 455641.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).