Palo Duro Nursing Home

    405 Collins St, Claude, TX 79019
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.33·(12)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.4
    • Meals

      4.0
    • Amenities

      3.3
    • Value

      3.3

    Pros

    • Compassionate and communicative nursing staff
    • Dedicated certified nursing assistants (CNAs)
    • Supportive maintenance and facilities staff
    • Home-style meal service
    • Active social and recreational programming
    • On-site faith-based services and fellowship
    • Home-like, comfortable environment
    • Regular family communication and updates
    • Recent administrative improvements

    Cons

    • Inconsistent staff conduct and responsiveness
    • Incontinence-care and skin-integrity management gaps
    • Variability in care quality across shifts
    • Communication and telephone-response issues
    • Negative workplace culture affecting staff morale
    • Sanitation and personal-care cleanliness concerns
    • Organizational integrity and honesty
    • Gaps in end-of-life care communication and family support

    Summary of reviews

    Overall impression: Reviews indicate a facility with notable strengths in interpersonal care and communal life alongside persistent operational concerns. Many family members and residents describe warm, attentive bedside care from specific nursing staff and CNAs, a home-like environment, and regular family updates that provide peace of mind. The facility is also recognized for home-style meals, helpful maintenance staff, an active activities program (including parties, games, and fellowship), and on-site church services. Several reviewers cite an administrative change (March 2022) as a turning point toward improved leadership and a more home-like atmosphere.

    Care quality and staff: Clinical and personal-care strengths are emphasized by numerous commenters: compassionate nurses, engaged CNAs, and staff members who navigate regulations to secure needed services. These strengths coexist with reports of inconsistent performance. Reviewers described incidents suggesting gaps in responsiveness and bedside care, including delays in routine personal-care tasks and concerns about skin integrity. There are repeated references to variability depending on staff or shift, with some families praising particular caregivers while others describe insensitive or poorly communicative staff. These patterns point to uneven implementation of care protocols rather than a uniformly consistent standard.

    Dining, activities, and facilities: Dining is generally framed positively as home-style cooking. Activities and social programming receive favorable mention for promoting engagement and fellowship. Maintenance and facilities staff are described as helpful, and the physical environment is frequently characterized as comfortable and residential. That said, some comments raise sanitation and personal-care cleanliness concerns in areas related to daily care, which should be clarified during a tour.

    Management and organizational patterns: Several reviews express confidence in recent administrative changes and note visible improvements in atmosphere and communication. Conversely, other comments allege a negative workplace culture, criticize management responsiveness, and raise concerns about organizational integrity and honesty. Telephone communication with administrative staff was singled out for rudeness in at least one comment. Taken together, these observations suggest management transitions that may be improving some operational areas while cultural and procedural issues persist.

    Notable patterns and guidance for families: The review set shows a polarized pattern — strong positive experiences tied to specific caregivers and shifts, and serious concerns tied to other staff and periods. Key operational themes to probe when evaluating the facility in person include staffing consistency across shifts, protocols for incontinence care and skin integrity, incident and family-communication policies (including post–critical-event and end-of-life communication), and steps taken since leadership changes to address workplace culture and documentation of improvements. Those seeking a high degree of consistency should confirm current staffing models, care audits, and how the facility handles follow-up when families raise concerns.

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    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Palo Duro Nursing Home is located at 405 Collins St, Claude, TX, 79019.

    About Palo Duro Nursing Home

    Palo Duro Nursing Home sits at 405 Collins St, Claude, Texas, and it's one of those places that cover just about every type of senior care you'd expect, so you'll see things like long-term care, short-term rehab, assisted living, adult day services, and memory care, plus they do independent and active adult living, and take veterans benefits, Medicaid, Medicare, and private insurances, which is helpful, and even though the place doesn't stand out for having fancy features, what you do get is a warm, quiet setting in rural Texas that most folks find peaceful, and they've got private and semi-private rooms, even a secure unit for residents who need a little extra supervision, and they offer a range of therapy services-physical, occupational, and speech therapy-right in partnership with nursing, so folks with conditions like diabetes or the need for wound care or respiratory help can get what they need day and night, and you see that the staff are always there, with nurse practitioners and a medical director on call 24 hours. The facility has an above average rating from CMS for both the quality of the place and health inspections, even though the staff levels run slightly below the average, but what's nice is the way they offer individualized care plans for each resident, and those daily activity programs make sure no one is just sitting alone if they don't want to be, and there's field trips, exercise, and special interest programs too, plus transportation to appointments or outings if needed, and if you go outside there's a large, enclosed backyard, which the residents use for picnics and activities, and although there's no pets policy and no mention of parking, the spaces are designed for safety and comfort, and families can send notes to loved ones through a Family WebMail service, which gets hand delivered, and while they don't really promote a bunch of frills, they do focus a lot on building personal relationships-both with residents and their families-so it feels less like an institution and more like a community that takes pride in respectful, compassionate care, and someone seeking either long-term, short-term, memory, or even day care services could probably find a place here, along with skilled rehabilitation and diabetic or pulmonary care, plus meal plans are made by a licensed dietician and they do cater to special diets and personal tastes, while the recent changes in ownership and upgrades mean things have been refreshed a bit for easier access and comfort. The setting's peaceful, the amenities meet modern needs, and the staff, although not overstaffed, are trained and friendly, so folks find support for both physical and emotional well-being in a homelike spot that's simple and straightforward.

    People often ask...

    Palo Duro Nursing Home offers assisted living, memory care, and skilled nursing.

    There are 9 photos of Palo Duro Nursing Home on Mirador.

    The full address for this community is 405 Collins St, Claude, TX 79019.

    No, Palo Duro Nursing Home does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000PtC1LAAV
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity66 residents
    LicenseeCHILDRESS COUNTY HOSPITAL DISTRICT
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    3

    Reports

    23

    Citations

    0

    Complaints

    1

    Years

    14 Oct 2026Inspection
    Identified multiple deficiencies in records, care planning, nutrition, infection control, food handling, staff screening, vaccination, medication labeling, respiratory care, assessments, admissions orders, facility cleanliness, electrical, and life safety.
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    20 Aug 2025Inspection
    Identified deficiencies in activities programming, staffing, resident rights, trauma-informed care, TB screening, assessments, and licensing of professionals.
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    19 Aug 2025Life Safety
    Cited a deficiency for failing to inspect individual sprinkler heads and maintain them in compliance with the requirements of the NFPA code; corrected by 2025-09-19.
    • —Life Safety Code

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Palo Duro Nursing Home. The information above has not been verified or approved by the owner or operator. For exact information, please contact Palo Duro Nursing Home directly. There is no cost for this service. We are compensated by the community you select.

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