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Palo Duro Nursing Home

Inside a hospital. This nursing unit is part of a hospital. Units like this often care for that hospital’s patients for a short stay after an admission, and may have their own admission rules. Ask before you plan around it.

⌖ Claude, TX · Armstrong County
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Medicare overall rating 3 of 5 stars
Certified beds66
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About Palo Duro Nursing Home

Palo Duro Nursing Home is a 66-bed for-profit nursing home in Claude, TX. Medicare rates it 3 out of 5 stars overall (average); the average in Texas is 2.7. At its last full inspection (Aug 2025), inspectors found 6 problems, fewer than the Texas average of 9.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 02 min a day with each resident, less than the Texas average of 3 hr 23 min. About 39% of its nursing staff left in the past year. It has had no federal fines in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility namePalo Duro Nursing Home
LocationArmstrong County, Texas
Address405 S Collins St, Claude, TX 79019 · Armstrong County
CMS provider number455641
Ownership typeFor-profit (corporation)
Operating companyGulf Coast LTC Partners · 20 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceFebruary 19, 1986 (40 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating3 of 5Average
Health inspections4 of 5Above average
Quality measures3 of 5Average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

4 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Aug 2025.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength
  • Health citations at last inspection6 (Aug 2025)Texas average: 9.4. Most citations are minor and corrected within weeks.
    Strength
  • Nursing staff turnover39% a yearTexas average: 55%
    Strength

About average

  • Registered nurse time per resident25 min a dayTexas average: 26 min
    About average

Things to ask about

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  • Nurse staffing per resident3 hr 02 min a dayTexas average: 3 hr 23 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare has not rated this part of the home’s care.

  • Newly given antipsychotic drugs0.0%State average: 1.5%
    Better than average

Physical therapist time: about 12 minutes per resident a day. That is more than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 3 of 5 (average)

  • Falls with a major injury2.9%State average: 3.3%
    About average
  • Pressure sores (bedsores)3.4%State average: 3.8%
    About average
  • Given antipsychotic drugs31.2%State average: 9.6%
    Worse than average
  • Hospital stays per 1,000 resident days1.6State average: 2.2
    Better than average

Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Texas, Medicaid pays for 66% of resident days at a typical home.

  • 73% Medicaid
  • 6% Medicare
  • 22% Private pay, insurance and other
Beds in use, on average55%Texas typical: 67%
Cost of care per resident day$207Texas typical: $270

Shares of resident days, from the home’s Medicare cost report for the year ending September 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 3 stars now, up from 2 stars in January 2019. It has ranged from 2 to 5 stars and changed 13 times.

Overall rating3★
Health inspections4★
Staffing1★
Quality of care3★
Nurse hours per resident per day3.0
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201922233.2
Jan 202054353.3
Jan 202154453.4
Jan 20223315–
Jan 202344243.4
Jan 202423132.7
Feb 202544342.9
Feb 202634122.9
Sep 202634133.0

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.