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D
Poor

PALO DURO NURSING HOME

405 S COLLINS ST · CLAUDE, TX 79019

8062265121 · For profit - Corporation

66 beds38.7 residents55 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
B
Good
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PALO DURO NURSING HOME receives an overall staffing grade of D (Poor). With 2.9569 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7114 HPRD, below the recommended 0.75. It is 0.94 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.56% compared to weekdays. The facility has low agency staff usage (1.06% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Had 13 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9569 HPRD — needs 0.52 more hours per resident per day.
⚠️RN staffing (0.7114 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (1.06%) — mostly permanent, familiar staff
Total Nurse HPRD
2.9569hrs/resident/day▼ 0.94
CMS benchmark: 3.48
RN HPRD
0.7114hrs/resident/day▲ 0.03
Recommended: 0.75
Weekend Drop-off
20.56%
3.1393 weekday → 2.4938 weekend
⚠ Significant weekend reduction
Agency Staff
1.06%
4.39% of RN hours from contractors
Days with Zero RN
13days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.2782hrs/resident/day
Direct care aides
LPN HPRD
0.8473hrs/resident/day
Licensed practical nurses
Consistency
0.4588std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Armstrong County Average+0.00 HPRD
2.96
02.96 HPRD
vs. Texas State Average-0.45 HPRD
3.40
02.96 HPRD
vs. National Average-0.94 HPRD
3.90
02.96 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
PALO DURO NURSING HOME ★
CLAUDE · This facility
—
D
2.95690.7114★★★☆☆
HERITAGE CONVALESCENT CENTER
AMARILLO
31.2 mi
D
3.73430.2656★★☆☆☆
LANDMARK OF AMARILLO REHABILITATION AND NURSING CE
AMARILLO
31.4 mi
C
3.47190.4212★★★☆☆
PLAINVIEW HEALTHCARE CENTER
PLAINVIEW
65.6 mi
F
2.76060.1764★★☆☆☆
COLDWATER MANOR
STRATFORD
93.9 mi
F
2.3821.4147★★★★★
Lubbock Health Care Center
Lubbock
110 mi
F
3.25410.2376★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
21
Total Deficiencies
$0
Fines Assessed
Aug 20, 2025Health
6 deficiencies cited
▼
Jul 15, 2025Health
1 deficiency cited
▼
Jul 30, 2024Health
6 deficiencies cited
▼
Nov 20, 2023Health
1 deficiency cited
▼
Jun 1, 2023Health
7 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.