F
39/100

Capstone Healthcare of Daingerfield Inspection Report, Violations & Safety Grade (Daingerfield, Texas)

507 E W M Watson Blvd, Daingerfield, Texas 75638

Phone: 9036453915

CMS Overall:1/5

Overview & Bed Count

Certified Beds
106
Avg Residents/Day
62.9
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Morris
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
Yes

CMS Star Ratings

Overall1/5
Health1/5
Staffing3/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.290.44-0.15
Total Nurse Hours per Resident per Day4.263.42+0.84
CMS Staffing Rating3/51.9/5-
Nursing Staff Turnover39.3%50.8%-

Health Citation History

53 health citations on record

DateCategoryDescriptionSeverity
2026-07-01Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2026-06-03Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.E – Moderate Harm Potential
2026-06-03Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2026-06-03Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-06-03Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-06-03Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-06-03Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2026-06-03Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2026-06-03Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.D – Moderate Harm Potential
2026-05-26Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2025-04-24Nursing and Physician Services DeficienciesPost nurse staffing information every day.F – Moderate Harm Potential
2025-04-24Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F – Moderate Harm Potential
2025-04-24Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.E – Moderate Harm Potential
2025-04-24Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2025-04-24Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.E – Moderate Harm Potential
2025-04-24Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E – Moderate Harm Potential
2025-04-24Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.E – Moderate Harm Potential
2025-04-24Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E – Moderate Harm Potential
2025-04-24Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2025-04-24Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-04-24Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.E – Moderate Harm Potential
2025-04-24Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-04-24Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2025-04-24Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2025-04-24Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2025-04-24Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D – Moderate Harm Potential
2025-04-24Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-04-24Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2025-04-24Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-04-24Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2025-04-24Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-04-24Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.D – Moderate Harm Potential
2025-04-24Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-04-24Environmental DeficienciesHave policies on smoking.D – Moderate Harm Potential
2025-02-28Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2025-02-28Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2025-02-28Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-02-27Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.H – Actual Harm
2024-02-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-02-27Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F – Moderate Harm Potential
2024-02-27Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.E – Moderate Harm Potential
2024-02-27Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2024-02-27Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E – Moderate Harm Potential
2024-02-27Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-02-27Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-02-27Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2024-02-27Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-02-27Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-02-27Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.D – Moderate Harm Potential
2024-02-27Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.D – Moderate Harm Potential

Showing 50 of 53 citations.

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2026-06-03Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2026-06-03Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2026-06-03Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2025-04-24Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2025-04-24Smoke DeficienciesHave an alternate power supply for its alarm system.E – Moderate Harm Potential
2025-04-24Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2025-04-24Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2024-02-27Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential
2024-02-27Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2024-02-27Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.B – Minimal Harm Potential

Total Penalties & Fines

$314,175
Total Fine Amount (CMS)
6
Number of Fines
6
Total Penalties
DateTypeFine AmountPayment Denial
2026-05-26Fine$12,750-
2025-02-28Fine$85,885-
2024-02-27Fine$151,284-
2024-02-12Fine$3,387-
2024-01-22Fine$7,903-
2023-12-28Fine$52,966-
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