Capstone Healthcare of Daingerfield

In the surveyor’s words

From the most serious findings on record at Capstone Healthcare of Daingerfield, in the surveyor’s own words.

• Immediate jeopardy, patternF600Dec 28, 2023

  Based on observation, interview, and record review the facility failed to ensure residents had the right to be free from abuse or neglect for 3 of 7 residents reviewed for abuse. (Resident #1, Resident #3, and Resident #4) The facility failed to ensure Resident #4 was not verbally abused mentally abused, and harassed for the remainder of the night on 5/28/23 by LVN D The facility failed to educate staff on the de-escalation of an agitated or aggressive resident. The facility failed to identify harassment and intimidation as abuse for Resident #1 and Resident #3 when they complained about the care CNA A was providing. The facility failed to identify abuse when Resident #3 said CNA A intentionally caused her pain. […]

• Immediate jeopardy, patternF607Dec 28, 2023

  Based on observation, interview, and record review the facility failed to ensure they implemented their abuse policy to ensure residents had the right to be free from abuse or neglect for 4 of 7 residents reviewed for abuse. (Resident #1, Resident #2, Resident #3, and Resident #4) The facility failed to follow their policy and ensure Resident #4 was not verbally abuse by LVN D and mental abused and harassed for the remainder of the night on 5/28/23. The facility failed to follow their policy and identify harassment, and intimidation for Resident #1, Resident #2, and Resident #3 when they reported CNA A had intentionally tried to intimidate them. The facility failed to follow their policy when Resident #3 said CNA A intentionally caused her pain. […]

• Immediate jeopardy, patternF610Dec 28, 2023

  Based on observation, interview, and record review the facility failed to have evidence violations were thoroughly investigated to prevent further abuse for 4 of 7 residents reviewed for abuse. (Resident #1, Resident #2, Resident #3, and Resident #4) The facility failed to ensure a thorough investigation when Resident #4 was not verbally abuse by LVN D and mental abused and harassed for the remainder of the night on 5/28/23. The facility failed to ensure a thorough investigation was conducted when residents complained of harassment, and intimidation for Resident #1, and Resident #3 when they reported CNA A had intentionally tried to intimidate them. The facility failed to complete a thorough investigation on abuse when Resident #3 said CNA A intentionally caused her pain. […]

• Immediate jeopardy, isolatedF600May 26, 2026

  Based on observation, interview, and record review the facility failed to ensure residents were free from sexual abuse from a visitor for 1 of 3 residents (Resident #1) reviewed for abuse. The facility failed to ensure Resident #1 was free from sexual abuse on 05/17/26 when Visitor A was found with his hand down Resident #1's pants. The noncompliance was identified as PNC. The immediate jeopardy (IJ) began on 05/17/26 and ended on 05/17/26. The facility had corrected the noncompliance before the survey began. […]

• Immediate jeopardy, isolatedF600Feb 28, 2025

  Based on interviews and record review, the facility failed to ensure the right of the residents to be free from abuse for 2 of 4 residents (Resident #2, Resident #3) reviewed for abuse. The facility failed to protect other residents from being kicked by Resident #1, when Resident #1 kicked Resident #3's feet when he walked by him on 1/12/25 at 5:20 am. The facility failed to recognize and put measures in place for Resident #1's increased behaviors from 01/09/2025 through 01/12/2025, which resulted in Resident #1 choking Resident #2. An Immediate Jeopardy (IJ) was identified on 02/27/2025 at 1:40 PM. The IJ template was provided to the facility on [DATE] at 1:06 p.m. […]