Capstone Healthcare of Hughes Springs

In the surveyor’s words

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

• Actual harm, isolatedF600Jun 13, 2022

  Based on interview, observation, and record review the facility failed to ensure residents were free from abuse for 1 of 6 residents reviewed for abuse. (Resident #2) The Hospice aide abused Resident #2 by hitting her in the head resulting in a bruise her left temple. This failure could place residents at risk for physical abuse, mental abuse, emotional abuse' and harm. Findings included: A review of a face sheet that indicated Resident #2 was admitted to the facility on [DATE]. Her diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #2's annual MDS dated [DATE] indicated her cognitive skills for daily decision-making was moderately impaired, with decisions making poor, cues required, and supervision. […]

• Actual harm, isolatedF689Jun 13, 2022

  Based on interview, observation, and record review the facility failed to ensure residents were free from accident hazards for 1 of 6 residents reviewed for accidents. (Resident #1) The facility failed to ensure shower chairs were maintained and in working order. A shower chair broke while Resident #1 was sitting in the chair. Resident #1 sustained a laceration to the right side of the head with hematoma (a serious condition where blood collects between the skull and the surface of the brain) and rib fractures. This failure could place residents at risk for accident hazards. Findings included: Review of Resident #1's Face Sheet indicated she was a [AGE] year-old female admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Jun 3, 2026

  Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen (1 of 1 kitchen) reviewed for food safety requirements. 1. The facility failed to ensure the food mixer was free of a blackish/grey dried substance on the [NAME] head on 06/01/2026. 2. The facility failed to ensure the toaster oven was free of a thick, sticky layer of brown, black and yellow crumbs on 06/01/2026. 3. The facility failed to ensure the plates and trays were appropriately dried before storing on 06/01/2026. 4. The facility failed to ensure the ice machine was free of an orange liquid substance on the interior portion of the top of the cooler on 06/01/2026. […]

• No harm, potential for more than minimal, widespreadF812Mar 20, 2024

  Based on observation, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety requirements. The facility failed to ensure the ceiling was in good repair in the kitchen. This failure could place residents at risk of foodborne illness and food contamination. Findings included: During initial tour observations in the kitchen on 3/18/24 beginning at 9:08 AM, there was brown staining to approximately six ceiling tiles above to area of the tea maker machine, juice machine, and the food processor (used to make puree and chopped foods). […]

• No harm, potential for more than minimal, widespreadF812Feb 8, 2023

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards in 1 of 1 kitchen reviewed for food service safety. The facility failed to ensure that all staff members wore hairnets appropriately. This failure could place residents at risk of food contamination. Findings included: During an observation on 02/07/2023 at 11:45 a.m., Transportation aide #B entered the kitchen to deliver a package with no hair net on during meal service. During an observation on 02/07/2023 at 11:48 a.m., a sign on each entrance door to the kitchen stated kitchen personnel only. […]