Capstone Healthcare of Perryton

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801Sep 24, 2021

  Based on interview and record review, the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service for 3 of 4 food service workers (DM, Tray Aide A and Cook B). A. The facility did not ensure a clinically qualified nutrition professional was employed by the facility to provide consultations. B. The facility failed to ensure kitchen staff (DM, Tray Aide A, Cook B ) had a food card. C. The facility failed to employ a DM with qualifications to carry out the kitchen functions. These failures could place residents at risk for not receiving services to meet their nutritional needs, contribute to meal dissatisfaction, and place residents at risk of food borne illnesses. […]

• No harm, potential for more than minimal, widespreadF802Sep 24, 2021

  Based on observation and interview the facility failed to employ sufficient dietary support personnel with the appropriate competencies and skill sets to carry out the functions of the food and nutrition service. The facility failed to provide sufficient dietary support personnel to effectively carry out the functions of the food and nutrition services. A. The DM and Tray Aide A working on 9/23/21 had no experience or qualifications to manage and perform kitchen duties and were not able to perform meal preparation and meal service in a manageable time frame for the lunch meal on 9/23/21 and the dinner meal on 9/23/21 B. […]

• No harm, potential for more than minimal, widespreadF803Sep 24, 2021

  Based on observation, interview, and record review, the facility failed to ensure that the menus were developed and prepared to meet the nutritional needs of 2 of 3 residents(Resident # 2 and #3) who were prescribed a mechanical soft diet. A. The facility failed to ensure menus were developed and reviewed by a dietician for nutritional adequacy. B. 2 of 3 residents ( Resident #2 and # 3) with physician orders for a mechanical soft diet were not served mechanical soft diet on 9/23/21. This failure could contribute to dissatisfaction, poor food intake, and weight loss. The findings included: In an interview and record review on 9/23/21 at 10:40 AM, the DM stated there is no Dietician and has not been one since February of 2019. […]

• No harm, potential for more than minimal, widespreadF804Sep 24, 2021

  Based on observations, interviews, and record reviews, the facility failed to ensure that each resident received and that the facility provided foods that were at a safe and appetizing temperature for 1 of 2 meals (lunch) observed in that: 1. The facility failed to serve hot foods hot. 2. The facility failed to serve food during the lunch meal, that was palatable. 3. Test tray lunch foods were cold when served. These failures could affect residents who ate in their meals prepared by the facility kitchen by placing them at risk of weight loss, altered nutritional status, and diminished quality of life. The findings were: In an interview on 9/23/21 at 10:20 AM, DM stated lunch is scheduled for 12:00 PM. […]

• No harm, potential for more than minimal, widespreadF809Sep 24, 2021

  Based on observation, interview and record review, the facility failed to ensure that each resident recieves and the facility provides at least three meals daily, at regular times comparable to normal mealtimes in the community, in that: The facility failed to ensure meals were consistently served at posted mealtimes. This failure could affect residents who received meals served from the facility's only kitchen by placing residents at risk for decreased meal satisfaction, decreased intake, loss of appetite, unplanned weight loss, and side effects from medication given without food, and diminished quality of life. […]