Capstone Healthcare of Daingerfield
507 E W M Watson Blvd · Daingerfield, TX · 75638 · 9036453915
106 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $85,885 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$85,885 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 3.46 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | 5 · $301,425 |
Inspection citations (57 in the current record)
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Potential for harm · D April 24, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Honor 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.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E April 24, 2025
Keep residents' personal and medical records private and confidential.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Honor 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.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E April 24, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide 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.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · E April 24, 2025
Ensure 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.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · E April 24, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected May 15, 2025 · Nursing and Physician Services
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Potential for harm · F April 24, 2025
Post nurse staffing information every day.
Corrected May 15, 2025 · Nursing and Physician Services
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Potential for harm · D April 24, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 15, 2025 · Pharmacy Service
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Potential for harm · E April 24, 2025
Ensure that residents are free from significant medication errors.
Corrected May 15, 2025 · Pharmacy Service
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Potential for harm · E April 24, 2025
Ensure 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.
Corrected May 15, 2025 · Pharmacy Service
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Potential for harm · E April 24, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 15, 2025 · Nutrition and Dietary
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Potential for harm · E April 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 15, 2025 · Nutrition and Dietary
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Potential for harm · F April 24, 2025
Conduct 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.
Corrected May 15, 2025 · Administration
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Potential for harm · D April 24, 2025
Have policies on smoking.
Corrected May 15, 2025 · Environmental
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Potential for harm · E April 24, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected May 16, 2025 · Administration
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Immediate jeopardy · J February 28, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 28, 2025 | Fine | $85,885 |
| February 27, 2024 | Fine | $151,284 |
| February 12, 2024 | Fine | $3,387 |
| January 22, 2024 | Fine | $7,903 |
| December 28, 2023 | Fine | $52,966 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675755 · certified since July 7, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.