CAPSTONE HEALTHCARE OF HUGHES SPRINGS
215 FM 161 BUSINESS SOUTH, HUGHES SPRINGS, TX 75656 · CCN 676154
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 69
- Avg residents/day
- 42.7
- Phone
- 9036392561
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-02 | 6 | 9.1 | 9.5 | -3.1 better |
| 2 | 2024-03-20 | 12 | 9.4 | 9.8 | +2.6 worse |
| 3 | 2023-02-08 | 11 | 8.1 | 9.3 | +2.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.18 | 39.5% |
| RN staffing (reported) | 0.49 | — |
| Total nurse staffing (adjusted) | 4.54 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (29)
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0761Ensure 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.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-28 · Health · corrected 2025-02-28
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-20 · Health · corrected 2024-03-21
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-03-20 · Health · corrected 2024-03-21
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-03-20 · Health · corrected 2024-03-21
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-03-20 · Health · corrected 2024-03-21
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-20 · Health · corrected 2024-03-21
Potential for more than minimal harm
- EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-03-20 · Health · corrected 2024-03-21
Potential for more than minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-03-20 · Health · corrected 2024-03-21
Potential for more than minimal harm
- EF0761Ensure 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.2024-03-20 · Health · corrected 2024-03-21
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-20 · Health · corrected 2024-03-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-20 · Health · corrected 2024-03-21
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-05 · Health · corrected 2024-03-29
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-02-08 · Health · corrected 2023-03-15
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-02-08 · Health · corrected 2023-03-15
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-02-08 · Health · corrected 2023-03-15
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-08 · Health · corrected 2023-03-15
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-02-08 · Health · corrected 2023-03-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-08 · Health · corrected 2023-03-15
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-02-08 · Health · corrected 2023-03-15
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-02-08 · Health · corrected 2023-03-15
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-08 · Health · corrected 2023-03-15
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2023-02-08 · Health · corrected 2023-03-15
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-02-08 · Health · corrected 2023-03-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CAPSTONE-HUGHES SPRINGS OPCO, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-01 |
| MOMAN, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-01 |
| SANDERSON, CLARK | Individual | CORPORATE DIRECTOR | — | 2024-10-01 |
Other facilities in HUGHES SPRINGS
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.