Capstone Healthcare of Hughes Springs

215 Fm 161 Business South · Hughes Springs, TX · 75656 · 9036392561

69 certified beds For profit - Limited Liability company

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 55
Serious harm & abuse 20% 100
Staffing 20% 72
Federal penalties 15% 100
Trend 10% 76
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.243.48 min · 4.1 strong
RN hours / resident-day0.510.55–0.75
Weekend hours / resident-day3.32≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)none

Inspection citations (30 in the current record)

  • Potential for harm · E February 18, 2026 · found via complaint

    Honor 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.

    Corrected February 19, 2026 · Resident Rights

  • Potential for harm · E April 2, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 2, 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 April 3, 2025 · Quality of Life and Care

  • Potential for harm · D April 2, 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 April 3, 2025 · Pharmacy Service

  • Potential for harm · E April 2, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected April 3, 2025 · Nutrition and Dietary

  • Potential for harm · E April 2, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 3, 2025 · Infection Control

  • Potential for harm · D April 2, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 3, 2025 · Resident Rights

  • Potential for harm · E January 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 February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 20, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 21, 2024 · Resident Rights

  • Potential for harm · E March 20, 2024

    Honor 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.

    Corrected March 21, 2024 · Resident Rights

  • Potential for harm · D March 20, 2024

    Ensure each resident receives an accurate assessment.

    Corrected March 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 20, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 20, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E March 20, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected March 21, 2024 · Quality of Life and Care

  • Potential for harm · E March 20, 2024

    Implement 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.

    Corrected March 21, 2024 · Pharmacy Service

  • Potential for harm · E March 20, 2024

    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 March 21, 2024 · Pharmacy Service

  • Potential for harm · F March 20, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 21, 2024 · Nutrition and Dietary

  • Potential for harm · D March 20, 2024

    Provide and implement an infection prevention and control program.

    Corrected March 21, 2024 · Infection Control

  • Potential for harm · D March 5, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 29, 2024 · Resident Rights

  • Potential for harm · D February 8, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected March 15, 2023 · Resident Rights

  • Potential for harm · D February 8, 2023

    Ensure each resident receives an accurate assessment.

    Corrected March 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D February 8, 2023

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected March 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E February 8, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D February 8, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D February 8, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 15, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676154 · certified since October 24, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.