Perryton, TX

Capstone Healthcare Of Perryton

5-star overall rating with 4-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3101 S. Main St, Perryton, TX

(806) 435-5403

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

21

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2003-02-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.66

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.85

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

3.47

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

4.98

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.51

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

4.15

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.53

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.88

CMS adjusted RN staffing hours

Adjusted total hours

6.61

CMS adjusted total nurse staffing hours

Case-mix index

1.03

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

39%

Annual nurse turnover · state 52% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 10 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 34
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.5%	97.1% 1.4 pts better	93.4% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.3% 3.3 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	18.6%	2.7% 15.9 pts worse	11.4% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.6%
Percentage of long-stay residents who lose too much weight	17.8%	3.3% 14.5 pts worse	5.4% 12.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 17.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.4%	18.9% 8.5 pts worse	19.6% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 27.4%
Percentage of long-stay residents who received an antipsychotic medication	2.0%	10.8% 8.8 pts better	16.7% 14.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	48.5%	15.4% 33.1 pts worse	16.3% 32.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 48.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	42.9%	16.1% 26.8 pts worse	14.9% 28 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 42.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	6.4%	0.5% 5.9 pts worse	1.0% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 6.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.7%	0.8% 3.9 pts worse	1.7% 3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.0%	15.0% 11 pts worse	19.8% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 26.0%
Percentage of long-stay residents with pressure ulcers	8.0%	4.2% 3.8 pts worse	5.1% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 8.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.5%	89.7% 5.8 pts better	81.7% 13.8 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 95.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-09 · Fire 2025-04-09

8 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-03-06 · Fire 2024-03-06

7 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-01-19 · Fire 2023-01-19

2 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

C · Minimal harm 2025-04-09

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-04-11

F · Potential for more than minimal harm 2024-03-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-04-03

C · Minimal harm 2024-03-06

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-04-12

F · Potential for more than minimal harm 2023-01-19

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-02-28

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-09

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-04-09

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-04-09

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-04-30