That was February 16, 2026, sometime between 1 and 2 AM.
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The inspection, completed May 26, 2026, stemmed from a complaint.
What inspectors found was a gap between what the facility had committed to on paper and what was actually happening for residents.
It was 8 o'clock in the morning on May 26.
The incident, which inspectors classified as causing actual harm, unfolded during a night when a snowstorm had left only one registered nurse in the building.
The resident, identified in inspection records only as Resident #9, was admitted in May 2025 with chronic pancreatitis, type two diabetes, and hypertension.
The lapse ran for nearly two months in one case.
The floor mat, used to cushion falls, was propped lengthwise against the left side of the bed and the upper grab bar.
A physician's order on file at the facility specified a ventilator setting of 3 liters of oxygen.
A culture result confirming the MRSA infection came back on May 23, 2026.
They said they have been nervous ever since.
The incident at Capstone Healthcare of Daingerfield, a nursing home in Morris County in northeast Texas, occurred on May 17, 2026.