Capstone Healthcare Of Daingerfield

COTA N, PTA P, ST O, Maintenance Supervisor H, and Activity Director verbalized in-service education was provided after the incident with Resident #1.

The staff stated they were provided education on sexual abuse to include types of sexual abuse, signs and symptoms of sexual abuse, reporting allegations of sexual abuse immediately to the Administrator (Abuse Coordinator).

The staff were provided pictures of Visitor A and his vehicle.

They were instructed he was not allowed on the property and if he was noticed on the property to notify the police and administration immediately.

The staff were in-served on the visitor sign-in procedure.

They were able to verbalize all visitor were to sign-in at the front using the kiosk.

The staff said the visitor were to wear a sticker badge visible at all times while visiting.

The staff stated if a visitor did not have a sticker badge, then they were to escort them to the front and assist them with getting one.

The staff stated the secured unit code was changed and was not to be given to visitors.

The staff were instructed to escort visitors to and from the secured unit.

During an interview on 05/26/26 at 12:29 p.m., the DON stated on 05/17/26 she received a call from the facility that Visitor A was found with his pants down Resident #1's pants.

She stated she was told the staff had try to stop him from leaving but he took off. LVN E and RN F followed him outside and was able to get a license plate number.

She stated she instructed the nurses to call the police and she called the Administrator, who was the abuse coordinator, and the Regional Compliance Nurse.

She stated LVN E and RN F completed a head to toe skin assessment and a trauma assessment, which was negative for findings.

She stated the family and Medical Director were notified.

The Administrator completed the self-report to the state.

The DON stated she started in-service education on the abuse and neglect policy, sexual abuse, visitor sign-in, changed code of the secured unit, and Visitor A being banned from the facility, which included pictures.

She stated the staff rearranged the furniture of the secured unit.

The management staff conducted an ad hoc quality assurance meeting.

Safe surveys were conducted and there were no other issues identified.

During an interview on 05/26/26 at 12:40 p.m., the Administrator stated the DON called him on 05/17/26 to report the incident with Visitor A and Resident #1. He stated they immediately contacted their regional supervisors and decided to report the incident to the state and complete an investigation. He said the facility had already been notified to contact the police. He said Visitor A had left the building, and the cops responded to the facility.

They obtained statements from the nursing staff. He said Resident #1 was assessed by nursing staff with no negative findings. He stated Resident #1 had no recollection of the incident. He stated he started in-service education on the abuse and neglect policy, sexual abuse, secured unit code, visitor sign-in process, and Visitor A being banned from the facility. He stated safe surveys were conducted with other residents and no other issues were identified. He stated Visitor A had been in the facility before with no other incidents or suspicions.

Record review of the Abuse, Neglect, Exploitation, & Misappropriation Policy, dated September 2024, reflected Residents have the right to be free from abuse, neglect, misappropriation of resident property, and exploitation. 1.

Protects residents from abuse. by anyone including but no necessarily limited to: .

Family members. visitors. Or any other individual.

The noncompliance was identified as PNC.

The noncompliance began on 05/17/26 and ended on 05/17/26.