Federal inspection record · CMS data as of October 1, 2026
S.p.j.s.t. Rest Home No 2
8611 Main St, Needville, TX · (979) 793-4256
- CMS high-performer trophy
- Certified beds
- 58
- Residents per day
- 35
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 15, 2011
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
S.p.j.s.t. Rest Home No 2 carries 11 inspection points. That is fewer than 98% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
7 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Resident Rights2D
- D
Keep residents' personal and medical records private and confidential.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Quality of Life and Care2D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning1D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspection history
2025-12-18
2 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-09-19
4 health deficiencies · 11 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2023-07-28
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 50 min of it from a registered nurse.
This home
3 h 40 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 29% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days2.4 pts worse | 4.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts worse | 3.6 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.6 pts better | 97.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts better | 0.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts worse | 3.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.7 pts worse | 23.5% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.8 pts better | 8.0% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.9 pts better | 11.0% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.3 pts better | 3.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts worse | 1.2% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.4 pts worse | 5.2% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10 pts better | 2.5% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts worse | 6.6% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine46.1 pts worse | 42.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.7 pts better | 4.5% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts better | 24.9% | 25.5% | 23.4% |
·
Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Oakbend Medical Center | 5% Or Greater Direct Ownership Interest · Organization | 100% | 32 facilities |
| Alkarra, Nheme | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Alkarra, Nheme | Adp Of The SNF · Individual | 0% | 4 facilities |
| Freudenberger, Joseph | Corporate Officer · Individual | 0% | 35 facilities |
| Leshikar, Howard | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 3 facilities |
| Parks, Angela | Adp Of The SNF · Individual | 0% | 2 facilities |
| Spjst Rest Home | 5% Or Greater Security Interest · Organization | 0% | 3 facilities |
| Spjst Rest Home | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Spjst Rest Home | Adp Of The SNF · Organization | 0% | 3 facilities |
| Teplicek, Beverly | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 3 facilities |
| Varta, Valerie | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 3 facilities |
| Victorick, Donnie | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 3 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Construct fire resistant interior walls.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E
Have generator or other power source capable of supplying service within 10 seconds.
Services3F
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress1E
- E
Install proper backup exit lighting.
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-
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