Federal inspection record · CMS data as of October 1, 2026

Spindletop Hill Nursing And Rehabilitation Center

1020 S 23rd St, Beaumont, TX · (409) 842-9700

CMS overall rating

1 of 5

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Certified beds
148
Residents per day
84
Ownership
Non-Profit
Chain
Wellsential Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 11, 1988

1

How this home got 1 star

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Spindletop Hill Nursing And Rehabilitation Center carries 124.75 inspection points. That is fewer than 26% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 124.75 pts · 2★

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

34 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 23 4 pts
E 7 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

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 (3)

  1. J

    Ensure that residents are free from significant medication errors.

    July 30, 2025 · Complaint inspection · Pharmacy Service · F760 · Corrected August 25, 2025

  2. K

    Respond appropriately to all alleged violations.

    February 7, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected February 24, 2025

  3. J

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    February 7, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F609 · Corrected February 24, 2025

Everything else, by area of care

Pharmacy Service8E
  1. E

    Ensure medication error rates are not 5 percent or greater.

    August 5, 2026 · Standard · F759 · Corrected August 7, 2026

  2. D

    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.

    August 5, 2026 · Standard · F761 · Corrected August 7, 2026

  3. E

    Ensure medication error rates are not 5 percent or greater.

    June 11, 2025 · Standard · F759 · Corrected June 12, 2025

  4. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    June 11, 2025 · Complaint · F755 · Corrected June 12, 2025

  5. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    June 11, 2025 · Standard · F757 · Corrected June 12, 2025

  6. D

    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.

    June 11, 2025 · Standard · F761 · Corrected June 12, 2025

  7. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 7, 2025 · Complaint · F755 · Corrected February 24, 2025

  8. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 20, 2024 · Complaint · F755 · Corrected March 21, 2024

Quality of Life and Care6E
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 5, 2026 · Standard · F677 · Corrected August 7, 2026

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    November 20, 2025 · Complaint · F695 · Corrected November 21, 2025

  3. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    September 13, 2024 · Complaint · F677 · Corrected September 18, 2024

  4. E

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    May 22, 2024 · Standard · F693 · Corrected May 27, 2024

  5. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 22, 2024 · Standard · F684 · Corrected May 27, 2024

  6. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    May 22, 2024 · Standard · F688 · Corrected May 27, 2024

Resident Assessment and Care Planning5D
  1. D

    Ensure each resident receives an accurate assessment.

    August 5, 2026 · Standard · F641 · Corrected August 7, 2026

  2. D

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

    August 5, 2026 · Standard · F657 · Corrected August 7, 2026

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    July 30, 2025 · Complaint · F842 · Corrected August 25, 2025

  4. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 6, 2024 · Complaint · F842 · Corrected August 9, 2024

  5. D

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

    May 22, 2024 · Standard · F655 · Corrected May 27, 2024

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    August 5, 2026 · Standard · F609 · Corrected August 7, 2026

  2. D

    Respond appropriately to all alleged violations.

    July 29, 2026 · Complaint · F610 · Corrected July 30, 2026

  3. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 16, 2025 · Complaint · F609 · Corrected April 17, 2025

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    August 5, 2026 · Standard · F880 · Corrected August 7, 2026

  2. E

    Provide and implement an infection prevention and control program.

    May 22, 2024 · Standard · F880 · Corrected May 27, 2024

Administration2D
  1. D

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    August 5, 2026 · Standard · F944 · Corrected August 7, 2026

  2. D

    Provide training in compliance and ethics.

    August 5, 2026 · Standard · F946 · Corrected August 7, 2026

Resident Rights2D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    February 7, 2025 · Complaint · F580 · Corrected February 24, 2025

  2. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    September 13, 2024 · Complaint · F585 · Corrected September 18, 2024

Environmental1D
  1. D

    Keep all essential equipment working safely.

    August 5, 2026 · Standard · F908 · Corrected August 7, 2026

Nutrition and Dietary1E
  1. E

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

    May 22, 2024 · Standard · F812 · Corrected May 27, 2024

Nursing and Physician Services1C
  1. C

    Post nurse staffing information every day.

    May 22, 2024 · Standard · F732 · Corrected May 27, 2024

Inspection history

  1. 2026-08-05

    12 health deficiencies · 3 fire-safety deficiencies

    Top issue: Administration (2 deficiencies)

  2. 2025-06-11

    11 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (6 deficiencies)

  3. 2024-05-22

    11 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 15 min of nursing staff time a day, 11 min of it from a registered nurse.

This home

3 h 15 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 61% of nursing staff and 40% 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

Fines and payment denials

$83,259 in federal fines on record over the past three years.

DatePenaltyAmount
2025-07-30Fine$37,447
2025-02-07Fine$45,812

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts worse6.3%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.1 pts worse4.4%2.3%13.5%
Percentage of long-stay residents who lose too much weight3.1 pts worse6.0%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts better16.8%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.9 pts worse10.7%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened10 pts better2.9%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.8 pts better11.0%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts worse14.2%12.5%18.3%
Percentage of long-stay residents with pressure ulcers2.2 pts worse5.9%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better98.2%88.7%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.8 pts better98.2%85.4%80.1%

·

Who owns and runs it

29 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
1020 S 23rd Street LLCAdp Of The SNF · Organization0%1 facilities
Anwar, SyedOperational/Managerial Control · Individual0%2 facilities
Anwar, SyedAdp Of The SNF · Individual0%2 facilities
Baird, DanielManaging Control - Governing Body · Individual0%58 facilities
Clapp, BarbaraManaging Control - Governing Body · Individual0%69 facilities
Cortese, DarenManaging Control - Governing Body · Individual0%58 facilities
Csv Rhea Management Holdco, LLCAdp Of The SNF · Organization0%63 facilities
Dekowski, DonovanAdp Of The SNF · Individual0%69 facilities
Dwd Tx Holdings LLCAdp Of The SNF · Organization0%63 facilities
Franklin, MaryAdp Of The SNF · Individual0%2 facilities
Gibson, PatriciaManaging Control - Governing Body · Individual0%57 facilities
Jack And Nancy Dwyer Workforce Development Center IncAdp Of The SNF · Organization0%68 facilities
Mandelbaum, ElliotManaging Control - Governing Body · Individual0%61 facilities
Mcspadden, AngelAdp Of The SNF · Individual0%1 facilities
Murrell, EdwardCorporate Officer · Individual0%77 facilities
Reg Hg Opco 1, LLCAdp Of The SNF · Organization0%19 facilities
Reg Hg Opco LLCAdp Of The SNF · Organization0%39 facilities
Reg Operator Holdco LLCAdp Of The SNF · Organization0%63 facilities
Regency Ihs Clinical Consulting, LLCAdp Of The SNF · Organization0%70 facilities
Regency Ihs Of Beaumont LLCAdp Of The SNF · Organization0%1 facilities
Regency Ihs Rehab LLCAdp Of The SNF · Organization0%68 facilities
Regency Integrated Health Services LLCAdp Of The SNF · Organization0%70 facilities
Regency Texas Holdings LLCAdp Of The SNF · Organization0%63 facilities
Rollo, JefferyCorporate Officer · Individual0%36 facilities
Stramecki, AnthonyCorporate Officer · Individual0%36 facilities
Teel, JamesOperational/Managerial Control · Individual0%1 facilities
Teel, JamesAdp Of The SNF · Individual0%1 facilities
Vratis, KaceyCorporate Officer · Individual0%33 facilities
Way, GeorgeCorporate Officer · Individual0%36 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7E
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 5, 2026 · K321 · Corrected August 7, 2026

  2. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    August 5, 2026 · K372 · Corrected August 7, 2026

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    August 5, 2026 · K353 · Corrected August 7, 2026

  4. D

    Inspect, test, and maintain automatic sprinkler systems.

    June 11, 2025 · K353 · Corrected June 17, 2025

  5. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    June 11, 2025 · K374 · Corrected June 12, 2025

  6. D

    Inspect, test, and maintain automatic sprinkler systems.

    May 22, 2024 · K353 · Corrected July 24, 2024

  7. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    May 22, 2024 · K372 · Corrected July 24, 2024

Services1E
  1. E

    Have properly installed electrical wiring and gas equipment.

    June 11, 2025 · K511 · Corrected June 12, 2025

Miscellaneous1E
  1. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    May 22, 2024 · K741 · Corrected July 24, 2024

Egress1D
  1. D

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    May 22, 2024 · K223 · Corrected July 24, 2024

·

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