S.p.j.s.t. Rest Home 3
248 Wisteria Lane, El Campo, TX 77437 · Wharton County · (979) 648-2628
57 certified beds, about 40 residents a day · Non profit - Corporation · Medicare and Medicaid since 2016
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676396 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 18, 2025, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 7 health citations since June 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.42 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.27 of those hours.
27.3% of nursing staff left within the year CMS measured (Texas average 55.3%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
206/23
208/24
108/25
209/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
3E
0F
Potential for minimal harm
0A
0B
0C
September 18, 2025Standard inspection · 2 citations
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for 3 of 4 medication cart (Medication Carts #1, #2 and #3) and 1 of 2 treatment carts (Treatment Cart #1) reviewed for medication storage. 1. The facility failed to ensure OTC medication stored in medication carts was labeled with the open date. 2. The facility failed to ensure wound care creams stored in the treatment cart were labeled with an open date. These deficient practices could place residents at risk for adverse effects and not receiving the therapeutic effects of the medication or treatment.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that, based on the comprehensive assessment of a resident, the facility must ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for one of two residents) Resident #4 reviewed for pressure sores. The facility failed to ensure Resident #4 received treatment for a pressure sore to the sacrum according to orders. This failure could place residents at risk for worsening of the pressure sore and for infection.
August 2, 2025Complaint inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on video observation, interviews, and record review, the facility failed to maintain implement and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection for 1 (Resident # 1) of 5 resident reviewed for infection control. The facility failed to ensure LVN A used gloves and performed hand hygiene during Resident # 1's care tasks, including wound care and injection administration. This facility failure could place residents at increased risk for cross-transmission of infectious organisms. Record review of Resident #1's Facesheet dated 08/01/2025 revealed resident was originally admitted to the facility on [DATE], and readmitted on [DATE], age [AGE] years old. [...]
August 8, 2024Standard inspection · 2 citations
- E 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to, in accordance with State and Federal laws, store all drugs and biologicals in locked compartments under proper temperature controls, and permit only authorized personnel to have access to the keys for two of four medication carts. -The keys to the [NAME] medication cart and the East medication carts were hanging on a hook inside of the [NAME] nurses' station, which was not locked, and the keys were within reach of persons outside the nurses' station. The failure placed the two medication carts at risk for drug diversion.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents were free of significant medication errors for 1 (Resident #8) of 6 residents reviewed for medication errors. -LVN A attempted to administer the wrong dose of insulin to Resident #8 before Surveyor intervention. This failure placed resident at risk for inadequate therapeutic outcomes and decline in health.
June 22, 2023Standard inspection · 2 citations
- E Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, and record review, the facility failed to dispose of garbage and refuse properly for 2 of 2 waste receptacles reviewed for garbage disposal. -Both dumpster's contained waste; Dumpster #1 had its top front lids missing; and Dumpster #2 had one front top lid missing and the other front top lid was open. These failures could place residents at risk for exposure to germs and diseases carried by vermin and rodents. Findings Included: Observation on 06/20/2023 at 9 a.m. accompanied by the Dietary Manager revealed both dumpster's contained waste. Dumpster #1's front top lids were missing, and Dumpster #2's front top lid was open, and the front top right lid was missing. Observation on 06/22/2023 at 5:35 p.m. accompanied by the Administrator revealed no waste in either dumpster. [...]
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a person-centered care plan for each resident, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 (Resident #1) of 5 residents reviewed for comprehensive care plans. Resident #1 was not care planned for tube feeding. This deficient practice could place residents at risk for not receiving appropriate care and services. Findings Included: Observation on 06/22/2023 at 5:22 p.m. revealed Resident #1 was being fed via her G-tube. Record review of Resident #1's Face Sheet, dated 06/22/2023, revealed a [AGE] year-old female who was admitted to the facility on [DATE]. [...]
Fire safety inspections
7 fire safety citations on file: 3 on September 18, 2025, 2 on August 8, 2024, 2 on June 22, 2023.
Every fire safety citation7 citations
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- E 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.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.42 | 3.39 | 3.86 |
| Registered nurses | 0.27 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.28 | 2.98 | 3.42 |
| Nurse aides | 2.03 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 27.3% | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.28 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.48 on weekdays and 3.28 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 3.42 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.42 | 0.27 | 3.48 | 3.28 | 0.0% | 0 of 90 | 40 |
| Oct to Dec 2025 | 3.32 | 0.26 | 3.37 | 3.20 | 0.0% | 0 of 92 | 40 |
| Jul to Sep 2025 | 3.32 | 0.29 | 3.36 | 3.22 | 0.0% | 0 of 92 | 41 |
| Apr to Jun 2025 | 3.46 | 0.41 | 3.50 | 3.33 | 0.0% | 0 of 91 | 40 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.6 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.0 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.7 | 9.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.1 | 1.8 |
Owners and operators
Legal business name: OAKBEND MEDICAL CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Oakbend Medical Center | 5% or greater direct ownership interest | Organization | 100% | 06/01/2021 |
| Spjst Rest Home | 5% or greater security interest | Organization | 06/01/2021 | |
| Freudenberger, Joseph | Corporate officer | Individual | 06/01/2021 | |
| Spjst Rest Home | Operational/managerial control | Organization | 06/01/2021 | |
| Barker, Bruce | Operational/managerial control | Individual | 06/01/2021 | |
| Leshikar, Howard | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/13/2025 | |
| Teplicek, Beverly | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/13/2025 | |
| Varta, Valerie | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/13/2025 | |
| Victorick, Donnie | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/13/2025 | |
| Spjst Rest Home | Adp of the SNF | Organization | 06/01/2021 | |
| Barker, Bruce | Adp of the SNF | Individual | 06/01/2021 | |
| Tabler-Smith, Rowena | Adp of the SNF | Individual | 06/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on September 18, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on September 18, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 2, 2025: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on June 22, 2023: "Dispose of garbage and refuse properly."
Other nursing homes nearby
- Paradigm at the Prairies El Campo, 5.9 mi · 1 of 5 stars · 32 citations
- Ganado Nursing and Rehabilitation Center Ganado, 12.4 mi · 2 of 5 stars · 19 citations
- Paradigm at the Creek Wharton, 18.7 mi · 1 of 5 stars · 43 citations
- Wharton Nursing and Rehabilitation Center Wharton, 19.9 mi · 1 of 5 stars · 14 citations
- Southbrooke Manor Nursing and Rehabilitation Cente Edna, 23.4 mi · 5 of 5 stars · 15 citations
- Avir at Bay City Bay City, 24.8 mi · 2 of 5 stars · 20 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is S.p.j.s.t. Rest Home 3's Medicare star rating?
- CMS rates S.p.j.s.t. Rest Home 3 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did S.p.j.s.t. Rest Home 3 get at its last inspection?
- 2 health deficiencies at the standard inspection on September 18, 2025. The Texas average is 9.4.
- Has S.p.j.s.t. Rest Home 3 been fined?
- CMS lists no fines in the last three years.
- Does S.p.j.s.t. Rest Home 3 accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns S.p.j.s.t. Rest Home 3?
- CMS lists 12 owners and managers. Legal business name: OAKBEND MEDICAL CENTER.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.