S.p.j.s.t. Rest Home No 2
8611 Main St., Needville, TX 77461 · Fort Bend County · (979) 793-4256
58 certified beds, about 34 residents a day · Non profit - Corporation · Medicare and Medicaid since 2011
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676298 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 18, 2025, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 7 health citations since July 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.72 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.
45.2% 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.
107/23
409/24
212/25
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
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
1E
0F
Potential for minimal harm
0A
0B
0C
December 18, 2025Standard inspection · 2 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had a right to personal privacy for 1 of 4 residents (Resident #6) reviewed for privacy. The facility failed to ensure LVN F closed Resident #6's privacy curtain and room door while providing G-tube medication and feeding for the resident. This failure could have placed residents at risk for loss of self-esteem, self-worth, and dignity.
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 4 residents (Resident #31) reviewed for incontinent care. The facility failed to ensure CNA E properly cleaned Resident #31 during incontinent care when CNA E did not separate Resident #31's labia on 12/03/2025. This failure could have placed residents at risk for pain, infection, injury, and hospitalization.
September 19, 2024Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the kitchen in that: 1. The facility failed to ensure unlabeled foods were not stored in the refrigerator. 2. The facility failed to ensure unsealed foods were not stored in the dry good storage. This failure had the potential to place residents at risk of serious complications from foodborne illness as a result of their compromised health status.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview, and record review, the facility failed to inform residents in advance of the risks and benefits of proposed care and treatment for 1 of 5 residents (Resident #36) reviewed for resident rights, in that: The facility failed to obtain a signed consent for antipsychotic medication, Zyprexa Oral Tablet 15 mg, administered to Resident #36. The failure affected residents who received psychoactive medications and placed them at risk of receiving treatments without informed consent.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to coordinate assessments with the Preadmission Screening and Resident Review (PASARR) program to the maximum extent practicable for 1 of 5 residents (Resident #36) reviewed for PASARR. -The facility failed to update the PASARR Level 1 forms for Resident #36 to indicate mental health illness. This failure could place residents requiring PASARR services at risk of not having their special needs assessed and met by the facility.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident who needed respiratory care was provided such care consistent with professional standards of practice, physicians orders, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 42 (Resident #34) residents reviewed for quality of care The facility failed to ensure Resident #34's oxygen tubing was labeled and dated. This failure places the resident at an increased risk of infection leading to a decline in health.
July 28, 2023Standard inspection · 1 citation
- J Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1 resident (CR #84) of 5 residents reviewed for medication administration was free of a significant medication error. -Resident #84 was administered 60 units of long-lasting insulin. -Resident #84 exhibited a blood sugar of 22 mg/dl. -Resident #84 required hospitalization. The failure placed residents at risk for complications and possible death from receiving the wrong or excessive dosage of medication. An Immediate Jeopardy (IJ) was identified on 07/28/2023 at 10:38 a.m. The noncompliance was identified as Past Noncompliance. The IJ began on 04/26/23 and ended on 04/28/23. The facility had corrected the noncompliance before the survey began. Findings Include: Record review of the CR #84's Face Sheet revealed a 68-years-old female who admitted to the facility on [DATE]. [...]
Fire safety inspections
20 fire safety citations on file: 7 on December 18, 2025, 11 on September 19, 2024, 2 on July 28, 2023.
Every fire safety citation20 citations
- F Provide properly protected cooking facilities.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- 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.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Construct fire resistant interior walls.
- F Have properly installed electrical wiring and gas equipment.
- F Have simulated fire drills held at unexpected times.
- E Install proper backup exit lighting.
- 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.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 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.
- D Inspect, test, and maintain automatic sprinkler systems.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Provide properly protected cooking facilities.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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) | 3.72 | 3.39 | 3.86 |
| Registered nurses | 0.73 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.37 | 2.98 | 3.42 |
| Nurse aides | 1.73 | ||
| Licensed practical nurses | 1.26 | ||
| Nursing staff turnover (share who left in a year) | 45.2% | 55.3% | 45.8% |
| Registered nurse turnover | 44.4% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.54 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 3.86 on weekdays and 3.37 on weekends, 13% 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 3.82 in April to June 2025 to 3.72 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 | 3.72 | 0.73 | 3.86 | 3.37 | 0.0% | 0 of 90 | 34 |
| Oct to Dec 2025 | 3.70 | 0.81 | 3.86 | 3.27 | 0.0% | 0 of 92 | 36 |
| Jul to Sep 2025 | 4.02 | 0.64 | 4.24 | 3.45 | 0.0% | 0 of 92 | 35 |
| Apr to Jun 2025 | 3.82 | 0.75 | 4.03 | 3.31 | 0.0% | 0 of 91 | 35 |
| 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 | 2.7 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.2 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.7 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.0 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.4 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.7 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.3 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.5 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 5.6 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 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% | 03/31/2017 |
| Spjst Rest Home | 5% or greater security interest | Organization | 03/31/2017 | |
| Freudenberger, Joseph | Corporate officer | Individual | 06/19/2007 | |
| Spjst Rest Home | Operational/managerial control | Organization | 03/31/2017 | |
| Alkarra, Nheme | Operational/managerial control | Individual | 03/31/2017 | |
| 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 | 03/31/2017 | |
| Alkarra, Nheme | Adp of the SNF | Individual | 03/31/2017 | |
| Parks, Angela | Adp of the SNF | Individual | 03/31/2017 |
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 do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on December 18, 2025: "Keep residents' personal and medical records private and confidential."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on December 18, 2025: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- 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 September 19, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on September 19, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
Other nursing homes nearby
- Fort Bend Healthcare Center Rosenberg, 9.4 mi · 3 of 5 stars · 15 citations
- Rosenberg Health & Rehabilitation Center Rosenberg, 11 mi · 1 of 5 stars · 29 citations
- Cambridge Health and Rehabilitation Center Richmond, 12.3 mi · 2 of 5 stars · 31 citations
- Oakbend Medical Center Rosenberg, 12.9 mi · 4 of 5 stars · 7 citations
- Paradigm at the Brazos Richmond, 13.2 mi · 5 of 5 stars · 6 citations
- Richmond Health Care Center Richmond, 13.2 mi · 4 of 5 stars · 23 citations
- Wharton Nursing and Rehabilitation Center Wharton, 15.7 mi · 1 of 5 stars · 14 citations
- Paradigm at the Creek Wharton, 17.4 mi · 1 of 5 stars · 43 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 No 2's Medicare star rating?
- CMS rates S.p.j.s.t. Rest Home No 2 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did S.p.j.s.t. Rest Home No 2 get at its last inspection?
- 2 health deficiencies at the standard inspection on December 18, 2025. The Texas average is 9.4.
- Has S.p.j.s.t. Rest Home No 2 been fined?
- CMS lists no fines in the last three years.
- Does S.p.j.s.t. Rest Home No 2 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 No 2?
- 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.