Nursing homeActive

S.P.J.S.T. Rest Home No 2

8611 Main St, Needville, TX 77461979793425658 certified beds · 34 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
7
061
Penalties · 3 yrs
none on file
Last survey
2025-12-18
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-12-18Standard020CMS-2567 (Care Compare)
2024-09-19Standard040CMS-2567 (Care Compare)
2023-07-28Standard001CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-12-18Standard survey · 2 deficienciesOfficial report
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 676298-20251218-F583
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 676298-20251218-F690
2024-09-19Standard survey · 4 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-24Record 676298-20240919-F552
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-24Record 676298-20240919-F644
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-24Record 676298-20240919-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-24Record 676298-20240919-F812
2023-07-28Standard survey · 1 deficiencyOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity JHarm
Medication
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-04-28Record 676298-20230728-F760

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.73
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.72
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.37
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover45%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover44%
Facility
Texas
National
Texas 55% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
7.4%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
6.7%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.7%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
2.7%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.6%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
26.5%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Oakbend Medical Center
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Alkarra, Nheme
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Spjst Rest Home
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Alkarra, Nheme
Individual
ADP OF THE SNFNOT APPLICABLE
Freudenberger, Joseph
Individual
CORPORATE OFFICERNOT APPLICABLE
Leshikar, Howard
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Parks, Angela
Individual
ADP OF THE SNFNOT APPLICABLE
Spjst Rest Home
Organization
ADP OF THE SNFNOT APPLICABLE
Spjst Rest Home
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Teplicek, Beverly
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Varta, Valerie
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Victorick, Donnie
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Fort Bend.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Fort Bend Healthcare Center
Rosenberg
9.4 mi2025-08-09091
Rosenberg Health & Rehabilitation Center
Rosenberg
11.0 mi2026-06-100218
Cambridge Health and Rehabilitation Center
Richmond
12.3 mi2026-03-250186
Oak Bend Medical Center
Richmond
12.9 mi2026-06-17160
Paradigm At The Brazos
Richmond
13.2 mi2025-08-01040
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01