S.P.J.S.T. Rest Home No 2
8611 Main St, Needville, TX 77461 · Fort Bend County · 58 certified beds · avg 34 residents/day · certified since Nov 15, 2011
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 28, 2023 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 28, 2023 (Past Non-Compliance)
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Sep 19, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 19, 2024 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Sep 19, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Sep 19, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 28, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 1 | J ▲ |
| 2024 | 4 | 0 | E |
| 2025 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.03 | 3.46 | 3.95 | top 14% in Texas; top 38% in the U.S. |
| Registered Nurse hours | 0.79 | 0.44 | 0.69 | top 7% in Texas; top 28% in the U.S. |
| Weekend total nurse staffing | 3.65 | 3.04 | 3.50 | top 12% in Texas; top 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.03 | 0.34 | 0.48 | top 1% in Texas; top 5% in the U.S. |
| Total nursing staff turnover (%) | 45.2 | 55.3 | 45.8 | top 34% in Texas; bottom 49% in the U.S. |
| RN turnover (%) | 44.4 | 54.6 | 42.9 | top 37% in Texas; bottom 45% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.72, RN 0.73, weekend 3.37. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Oakbend Medical Center | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/31/2017 |
| Alkarra, Nheme | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/31/2017 |
| Alkarra, Nheme | Individual | ADP of the SNF | NOT APPLICABLE | 03/31/2017 |
| Freudenberger, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 06/19/2007 |
| Leshikar, Howard | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/13/2025 |
| Parks, Angela | Individual | ADP of the SNF | NOT APPLICABLE | 03/31/2017 |
| SPJST Rest Home | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 03/31/2017 |
| SPJST Rest Home | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/31/2017 |
| SPJST Rest Home | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2017 |
| Teplicek, Beverly | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/13/2025 |
| Varta, Valerie | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/13/2025 |
| Victorick, Donnie | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/13/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you explain health changes and treatment options to residents and their families?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Fort Bend Healthcare Center | 9.4 mi | Rosenberg, TX | ★★★☆☆ | 3/5 | |
| Rosenberg Health & Rehabilitation Center | 11.0 mi | Rosenberg, TX | ★☆☆☆☆ | 1/5 | |
| Cambridge Health and Rehabilitation Center | 12.3 mi | Richmond, TX | ★★★☆☆ | 2/5 | |
| Oak Bend Medical Center | 12.9 mi | Richmond, TX | ★★★★☆ | 4/5 | |
| Paradigm at the Brazos | 13.2 mi | Richmond, TX | ★★★★★ | 5/5 | |
| Richmond Health Care Center | 13.2 mi | Richmond, TX | ★★★★☆ | 4/5 | |
| Wharton Nursing and Rehabilitation Center | 15.7 mi | Wharton, TX | ★☆☆☆☆ | 1/5 | |
| Paradigm at the Creek | 17.4 mi | Wharton, TX | ★☆☆☆☆ | 1/5 | abuse |
| Ignite Medical Resort Sugar Land, LLC | 17.5 mi | Sugar Land, TX | ★☆☆☆☆ | 2/5 | |
| The Crescent | 19.0 mi | Sugar Land, TX | ★☆☆☆☆ | 1/5 | |
| Sugar Land Health Care Center | 19.3 mi | Sugar Land, TX | ★★★☆☆ | 3/5 | |
| Chelsea Gardens | 19.8 mi | Missouri City, TX | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676298.