Spjst Rest Home No 2
8611 MAIN ST, Needville, TX, 77461
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation
- Certified beds
- 58 · avg 35 residents/day
- Total nursing staff turnover
- 44.4% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 55.6% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $12,649 total
State licensing & capacity
- License number
- 147210
- Service type
- Medicare/medicaid
- Licensed capacity
- 58 beds
- Bed type breakdown
- 58 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Spjst Senior Living
- Administrator
- Angela K Parks
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (5 on record)
- Angela Parks
Adp of The Snf · since 2017
- Nheme Alkarra
Operational/managerial Control · since 2017
- Oakbend Medical Center
5% or Greater Direct Ownership Interest · 100% · since 2017
- Spjst Rest Home
5% or Greater Security Interest · 100% · since 2017
- Joseph Freudenberger
Corporate Officer · since 2007
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 7 of 7)
- D0690·Dec 18, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0583·Dec 18, 2025
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- E0812·Sep 19, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0695·Sep 19, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0644·Sep 19, 2024
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0552·Sep 19, 2024
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
- J0760·Jul 28, 2023Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal penalties
By year
- 20231 fine · $13K
Most recent events
- Jul 28, 2023Fine · $13K
Fire-safety citations
20 Life-Safety-Code citations on file. Most recent: Dec 18, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Licensed since 1971, Spjst Rest Home No 2 is a 58-bed nonprofit nursing home in Needville (Fort Bend County), operated by Spjst Senior Living under the licensee Oakbend Medical Center. CMS rates it 5 stars overall and 5 stars on health inspections — the top tier on both measures. Staffing earns 4 stars; quality-of-care measures rate 2 stars overall, with short-stay outcomes rated 1 star. The facility is currently running at about 61% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 4 stars — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 241 minutes of nursing care per day. Staff hours per resident exceed what a typical resident mix would require, meaning the staffing figure isn't stretched thin by an unusually demanding population.
The overall quality-measures rating is 2 stars, driven in particular by a 1-star short-stay score. Short-stay residents are typically people recovering from a hospitalization — surgery, illness, rehabilitation. A 1-star rating on that measure means outcomes for that group rank near the bottom among Texas nursing homes, a meaningful gap against the 4-star staffing rating and 5-star inspection history.
One CMS fine totaling $12,649 is on record. The state median for fines across Texas nursing homes is $20,699, and 30% of facilities have no fines at all — this single fine falls below the state median.
The facility is operating at roughly 61% of its 58 licensed beds — about 35 residents on an average day. Low occupancy at a nursing home can reflect local market conditions, a narrower referral network, or other factors; the data does not indicate which.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Short-stay outcomes and what drives them
CMS rates short-stay quality measures 1 star — ask which specific outcomes are below average and what the facility is doing to address them.
Who the typical short-stay resident is
Understanding whether the facility actively admits post-hospital rehab patients clarifies whether that 1-star short-stay score is directly relevant to your family member's situation.
Why occupancy is at 61%
With roughly 35 of 58 beds filled on an average day, ask whether lower census affects staffing schedules, programming, or the facility's financial stability.
Resident Council participation and access
The facility has a Resident Council but no Family Council — ask how family members can raise concerns or stay informed about care decisions.
Roles of Oakbend Medical Center and Spjst Senior Living
The licensee is a hospital district and the manager is a separate organization — ask which entity sets care policy and how they coordinate day-to-day.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.