Spjst Rest Home 1
1810 OLD GRANGER RD, Taylor, TX, 76574
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation
- Certified beds
- 96 · avg 85 residents/day
- Total nursing staff turnover
- 45% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 75% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $122,722 total
State licensing & capacity
- License number
- 308356
- Service type
- Medicare/medicaid
- Licensed capacity
- 96 beds
- Bed type breakdown
- 96 Medicaid/Medicare
- Current license effective
- June 1, 2024
- Current license expires
- June 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- Spjst Senior Living
- Administrator
- Daniel J Broadway
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (4 on record)
- Joseph Freudenberger
Corporate Officer · since 2021
- Oakbend Medical Center
5% or Greater Direct Ownership Interest · 100% · since 2021
- Raeeda m Gheewala
Operational/managerial Control · since 2021
- Spjst Rest Home
5% or Greater Security Interest · 100% · since 2021
Recent change of ownership
June 2021 (4 years ago) · acquired from Spjst Rest Home 1
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, 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 8 of 33)
- E0880·Jan 16, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Jan 16, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0804·Jan 16, 2026
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0761·Jan 16, 2026
Pharmacy Service Deficiencies
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.
- E0602·Jan 16, 2026
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0550·Jan 16, 2026
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0813·Oct 17, 2024Complaint
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- D0921·Oct 17, 2024
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal penalties
By year
- 20242 fines · $115K
- 20231 fine · $7,901
Most recent events
- Jul 27, 2024Fine · $94K
- Jun 6, 2024Fine · $20K
- Aug 31, 2023Fine · $7,901
Largest single fine on record: $94K.
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Oct 17, 2024. 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
A 96-bed Medicare/Medicaid nursing home in Taylor, Williamson County, licensed since 1971 and managed by Spjst Senior Living under licensee Oakbend Medical Center. CMS rates it 2 stars overall, with a 2-star staffing rating and a 2-star health inspection rating. CMS has substantiated findings of resident abuse or neglect within the past 36 months, and three fines totaling $122,722 have been issued — nearly six times the Texas median fine amount of $20,699.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 2 stars on staffing. Each resident receives about 223 minutes of nursing care per day — roughly 18 minutes less than at a 4-star-staffing facility in Texas. That said, residents here require less hands-on care than at a typical facility, so the same staffing hours stretch further than the raw minutes might suggest.
RN turnover is the more pointed concern. About 8 in 10 registered nurses left in the past year — well above the Texas 75th-percentile cutoff of 60% for total nursing staff. A long-stay resident is likely to cycle through multiple primary RN caregivers over the course of a year.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This is a formal CMS designation based on inspection findings, not an allegation.
Three CMS fines totaling $122,722 have been levied against this facility. The Texas median fine amount across nursing homes is $20,699, and about 30% of Texas facilities have no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings explained
CMS records substantiated abuse or neglect findings here in the past 36 months — ask what the specific findings were and what policy or staffing changes followed.
Three fines totaling $122,722
Ask what each of the three CMS fines was cited for and what corrective steps the facility has taken since the most recent penalty.
RN turnover at 8 in 10
Eight in ten registered nurses left in the past year — ask how the facility recruits and retains RNs and how care continuity is maintained during vacancies.
Long-stay quality outcome rating
CMS rates long-stay resident outcomes at 1 star — ask which specific measures drove that rating and what improvement plans are underway.
No Family Council in place
The facility has a Resident Council but no Family Council — ask whether families have a formal channel to raise concerns and how often it meets.
Management and licensee relationship
Day-to-day management is under Spjst Senior Living while the licensee is Oakbend Medical Center — ask which entity is responsible for staffing decisions and regulatory compliance.
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.