The nursing home failed to ensure residents were free from significant medication errors. Cited July 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
SPJST Rest Home No 2
Needville, TX · Medicare-certified · 58 beds
In good standing
Non-profit
5 of 5 overall
SPJST Rest Home No 2 in Needville, TX has a 5-star overall rating, with 5 stars for health inspections and 4 stars for staffing, but a lower 2-star quality measures rating. It reported 3.70 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection citations included medication errors, food safety, and record privacy issues.
Facility ratings
Health inspections
Staffing
3.6956 hrs/resident/day
Quality measures
Last inspection: December 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6956.
Staffing detail
- Registered nurses
- 0.81
- Licensed practical nurses
- 1.16
- Nurse aides
- 1.73
- Weekend nursing
- 3.27
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.7%9.1%No change
Residents with a fall causing major injury
2.8%0%Improving
Residents with pressure ulcers (bedsores)
2.2%8.3%Worsening
Residents with a urinary tract infection
11.8%6.1%Improving
Residents who lost too much weight
3.7%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.3%0%Improving
Residents whose ability to walk got worse
—8%—
Long-stay residents on antianxiety or sleep medication
24.1%24.1%No change
Short-stay residents newly given an antipsychotic
—3.7%—
Residents with a long-term catheter
2.8%2.5%No change
Residents with new or worsening incontinence
5.5%2.7%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.2%97.1%No change
Short-stay residents given the pneumonia vaccine
—36%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to keep residents’ personal and medical records private and confidential. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: D
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: D
The home failed to make sure residents fully understood their health status, care, and treatments. Cited September 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,649 in total fines.
- $12,649
Federal fine
Jul 28, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 36.4 residents on an average day (63% of 58 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 14 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.