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S.P.J.S.T. REST HOME NO 2 Inspection Report, Violations & Safety Grade (Needville, Texas)

8611 MAIN ST, Needville, Texas 77461

Phone: 9797934256

CMS Overall:5/5

Overview & Bed Count

Certified Beds
58
Avg Residents/Day
34.9
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Fort Bend
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.830.44+0.39
Total Nurse Hours per Resident per Day3.673.42+0.26
CMS Staffing Rating4/51.9/5-
Nursing Staff Turnover40.5%50.8%-

Health Citation History

7 health citations on record

DateCategoryDescriptionSeverity
2025-12-18Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2025-12-18Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2024-09-19Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-09-19Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2024-09-19Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2024-09-19Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2023-07-28Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.J – Immediate Jeopardy

Fire Safety Citation History

20 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-18Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-12-18Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-12-18Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-12-18Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2025-12-18Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2025-12-18Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2025-12-18Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2024-09-19Smoke DeficienciesConstruct fire resistant interior walls.F – Moderate Harm Potential
2024-09-19Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2024-09-19Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-09-19Egress DeficienciesInstall proper backup exit lighting.E – Moderate Harm Potential
2024-09-19Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-09-19Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2024-09-19Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential
2024-09-19Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.E – Moderate Harm Potential
2024-09-19Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2024-09-19Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-09-19Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2023-07-28Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2023-07-28Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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