SPINDLETOP HILL NURSING & REHAB CENTER
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-07-30 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2025-02-07 — IMMEDIATE JEOPARDY (tag F0610, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2025-02-07 — IMMEDIATE JEOPARDY (tag F0609, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-07-20 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-07-20 — IMMEDIATE JEOPARDY (tag F0607, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2023-07-20 — IMMEDIATE JEOPARDY (tag F0609, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Staffing, from payroll records
Nursing hours / resident / day
2.65
state median 2.67
Weekend staffing gap
−6%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.05
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
46
with residents present
Nursing staff turnover
61%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $128,948 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-30 | Fine | $57,610 |
| 2025-02-07 | Fine | $45,812 |
| 2023-07-20 | Fine | $25,526 |
Ownership
Ownership type: Non profit - Corporation. Part of the WELLSENTIAL HEALTH chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Laredo West Nursing and Rehabilitation Center (Laredo, TX) —
- Windsor Nursing and Rehabilitation Center of Morga (Corpus Christi, TX) —
- Heritage Park Rehabilitation and Skilled Nursing C (Austin, TX) —
- Windsor Nursing and Rehabilitation Center of Mcall (Mcallen, TX) —
- Longview Hill Nursing and Rehabilitation Center (Longview, TX) —
- Monument Rehabilitation and Nursing Center (La Grange, TX) —
- Town and Country Nursing and Rehabilitation Center (Boerne, TX) —
- Pearsall Nursing and Rehabilitation Center (Pearsall, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-11-20 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-30 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2025-07-30 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-11 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-11 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-11 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-06-11 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-16 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-02-07 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-07 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2025-02-07 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2025-02-07 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-13 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-13 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-06 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-22 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-22 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-22 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-22 | F0693 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-05-22 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2024-05-22 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-05-22 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-03-20 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-07-20 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2023-07-20 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2023-07-20 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2023-07-20 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-07-20 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-07-20 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-29 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-29 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-29 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-03-29 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-03-29 | F0880 | Infection Control Deficiencies | E | not recorded |