Spindletop Hill Nursing And Rehabilitation Center

Penalties

• Jul 30, 2025 — Fine ($37,447)
• Feb 7, 2025 — Fine ($45,812)

Inspection findings

1. Nov 20, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Nov 21, 2025 · CMS health inspection

2. Jul 30, 2025 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Aug 25, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Aug 25, 2025 · CMS health inspection

3. Jun 11, 2025 Health · 7 findings
   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jun 12, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Jun 12, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jun 12, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 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.

     Corrected Jun 12, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Jun 12, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jun 12, 2025 · CMS fire safety

4. Apr 16, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Apr 17, 2025 · CMS health inspection

5. Feb 7, 2025 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Feb 24, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Feb 24, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Feb 24, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Feb 24, 2025 · CMS health inspection

6. Sep 13, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected Sep 18, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Sep 18, 2024 · CMS health inspection

7. Aug 6, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Aug 9, 2024 · CMS health inspection

8. May 22, 2024 Health · 11 findings
   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected May 27, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected May 27, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected May 27, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected May 27, 2024 · CMS health inspection

   • Not serious Scope/severity C

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected May 27, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected May 27, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 27, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Jul 24, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jul 24, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jul 24, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Jul 24, 2024 · CMS fire safety

9. Mar 20, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Mar 21, 2024 · CMS health inspection

10. Mar 29, 2023 Health · 6 findings
    • Not serious Scope/severity D

      F0685 Quality of Life and Care Deficiencies

      Assist a resident in gaining access to vision and hearing services.

      Corrected Apr 17, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Apr 17, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Apr 17, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Apr 17, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Apr 17, 2023 · CMS health inspection

    • Not serious Scope/severity E

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Mar 31, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ANWAR, SYED — adp of the snf, NOT APPLICABLE, since 01/01/2025
• ANWAR, SYED — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• CORTESE, DAREN — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 10/01/2018
• FRANKLIN, MARY — adp of the snf, NOT APPLICABLE, since 01/01/2025
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• MCSPADDEN, ANGEL — adp of the snf, NOT APPLICABLE, since 01/01/2025
• MURRELL, EDWARD — corporate officer, NOT APPLICABLE, since 11/22/2016
• ROLLO, JEFFERY — corporate officer, NOT APPLICABLE, since 12/01/2012
• STRAMECKI, ANTHONY — corporate officer, NOT APPLICABLE, since 11/01/2016
• TEEL, JAMES — adp of the snf, NOT APPLICABLE, since 11/11/2024
• TEEL, JAMES — operational/managerial control, NOT APPLICABLE, since 11/11/2024
• VRATIS, KACEY — corporate officer, NOT APPLICABLE, since 01/01/2020
• WAY, GEORGE — corporate officer, NOT APPLICABLE, since 11/01/2016
• 1020 S 23RD STREET LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• CSV RHEA MANAGEMENT HOLDCO, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• DWD TX HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REG HG OPCO 1, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REG HG OPCO LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REG OPERATOR HOLDCO LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS OF BEAUMONT LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY TEXAS HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018