Spindletop Hill Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 50 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (62%)
Bottom 25% in Texas · Critically understaffed (RN) · Above average staffing · Worst in WELLSENTIAL HEALTH chain · $138,698 in fines
What this means for your family
This facility offers excellent physical therapy and a very engaging activities program that residents seem to love. However, you must exercise extreme caution and ask for specific protocols regarding hygiene care and night-shift staffing, as multiple families have reported serious instances of neglect and difficulty reaching staff.
Google Reviews
Google Reviews
50 reviews on Google“Families considering Spindletop Hill will find a facility highly praised for its compassionate nursing staff, professional physical therapy department, and vibrant activity programs. However, there are serious, documented allegations regarding neglectful care, such as failure to change soiled residents and missed meals, which should be investigated thoroughly.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and professional nursing staff
- Excellent physical therapy and rehab services
- Engaging activities and holiday celebrations
- Clean and well-maintained facility
Concerns
- Neglect regarding hygiene and diaper changes (mentioned by 2 reviewers)
- Difficulty reaching nursing staff or communicating with the office (mentioned by 2 reviewers)
- Unprofessional behavior or gossip by staff (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 44 analyzed
How They Respond to Reviews
The owner provides highly personalized responses to positive reviews, frequently mentioning specific staff members and details from the reviewer's text. For negative reviews, the owner uses a consistent professional template to acknowledge the feedback and invite further communication via email.
Questions for Your Tour
- 1I noticed the facility is very responsive to feedback from families; how does the management team use resident and family input to improve daily care?
- 2What specific protocols are in place to ensure that personal hygiene and regular care routines, like incontinence care, are consistently managed for every resident?
- 3Since we've heard great things about your physical therapy and rehab services, could you tell us more about how the therapy team coordinates with the nursing staff?
- 4What is the best way for our family to stay in regular contact with the nursing staff and the administrative office to ensure we are always updated on our loved one's status?
- 5Could you describe the dining experience and how the facility is working to improve the variety and quality of the meal service?
- 6What kind of daily activities or holiday celebrations do you have planned to keep the residents socially engaged?
Personalized based on this facility's data
Key Review Excerpts
“The physical therapy department or very professional and compassionate worked with me very well and the nurses were superb”
“Chandra activity director and Kallie assistant director are excellent! Holidays are beautifully celebrated and decorated. Game days are a blast!”
“Leaving my dad in a wheelchair for 12 hours at a time and never changing him. This has been reported more that 3 times and Nothing gets changed.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
3
measures
3
measures
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents who lost too much weight
Residents who fell and were seriously hurt
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with 26 complaint-triggered deficiencies, indicating families have repeatedly filed reports about resident safety and care quality. The most recurring problems involve medication management, protection from abuse and neglect, and resident safety protocols. While the facility has corrected each cited deficiency, the persistent nature of these issues—particularly multiple instances of abuse/neglect violations and medication errors—suggests ongoing quality challenges that families should carefully evaluate before placement.
Nov 20, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jul 30, 2025Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Jun 11, 2025Routine6
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Jun 11, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 16, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 7, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal Penalties
Fine
Jul 30, 2025
$57,610
Fine
Feb 7, 2025
$45,812
Fine
Jul 20, 2023
$25,526
Ownership & Operations
Who Operates This Facility
Winniestowell Hospital District
for profit
REGENCY IHS OF BEAUMONT LLC
JAMES B CULP
Chain Affiliation
Wellsential Health
68 facilities nationwide
Chain avg rating: 2.8/5 · Rank 67 of 67 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
50 reviews from families & visitors
Official Website
Visit wellsentialhealth.org
Medicare data downloads
Original nursing home datasets
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