S.P.J.S.T. Skilled Nursing & Rehabilitation

    8611 Main St, Needville, TX 77461
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    4.2ยท14 reviews

    Caring staff, great meals, activities

    I'm very pleased with my experience at SPJST. The warm homemade meals, on-staff dietician and monthly weigh-ins keep me healthy, and the caring, attentive staff (Leslie R. especially) stay informed on medical needs. My clean private room with a TV, strong rehab/therapy, and lively activities like bingo, volleyball and music make me feel social and not lonely. Management and staff are supportive and efficient - I feel well cared for and would strongly recommend this community.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.21ยท(14)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.0
    • Meals

      4.0
    • Amenities

      2.0
    • Value

      4.2

    Pros

    • Home-style meals with an on-site dietitian
    • Regular weight monitoring
    • Private rooms available
    • Engaging activities program (bingo, volleyball, music)
    • Robust rehabilitation and therapy services
    • Supportive, caring staff and pleasant interpersonal interactions
    • Clean and well-maintained common areas
    • Social community atmosphere and peer interaction
    • In-room amenities such as television
    • Responsive management and efficient operations

    Cons

    • Chronic understaffing and staffing instability
    • Inconsistent medication administration and clinical monitoring
    • Gaps in wound-care monitoring and infection-prevention protocols
    • Inconsistent personal-care and bathing schedules
    • Staff conduct and professionalism
    • Older physical plant with small rooms and shared bathrooms
    • High staff turnover

    Summary of reviews

    The reviews present a mixed picture for S.P.J.S.T. Skilled Nursing & Rehabilitation, with distinct strengths in dining, therapy, activities, and community atmosphere alongside notable operational and clinical concerns. Many accounts highlight warm, home-style meals supported by an on-site dietitian, routine weight checks, and comfortable in-room amenities. The facility's rehabilitation and therapy program is frequently cited as a strong point, and the activity program (including bingo, music, and recreational options) contributes to a socially engaging environment where residents are not isolated.

    Several reviewers described caring, pleasant staff and an overall clean, well-maintained interior. Management and operations receive positive mention in multiple accounts for efficiency and helpfulness, and some families express strong satisfaction with communication about medical changes and day-to-day needs. Private rooms are available, and the social peer environment and activity leadership are clear attractions for residents seeking an engaged community.

    Conversely, recurring operational issues appear across the feedback. Chronic understaffing and frequent staff turnover are the most consistent concerns and are connected to several clinical problems described elsewhere in the reviews. These operational constraints are associated with inconsistent medication administration practices and gaps in routine clinical monitoring, including wound checks and infection-prevention measures. Relatedly, some accounts describe inconsistent personal-care and bathing schedules. There are also reports raising concerns about staff conduct and professionalism; in at least one case those concerns resulted in a resident transfer, and there are allegations of misconduct that prospective families should consider.

    The physical plant is older, with smaller rooms and shared bathrooms in parts of the building; while many reviewers find the facility clean and comfortable, the age and layout may limit privacy and space compared with newer facilities. Given the mix of positive social, dining, and therapy features and the flagged clinical and staffing weaknesses, prospective residents and families may want to prioritize direct questions about current staffing levels and turnover, medication-administration protocols, wound-care and infection-control procedures (including PPE practices), and options for private accommodations before making a placement decision.

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    Medicare Ratings

    5ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of S.P.J.S.T. Skilled Nursing & Rehabilitation

    S.P.J.S.T. Skilled Nursing & Rehabilitation is located at 8611 Main St, Needville, TX, 77461.

    About S.P.J.S.T. Skilled Nursing & Rehabilitation

    S.P.J.S.T. Skilled Nursing & Rehabilitation sits in Needville, Texas, and operates as a non-profit center for elder care, offering both skilled nursing and rehabilitation services for seniors who need different levels of care. The facility can take in up to 118 residents and helps people who need daily assistance, skilled nursing, or longer-term support. They offer care for a wide range of needs, including wound care, medication help, support with bathing and dressing, and non-ambulatory care. Nurses watch over residents 24/7, and there's always someone on call when needed. They help folks with high medical needs and provide dedicated memory care, short-term respite care, long-term care, and hospice services. Rehabilitation therapies include physical, occupational, and speech therapy, with a focus on helping people get back on their feet and gain more independence. S.P.J.S.T. accepts Medicare and Medicaid and works hard to keep high standards, which has led to accreditations and a positive reputation.

    There are several locations-Needville, Taylor, and El Campo-all with their own amenities and activities spaces. Residents live in furnished rooms with private bathrooms, cable TV, air conditioning, kitchenettes, phones, and Wi-Fi. The place has many common areas for residents, such as an arts room, activity room, game room, library, movie area, gardens, walking paths, and a wellness and fitness room, plus a spa and sauna. Folks can enjoy restaurant-style meals in a dining room, with special dietary options for allergies and diabetes. Housekeeping and laundry come with the room, and moving in feels easier with coordination services. Social activities fill the calendar, from movie nights and music to community and resident-led programs, with plenty of chances to be with others. There's an emergency alert system, 24-hour supervision, and transportation and parking help. S.P.J.S.T. helps families too and has options for Medicare-certified home health care, adult day services, non-medical home care, and independent living. The organization provides thoughtful, hands-on support for seniors, working to make sure everyone's comfort, well-being, and independence come first.

    People often ask...

    S.P.J.S.T. Skilled Nursing & Rehabilitation offers assisted living, memory care, and skilled nursing.

    The full address for this community is 8611 Main St, Needville, TX 77461.

    No, S.P.J.S.T. Skilled Nursing & Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of S.P.J.S.T. Skilled Nursing & Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact S.P.J.S.T. Skilled Nursing & Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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