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Complaint Investigation

Spindletop Hill Nursing And Rehabilitation Center

November 20, 2025 · Beaumont, TX · 1020 S 23rd St
Citations 1
CMS Rating 1/5
Beds 148
Provider ID 455757
Healthcare Facility
Spindletop Hill Nursing And Rehabilitation Center
Beaumont, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

SPINDLETOP HILL NURSING AND REHABILITATION CENTER in BEAUMONT, TX — inspection on November 20, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0695
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

During an interview on 11/06/25 at 1:53 p.m., the DON said the nursing staff were responsible for changing the nasal cannulas and the humidifiers every seven days or as needed.

She stated, the humidifiers should be dated within 7 day look back. If any humidifiers were empty, they should refill it and date it.

The DON stated these failures could cause infection or dry nasal passages. A more specific policy related to oxygen administration was requested multiple times on 11/06/25, the DON stated she did not have another policy to provide except for Oral Inhalation Administration, which also did not provide any related oxygen administration requirements.

Record review of the facility's policy titled, Oxygen Safety, revised January 26th, 2024, indicated no related oxygen administration requirements were included in this policy.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BEAUMONT, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SPINDLETOP HILL NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.