Elgin Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 1373 North Avenue C, Elgin, TX 78621
- CCN
- 676180
- Ownership type
- Non-profit, corporation
- Certified beds
- 114
- Chain
- Wellsential Health
- Residents per day
- 95
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Elgin Nursing and Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 25 Apr 2025. The latest survey cycle has 9 health citations. The median for nursing homes in Texas is 8. CMS lists 1 fine of $36,221 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Bastrop County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 25 Apr 2025 | 9 | 8 |
| Cycle 2 | 5 Mar 2024 | 7 | 8 |
| Cycle 3 | No date | 10 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 1 May 2026 |
| 4 Dec 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 5 Dec 2025 |
| 25 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 28 Apr 2025 |
| 25 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 28 Apr 2025 |
| 25 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 28 Apr 2025 |
| 25 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Standard survey | 28 Apr 2025 |
| 25 Apr 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 28 Apr 2025 |
| 25 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Apr 2025 |
| 25 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Apr 2025 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 19 Mar 2024 |
| 5 Mar 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 19 Mar 2024 |
| 5 Mar 2024 | F0688 | 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. | D | Standard survey | 19 Mar 2024 |
| 5 Mar 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | Standard survey | 19 Mar 2024 |
| 5 Mar 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 19 Mar 2024 |
| 5 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 Mar 2024 |
| 5 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Mar 2024 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Apr 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 5 Apr 2024 |
| 21 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 10 Apr 2024 |
| 9 Oct 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 30 Oct 2023 |
| 14 Feb 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 10 Mar 2023 |
| 14 Feb 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Mar 2023 |
| 14 Feb 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Mar 2023 |
| 14 Feb 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 10 Mar 2023 |
| 14 Feb 2023 | F0688 | 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. | E | Standard survey | 10 Mar 2023 |
| 14 Feb 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Mar 2023 |
| 14 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Mar 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 25 Apr 2025 | Fine | $36,221 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.04 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.31 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.75 | 0.95 | |
| Nurse aides | 1.98 | 2.00 | |
| All nurse staff, weekends | 2.69 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 33.3%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 0.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 27.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.3% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.6% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Legal business name
- Smithville Hospital Authority
- Chain
- Wellsential Health (67 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Smithville Hospital Authority | 5% or greater direct ownership interest | 100% | 1 Feb 2015 |
| Regency IHS of Elgin, LLC | Direct ownership interest | 1 Feb 2015 | |
| DWD TX Holdings LLC | Indirect ownership interest | 1 Feb 2015 | |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | 1 Feb 2015 | |
| Reg Leased Opco LLC | Indirect ownership interest | 1 Feb 2015 | |
| Reg Operator Holdco LLC | Indirect ownership interest | 1 Feb 2015 | |
| Regency Integrated Health Services LLC | Indirect ownership interest | 1 Feb 2015 | |
| Regency Texas Holdings LLC | Indirect ownership interest | 1 Feb 2015 | |
| CSV Rhea Management Holdco, LLC | Operational/managerial control | 1 Feb 2015 | |
| Regency IHS of Elgin, LLC | Operational/managerial control | 1 Feb 2015 | |
| Regency Integrated Health Services LLC | Operational/managerial control | 1 Feb 2015 | |
| Smithville Hospital Authority | Operational/managerial control | 1 Feb 2015 | |
| 1373 North Avenue C LLC | Adp of the snf | 1 Feb 2015 | |
| Regency IHS Clinical Consulting, LLC | Adp of the snf | 8 Apr 2025 | |
| Regency IHS of Elgin, LLC | Adp of the snf | 17 Jun 2025 | |
| Regency IHS Rehab LLC | Adp of the snf | 1 Feb 2015 | |
| Regency Integrated Health Services LLC | Adp of the snf | 17 Jun 2025 | |
| Smithville Hospital Authority | Adp of the snf | 17 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Bastrop County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Silver Pines Nursing and Rehabilitation Center | Bastrop | 4 of 5 | 6 | $0 | 5 Jun 2025 | |
| Bastrop Lost Pines Nursing and Rehabilitation Cent | Bastrop | 1 of 5 | 7 | $92,460 | 30 Jan 2026 | |
| Windsor Nursing and Rehabilitation Center of Bastr | Bastrop | 2 of 5 | 8 | $15,920 | 17 Jul 2025 | |
| Towers Nursing Home | Smithville | 4 of 5 | 8 | $15,239 | 31 Jul 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Elgin Nursing and Rehabilitation Center (CCN 676180). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/elgin-nursing-and-rehabilitation-center-elgin-tx-676180/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Elgin Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 17 Apr 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 5 Mar 2024.
- Who operates Elgin Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists the home in the chain Wellsential Health. The CMS ownership file names 4 organisations for operational or managerial control. This site does not show the names of persons.
- Is Elgin Nursing and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.