Elgin Nursing and Rehabilitation Center

Nursing Home · Elgin, TX

CMS overall rating 2/5 Non profit - Corporation

CMS certification number676180

Contact & location

1373 North Avenue C
Elgin, TX 78621
Bastrop County
Phone
(512) 285-2457
ZIP code
78621 – all care providers

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Facility details

Certified beds
114
Residents per day
95.1 (83% occupied)
Ownership
Non profit - Corporation
Legal name
Smithville Hospital Authority
Chain
Wellsential Health (67 facilities, avg 2.7★)
Medicare certified since
February 14, 2008
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.04 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.31 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.75 (state 0.95 · U.S. 0.86)
Nurse aides
1.98 (state 2.00 · U.S. 2.32)
Weekend total
2.69 (state 2.98 · U.S. 3.42)
Nursing staff turnover
33.3 (state 55.3 · U.S. 45.8)%
RN turnover
0.0 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
April 25, 2025
Health deficiencies (last cycle)
9.0 (state 9.3 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
26 health · 1 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-04-17 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-01
2025-12-04 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-05
2025-04-25 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
K
Immediate jeopardy to resident health or safety
Corrected 2025-04-28
2025-04-25 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-28
2025-04-25 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-28
2025-04-25 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-28
2025-04-25 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-28
2025-04-25 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-28
2025-04-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-28
2024-04-04 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-05
2024-03-21 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-10
2024-03-05 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-19
2024-03-05 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-19
2024-03-05 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-19
2024-03-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-19
2024-03-05 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-19
2024-03-05 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-19
2024-03-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-19
2023-10-09 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-30
2023-02-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-03-10
2023-02-14 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.
F0688 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-03-10
2023-02-14 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-10
2023-02-14 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-10
2023-02-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-10
2023-02-14 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-10
2023-02-14 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-10

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $36,221 in fines.

DateTypeAmount
2025-04-25Fine$36,221

Ownership & management

NameRoleSince
Smithville Hospital Authority (organization)5%+ Direct Ownership Interest · 100%
1373 North Avenue C LLC (organization)Administrator · NOT APPLICABLE
Dekowski, Donovan (individual)Administrator · NOT APPLICABLE
Momin, Zahir (individual)Administrator · NOT APPLICABLE
Regency Ihs Clinical Consulting, LLC (organization)Administrator · NOT APPLICABLE
Regency Ihs of Elgin, LLC (organization)Administrator · NOT APPLICABLE
Regency Ihs Rehab LLC (organization)Administrator · NOT APPLICABLE
Regency Integrated Health Services LLC (organization)Administrator · NOT APPLICABLE
Rincon, Loretta (individual)Administrator · NOT APPLICABLE
Smithville Hospital Authority (organization)Administrator · NOT APPLICABLE
Wheat, Travis (individual)Administrator · NOT APPLICABLE
Yates, Brandon (individual)Administrator · NOT APPLICABLE
Hurta, Brad (individual)Corporate Officer · NOT APPLICABLE
Kahanek, Michael (individual)Corporate Officer · NOT APPLICABLE
Schreiner, Robert (individual)Corporate Officer · NOT APPLICABLE
Trousdale, James (individual)Corporate Officer · NOT APPLICABLE
Wilson, Linda (individual)Corporate Officer · NOT APPLICABLE
Regency Ihs of Elgin, LLC (organization)Direct Ownership Interest · NOT APPLICABLE
DWD TX Holdings LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Jack and Nancy Dwyer Workforce Development Center INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Reg Leased Opco LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Reg Operator Holdco LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Regency Integrated Health Services LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Regency Texas Holdings LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Baird, Daniel (individual)Managing Control - Governing Body · NOT APPLICABLE
Bunte, Mark (individual)Managing Control - Governing Body · NOT APPLICABLE
Carvajal, Antonio (individual)Managing Control - Governing Body · NOT APPLICABLE
Clapp, Barbara (individual)Managing Control - Governing Body · NOT APPLICABLE
Cortese, Daren (individual)Managing Control - Governing Body · NOT APPLICABLE
Fulcher, Ann (individual)Managing Control - Governing Body · NOT APPLICABLE
Gibson, Patricia (individual)Managing Control - Governing Body · NOT APPLICABLE
Kaufman, Nicole (individual)Managing Control - Governing Body · NOT APPLICABLE
Mandelbaum, Elliot (individual)Managing Control - Governing Body · NOT APPLICABLE
Wilson, Linda (individual)Managing Control - Governing Body · NOT APPLICABLE
CSV Rhea Management Holdco, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Dekowski, Donovan (individual)Operational/managerial Control · NOT APPLICABLE
Regency Ihs of Elgin, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Regency Integrated Health Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Smithville Hospital Authority (organization)Operational/managerial Control · NOT APPLICABLE
Wheat, Travis (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Elgin Nursing and Rehabilitation Center?

Elgin Nursing and Rehabilitation Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Elgin Nursing and Rehabilitation Center have?

It has 114 certified beds and cares for about 95 residents per day.

Has Elgin Nursing and Rehabilitation Center been fined?

Yes. CMS lists 1 penalty totaling $36,221 in the last three years.

Who owns Elgin Nursing and Rehabilitation Center?

It is part of Wellsential Health and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Elgin Nursing and Rehabilitation Center?

(512) 285-2457. The facility is located at 1373 North Avenue C, Elgin, TX 78621.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.