Elgin Nursing and Rehabilitation Center
1373 North Avenue C, Elgin, TX 78621
Elgin Nursing and Rehabilitation Center is a nursing home in Elgin, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionJune 16, 2026 (4 months ago)
- Health citations since October 9, 202329 (Texas average 28)
- Fines in the past three years1, $36,221 in total
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
Email alerts for this home open soon.
CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on July 28, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0699. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care or services that was trauma informed and/or culturally competent.
CMS lists it as corrected on July 30, 2026.
CMS has cited this home for F0699 2 times since 2024.
Health inspection on June 16, 2026
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation F0609. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on July 10, 2026.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 10, 2026.
CMS has cited this home for F0812 3 times since 2024.
Citation F0925. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on July 10, 2026.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on July 10, 2026.
CMS has cited this home for F0550 2 times since 2025.
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on July 10, 2026.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on July 10, 2026.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on July 10, 2026.
CMS has cited this home for F0656 4 times since 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on July 10, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 10, 2026.
CMS has cited this home for F0880 3 times since 2024.
Fire safety inspection on June 16, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0161. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on July 10, 2026.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on July 10, 2026.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on July 10, 2026.
Health inspection on April 17, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 1, 2026.
CMS update of March 25, 2026
Fine
CMS changed the fine from April 25, 2025 from $55,725 to $36,221.
Health inspection on December 4, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on December 5, 2025.
CMS update of June 25, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Health inspection on April 25, 2025
7 citationsCMS lists this as a standard inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $36,221 on April 25, 2025.
Show the 7 citations
Citation F0686. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on April 28, 2025.
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on April 28, 2025.
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on April 28, 2025.
Citation F0804. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on April 28, 2025.
CMS has cited this home for F0804 2 times since 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on April 28, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on April 28, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 28, 2025.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of April 25, 2024
Ownership
CMS lists this home under a new chain.
Health inspection on April 4, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0697. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate pain management for a resident who requires such services.
CMS lists it as corrected on April 5, 2024.
Health inspection on March 21, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on April 10, 2024.
Health inspection on March 5, 2024
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on March 19, 2024.
Citation F0699. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care or services that was trauma informed and/or culturally competent.
CMS lists it as corrected on March 19, 2024.
Citation F0804. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on March 19, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 19, 2024.
Citation F0679. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide activities to meet all resident's needs.
CMS lists it as corrected on March 19, 2024.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 19, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 19, 2024.
Health inspection on October 9, 2023
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on October 30, 2023.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (512) 285-2457
- Last standard health inspection
- June 16, 2026 (4 months ago)
- Certified beds
- 114
- Residents per day, on average
- 96.3
- Ownership type
- Non profit - Corporation
- Legal business name
- Smithville Hospital Authority
- Chain
- Wellsential Health
- Takes part in
- Medicare and Medicaid
More health citations than the Texas average (29 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SMITHVILLE HOSPITAL AUTHORITY5% or greater direct ownership interest · 100% · since 02/01/2015
- REGENCY IHS OF ELGIN, LLCDirect ownership interest · not applicable · since 02/01/2015
- DWD TX HOLDINGS LLCIndirect ownership interest · not applicable · since 02/01/2015
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCIndirect ownership interest · not applicable · since 02/01/2015
- REG LEASED OPCO LLCIndirect ownership interest · not applicable · since 02/01/2015
Show 9 more
- REG OPERATOR HOLDCO LLCIndirect ownership interest · not applicable · since 02/01/2015
- REGENCY INTEGRATED HEALTH SERVICES LLCIndirect ownership interest · not applicable · since 02/01/2015
- REGENCY TEXAS HOLDINGS LLCIndirect ownership interest · not applicable · since 02/01/2015
- CSV RHEA MANAGEMENT HOLDCO, LLCOperational/managerial control · not applicable · since 02/01/2015
- REGENCY IHS OF ELGIN, LLCOperational/managerial control · not applicable · since 02/01/2015
- REGENCY INTEGRATED HEALTH SERVICES LLCOperational/managerial control · not applicable · since 02/01/2015
- SMITHVILLE HOSPITAL AUTHORITYOperational/managerial control · not applicable · since 02/01/2015
- DEKOWSKI, DONOVANOperational/managerial control · not applicable · since 02/01/2015
- WHEAT, TRAVISOperational/managerial control · not applicable · since 09/30/2022
Questions
When was Elgin Nursing and Rehabilitation Center last inspected?
CMS lists June 16, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Elgin Nursing and Rehabilitation Center have?
CMS lists 29 health citations since October 9, 2023. CMS also calls these deficiencies.
Has Elgin Nursing and Rehabilitation Center been fined?
CMS lists 1 fine in the past three years, $36,221 in total.
What is the CMS star rating of Elgin Nursing and Rehabilitation Center?
Its CMS overall star rating is 2 of 5.
Is Elgin Nursing and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.