Nursing homeActive

Hallettsville Nursing And Rehabilitation Center

825 W Fairwinds, Hallettsville, TX 779643617983268119 certified beds · 72 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
19
0181
Penalties · 3 yrs
$8,824
1 fine
Last survey
2026-01-16
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-01-16Standard080CMS-2567 (Care Compare)
2025-12-18Complaint010CMS-2567 (Care Compare)
2024-10-04Standard030CMS-2567 (Care Compare)
2024-06-28Complaint001CMS-2567 (Care Compare)
2023-08-25Standard060CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-01-16Standard survey · 8 deficienciesOfficial report
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 675095-20260116-F578
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 675095-20260116-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 675095-20260116-F657
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 675095-20260116-F690
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 675095-20260116-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 675095-20260116-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 675095-20260116-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 675095-20260116-F921
2025-12-18Complaint survey · 1 deficiencyOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-22Record 675095-20251218-F550
2024-10-04Standard survey · 3 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-22Record 675095-20241004-F689
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-22Record 675095-20241004-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-22Record 675095-20241004-F921
2024-06-28Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-07-02Record 675095-20240628-F689
2023-08-25Standard survey · 6 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-28Record 675095-20230825-F550
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-28Record 675095-20230825-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-28Record 675095-20230825-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-28Record 675095-20230825-F657
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-28Record 675095-20230825-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-28Record 675095-20230825-F880

Penalties & enforcement

DateActionAmountSource
2024-06-28Civil money penalty$8,824CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.18
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.15
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.72
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover31%
Facility
Texas
National
Texas 55% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.2%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
6.0%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
3.2%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.4%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
13.6%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.2%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
16.1%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
825 Fairwinds Street LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Baird, Daniel
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Clapp, Barbara
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cortese, Daren
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Csv Rhea Management Holdco, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Dekowski, Donovan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Dwd Tx Holdings LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Gibson, Patricia
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Jack And Nancy Dwyer Workforce Development Center Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kainer, Keeley
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kutac, Melissa
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Olveda, Leah
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Reg Bridge Opco LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Reg Hg Opco LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Reg Operator Holdco LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Regency Ihs Clinical Consulting, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Regency Ihs Of Fairwinds Hallettsville LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Regency Ihs Rehab LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Regency Texas Holdings LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Selzer, Kody
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Winnie-Stowell Hospital District
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
825 Fairwinds Street LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Baird, Daniel
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Baird, Daniel
Individual
ADP OF THE SNFNOT APPLICABLE
Clapp, Barbara
Individual
ADP OF THE SNFNOT APPLICABLE
Clapp, Barbara
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Cortese, Daren
Individual
ADP OF THE SNFNOT APPLICABLE
Cortese, Daren
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Csv Rhea Management Holdco, LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Csv Rhea Management Holdco, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Dekowski, Donovan
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Dekowski, Donovan
Individual
ADP OF THE SNFNOT APPLICABLE
Dwd Tx Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Dwd Tx Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Gibson, Patricia
Individual
ADP OF THE SNFNOT APPLICABLE
Gibson, Patricia
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Jack And Nancy Dwyer Workforce Development Center Inc
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Jack And Nancy Dwyer Workforce Development Center Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Kainer, Keeley
Individual
ADP OF THE SNFNOT APPLICABLE
Kainer, Keeley
Individual
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Kutac, Melissa
Individual
ADP OF THE SNFNOT APPLICABLE
Kutac, Melissa
Individual
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Murrell, Edward
Individual
CORPORATE OFFICERNOT APPLICABLE
Olveda, Leah
Individual
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Olveda, Leah
Individual
ADP OF THE SNFNOT APPLICABLE
Reg Bridge Opco LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Reg Bridge Opco LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Reg Hg Opco LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Reg Hg Opco LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Reg Operator Holdco LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Reg Operator Holdco LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Regency Ihs Clinical Consulting, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Ihs Of Fairwinds Hallettsville LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Regency Ihs Of Fairwinds Hallettsville LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Ihs Rehab LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Regency Texas Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Texas Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Rollo, Jeffery
Individual
CORPORATE OFFICERNOT APPLICABLE
Selzer, Kody
Individual
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Selzer, Kody
Individual
ADP OF THE SNFNOT APPLICABLE
Stramecki, Anthony
Individual
CORPORATE OFFICERNOT APPLICABLE
Vratis, Kacey
Individual
CORPORATE OFFICERNOT APPLICABLE
Way, George
Individual
CORPORATE OFFICERNOT APPLICABLE
Winnie-Stowell Hospital District
Organization
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Wellsential Health67 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Lavaca.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Stevens Nursing And Rehabilitation Center Of Halle
Hallettsville
0.7 mi2026-06-020200
Shiner Nursing and Rehabilitation Center
Shiner
13.0 mi2026-03-200290
Yoakum Nursing And Rehabilitation Center
Yoakum
13.8 mi2026-05-290241
Shady Oak Nursing And Rehabilitation
Moulton
14.9 mi2025-09-05060
Paradigm At Stevens
Yoakum
15.7 mi2026-05-150380
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01