Nursing homeActive
Elgin Nursing And Rehabilitation Center
1373 North Avenue C, Elgin, TX 786215122852457114 certified beds · 95 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
26
● 0● 25● 1
Penalties · 3 yrs
$36,221
1 fine
Last survey
2026-04-17
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 2
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-12-04 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-25 | Standard | 061 | CMS-2567 (Care Compare) | — |
| 2024-04-04 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-21 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-05 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2023-10-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-02-14 | Standard | 070 | CMS-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.
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 2026-05-01Record 676180-20260417-F656
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-05Record 676180-20251204-F602
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-04-28Record 676180-20250425-F686
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 676180-20250425-F550
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 2025-04-28Record 676180-20250425-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 676180-20250425-F677
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 676180-20250425-F804
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 2025-04-28Record 676180-20250425-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 2025-04-28Record 676180-20250425-F880
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-05Record 676180-20240404-F697
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 2024-04-10Record 676180-20240321-F690
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 676180-20240305-F656
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 676180-20240305-F679
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 676180-20240305-F688
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 676180-20240305-F699
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 676180-20240305-F804
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 2024-03-19Record 676180-20240305-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 2024-03-19Record 676180-20240305-F880
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-30Record 676180-20231009-F644
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-10Record 676180-20230214-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-10Record 676180-20230214-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 2023-03-10Record 676180-20230214-F656
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-10Record 676180-20230214-F679
F688Provide 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-10Record 676180-20230214-F688
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-10Record 676180-20230214-F695
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 2023-03-10Record 676180-20230214-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-04-25 | Civil money penalty | $36,221 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.31
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.04
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.69
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover33%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover0%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.0% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 9.6% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.3% | 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 | 27.2% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.9% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.7% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Smithville Hospital Authority Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| 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 | — | — |
| 1373 North Avenue C LLC Organization | ADP OF THE SNF | 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 | — | — |
| Dekowski, Donovan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dwd Tx Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Fulcher, Ann Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gibson, Patricia Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hurta, Brad Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Jack And Nancy Dwyer Workforce Development Center Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kahanek, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kaufman, Nicole Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mandelbaum, Elliot Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Momin, Zahir Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Reg Leased Opco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Reg Operator Holdco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Ihs Clinical Consulting, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Of Elgin, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Of Elgin, LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Ihs Rehab LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Texas Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rincon, Loretta Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schreiner, Robert Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Smithville Hospital Authority Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Trousdale, James Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wheat, Travis Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wilson, Linda Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Wilson, Linda Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Yates, Brandon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Wellsential Health — 67 facilities
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 Bastrop.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Spjst Rest Home 1 Taylor | 15.8 mi | 2026-01-16 | 0236 |
| Oakcrest Nursing And Rehabilitation Center Austin | 13.8 mi | 2026-03-12 | 0123 |
| Falcon Ridge Rehabilitation Hutto | 15.5 mi | 2026-06-16 | 1191 |
| Pflugerville Nursing And Rehabilitation Center Pflugerville | 15.4 mi | 2026-07-02 | 0280 |
| Silver Pines Nursing And Rehabilitation Center Bastrop | 17.5 mi | 2025-06-05 | 0200 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |