Elgin Nursing And Rehabilitation Center
Elgin, Bastrop County, Texas · CCN 676180 · Non-profit (Corporation) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Elgin Nursing And Rehabilitation Center 2 of 5 overall as of August 2026. 114 certified beds, 95 residents a day on average. 26 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $36,221.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 4 of 5 |
Staffing
| Total nurse staffing | 3.04149 hours per resident per day |
|---|---|
| Registered nurses | 0.31404 hours per resident per day |
| Weekend total | 2.68982 hours per resident per day |
| Nursing staff turnover | 33.3% (registered nurses 0%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-17 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-01 |
| 2025-12-04 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-05 |
| 2025-04-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-28 |
| 2025-04-25 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-28 |
| 2025-04-25 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-28 |
| 2025-04-25 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-28 |
| 2024-04-04 complaint survey |
Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-05 |
| 2024-03-21 complaint survey |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-19 |
| 2024-03-05 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-19 |
| 2024-03-05 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-19 |
| 2024-03-05 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-19 |
| 2024-03-05 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-19 |
| 2023-10-09 complaint survey |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0688 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-10 |
| 2023-02-14 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-10 |
| 2023-02-14 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-10 |
| 2023-02-14 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-10 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-25 | Fine | $36,221 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Smithville Hospital Authority Organization | 5% or greater direct ownership interest | 100% | 2015-02-01 |
| 1373 North Avenue C LLC Organization | adp of the snf | — | 2015-02-01 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2025-04-08 |
| Regency Ihs Of Elgin, LLC Organization | adp of the snf | — | 2025-06-17 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2015-02-01 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2025-06-17 |
| Smithville Hospital Authority Organization | adp of the snf | — | 2025-06-17 |
| Regency Ihs Of Elgin, LLC Organization | direct ownership interest | — | 2015-02-01 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2015-02-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2015-02-01 |
| Reg Leased Opco LLC Organization | indirect ownership interest | — | 2015-02-01 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2015-02-01 |
| Regency Integrated Health Services LLC Organization | indirect ownership interest | — | 2015-02-01 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2015-02-01 |
| Csv Rhea Management Holdco, LLC Organization | operational/managerial control | — | 2015-02-01 |
| Regency Ihs Of Elgin, LLC Organization | operational/managerial control | — | 2015-02-01 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2015-02-01 |
| Smithville Hospital Authority Organization | operational/managerial control | — | 2015-02-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2015-02-01 |
| Momin, Zahir Individual | adp of the snf | — | 2025-01-01 |
| Rincon, Loretta Individual | adp of the snf | — | 2025-01-01 |
| Wheat, Travis Individual | adp of the snf | — | 2022-09-30 |
| Yates, Brandon Individual | adp of the snf | — | 2025-01-01 |
| Hurta, Brad Individual | corporate officer | — | 2025-01-16 |
| Kahanek, Michael Individual | corporate officer | — | 2023-07-19 |
| Schreiner, Robert Individual | corporate officer | — | 2019-05-09 |
| Trousdale, James Individual | corporate officer | — | 2021-01-20 |
| Wilson, Linda Individual | corporate officer | — | 2023-07-19 |
| Baird, Daniel Individual | managing control - governing body | — | 2021-04-13 |
| Bunte, Mark Individual | managing control - governing body | — | 2020-10-27 |
| Carvajal, Antonio Individual | managing control - governing body | — | 2024-05-16 |
| Clapp, Barbara Individual | managing control - governing body | — | 2021-06-01 |
| Cortese, Daren Individual | managing control - governing body | — | 2021-08-10 |
| Fulcher, Ann Individual | managing control - governing body | — | 2015-01-22 |
| Gibson, Patricia Individual | managing control - governing body | — | 2021-08-01 |
| Kaufman, Nicole Individual | managing control - governing body | — | 2021-08-10 |
| Mandelbaum, Elliot Individual | managing control - governing body | — | 2025-01-01 |
| Wilson, Linda Individual | managing control - governing body | — | 2023-07-19 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2015-02-01 |
| Wheat, Travis Individual | operational/managerial control | — | 2022-09-30 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Elgin Nursing And Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Bastrop County.