Nursing Care Index

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-stay4 / 4 of 5

Staffing

Total nurse staffing3.04149 hours per resident per day
Registered nurses0.31404 hours per resident per day
Weekend total2.68982 hours per resident per day
Nursing staff turnover33.3% (registered nurses 0%)
Administrators who left0

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.

SurveyFindingSeverityStatus
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

DatePenaltyAmount
2025-04-25Fine$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.

NameRoleShareSince
Smithville Hospital Authority
Organization
5% or greater direct ownership interest100%2015-02-01
1373 North Avenue C LLC
Organization
adp of the snf2015-02-01
Regency Ihs Clinical Consulting, LLC
Organization
adp of the snf2025-04-08
Regency Ihs Of Elgin, LLC
Organization
adp of the snf2025-06-17
Regency Ihs Rehab LLC
Organization
adp of the snf2015-02-01
Regency Integrated Health Services LLC
Organization
adp of the snf2025-06-17
Smithville Hospital Authority
Organization
adp of the snf2025-06-17
Regency Ihs Of Elgin, LLC
Organization
direct ownership interest2015-02-01
Dwd Tx Holdings LLC
Organization
indirect ownership interest2015-02-01
Jack And Nancy Dwyer Workforce Development Center Inc.
Organization
indirect ownership interest2015-02-01
Reg Leased Opco LLC
Organization
indirect ownership interest2015-02-01
Reg Operator Holdco LLC
Organization
indirect ownership interest2015-02-01
Regency Integrated Health Services LLC
Organization
indirect ownership interest2015-02-01
Regency Texas Holdings LLC
Organization
indirect ownership interest2015-02-01
Csv Rhea Management Holdco, LLC
Organization
operational/managerial control2015-02-01
Regency Ihs Of Elgin, LLC
Organization
operational/managerial control2015-02-01
Regency Integrated Health Services LLC
Organization
operational/managerial control2015-02-01
Smithville Hospital Authority
Organization
operational/managerial control2015-02-01
Dekowski, Donovan
Individual
adp of the snf2015-02-01
Momin, Zahir
Individual
adp of the snf2025-01-01
Rincon, Loretta
Individual
adp of the snf2025-01-01
Wheat, Travis
Individual
adp of the snf2022-09-30
Yates, Brandon
Individual
adp of the snf2025-01-01
Hurta, Brad
Individual
corporate officer2025-01-16
Kahanek, Michael
Individual
corporate officer2023-07-19
Schreiner, Robert
Individual
corporate officer2019-05-09
Trousdale, James
Individual
corporate officer2021-01-20
Wilson, Linda
Individual
corporate officer2023-07-19
Baird, Daniel
Individual
managing control - governing body2021-04-13
Bunte, Mark
Individual
managing control - governing body2020-10-27
Carvajal, Antonio
Individual
managing control - governing body2024-05-16
Clapp, Barbara
Individual
managing control - governing body2021-06-01
Cortese, Daren
Individual
managing control - governing body2021-08-10
Fulcher, Ann
Individual
managing control - governing body2015-01-22
Gibson, Patricia
Individual
managing control - governing body2021-08-01
Kaufman, Nicole
Individual
managing control - governing body2021-08-10
Mandelbaum, Elliot
Individual
managing control - governing body2025-01-01
Wilson, Linda
Individual
managing control - governing body2023-07-19
Dekowski, Donovan
Individual
operational/managerial control2015-02-01
Wheat, Travis
Individual
operational/managerial control2022-09-30

What changed

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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.