Elgin Nursing and Rehabilitation Center
1373 North Avenue C, Elgin, TX 78621 · Bastrop County · 114 certified beds · avg 95 residents/day · certified since Feb 14, 2008
Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$36,221
Fines, last 3 years
3.12
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Apr 25, 2025 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Apr 28, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (26)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 17, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Apr 25, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Apr 25, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 25, 2025 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 25, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 25, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Mar 5, 2024 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 5, 2024 | E · Potential for harm, repeated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Mar 5, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 5, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 5, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Mar 5, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 5, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 9, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint |
| Feb 14, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 14, 2023 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Feb 14, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 14, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 14, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 14, 2023 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Feb 14, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 9 | 0 | E |
| 2025 | 8 | 1 | K ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $36,221.
| Date | Type | Amount / length |
|---|---|---|
| Apr 25, 2025 | Fine | $36,221 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.12 | 3.46 | 3.95 | bottom 32% in Texas; bottom 18% in the U.S. |
| Registered Nurse hours | 0.32 | 0.44 | 0.69 | bottom 34% in Texas; bottom 12% in the U.S. |
| Weekend total nurse staffing | 2.76 | 3.04 | 3.50 | bottom 35% in Texas; bottom 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.34 | 0.48 | bottom 35% in Texas; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 55.3 | 45.8 | top 9% in Texas; top 20% in the U.S. |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | top 1% in Texas; top 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.04, RN 0.31, weekend 2.69. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| DWD TX Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2015 |
| Jack and Nancy Dwyer Workforce Development Center INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2015 |
| Reg Leased Opco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2015 |
| Reg Operator Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2015 |
| Regency Ihs of Elgin, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2015 |
| Regency Integrated Health Services LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2015 |
| Regency Texas Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2015 |
| Smithville Hospital Authority | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/01/2015 |
| 1373 North Avenue C LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2015 |
| Baird, Daniel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/13/2021 |
| Bunte, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/27/2020 |
| Carvajal, Antonio | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/16/2024 |
| Clapp, Barbara | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2021 |
| Cortese, Daren | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/10/2021 |
| CSV Rhea Management Holdco, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2015 |
| Dekowski, Donovan | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2015 |
| Dekowski, Donovan | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2015 |
| Fulcher, Ann | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/22/2015 |
| Gibson, Patricia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2021 |
| Hurta, Brad | Individual | Corporate Officer | NOT APPLICABLE | 01/16/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Oakcrest Nursing and Rehabilitation Center | 13.8 mi | Austin, TX | ★★★☆☆ | 2/5 | |
| Pflugerville Nursing and Rehabilitation Center | 15.4 mi | Pflugerville, TX | ★★★★★ | 4/5 | |
| Falcon Ridge Rehabilitation | 15.5 mi | Hutto, TX | ★★☆☆☆ | 3/5 | |
| SPJST Rest Home 1 | 15.8 mi | Taylor, TX | ★★☆☆☆ | 2/5 | |
| Five Points of Pflugerville | 16.1 mi | Pflugerville, TX | ★☆☆☆☆ | 1/5 | |
| Legend Oaks Healthcare and Rehabilitation - North | 16.6 mi | Austin, TX | ★☆☆☆☆ | 1/5 | abuse |
| Silver Pines Nursing and Rehabilitation Center | 17.5 mi | Bastrop, TX | ★★★★☆ | 4/5 | |
| Sedona Trace Health and Wellness Center | 17.5 mi | Austin, TX | ★★★☆☆ | 4/5 | |
| Bastrop Lost Pines Nursing and Rehabilitation Cent | 17.6 mi | Bastrop, TX | ★☆☆☆☆ | 2/5 | abuse |
| Windsor Nursing and Rehabilitation Center of Bastr | 17.6 mi | Bastrop, TX | ★★☆☆☆ | 3/5 | |
| Gracy Woods II Living Center | 18.7 mi | Austin, TX | ★★★★☆ | 4/5 | |
| Gracy Woods Nursing Center | 18.8 mi | Austin, TX | —/5 | SFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676180.