Texas ›Hallettsville

Hallettsville Nursing and Rehabilitation Center

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825 W Fairwinds, Hallettsville, TX 77964 (opens Google Maps) · Lavaca County · (361) 798-3268· 119 certified beds · avg 72 residents/day · certified since Oct 26, 1992 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)

3/5
Health inspection rating (on-site)
inspected Jan 16, 2026
1
Serious findings on record
most recent Jun 28, 2024
$8,824
Fines, last 3 years
3.22
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Jun 28, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jul 2, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. F-0578

  2. E · Potential for more than minimal harm, pattern

    The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. F-0759

  3. E · Potential for more than minimal harm, pattern

    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. F-0812

View all 19 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jan 16, 2026E · Potential for more than minimal harm, patternThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Jan 16, 2026E · Potential for more than minimal harm, patternThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Jan 16, 2026E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jan 16, 2026E · Potential for more than minimal harm, patternThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Jan 16, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Jan 16, 2026D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Jan 16, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0690
Jan 16, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Dec 18, 2025D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0550
Oct 4, 2024E · Potential for more than minimal harm, patternThe 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. · from a complaint · F-0880
Oct 4, 2024E · Potential for more than minimal harm, patternThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921
Oct 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 28, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Aug 25, 2023F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Aug 25, 2023D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0550
Aug 25, 2023D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint · F-0641
Aug 25, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0656
Aug 25, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Aug 25, 2023D · Potential for more than minimal harm, isolatedThe 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. · from a complaint · F-0880

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 8).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 6
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 1
2025
All citations: 1
Serious citations (G–L): 0
2026
All citations: 8
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202360F
202441G ▲
202510D
202680E

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)

How to file a complaint about care →

1 fine totaling $8,824.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Jun 28, 2024Fine$8,824

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.22
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.19
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.78
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.223.463.95bottom 41% in Texas; bottom 22% in the U.S.
Registered Nurse hours0.190.440.69bottom 6% in Texas; bottom 2% in the U.S.
Weekend total nurse staffing2.783.043.50bottom 37% in Texas; bottom 20% in the U.S.
Weekend RN hours (not acuity-adjusted)0.120.340.48bottom 5% in Texas; bottom 2% in the U.S.
Total nursing staff turnover (%)31.155.345.8top 7% in Texas; top 16% in the U.S.
RN turnover (%)—54.642.9—

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.15, RN 0.18, weekend 2.72.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.15 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Hallettsville Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - Hospital district

Owner / managerTypeRoleStakeSince
Baird, DanielIndividualIndirect Ownership InterestNOT APPLICABLE04/13/2021
Clapp, BarbaraIndividualIndirect Ownership InterestNOT APPLICABLE06/01/2021
Cortese, DarenIndividualIndirect Ownership InterestNOT APPLICABLE08/10/2021
CSV Rhea Management Holdco, LLCOrganizationIndirect Ownership InterestNOT APPLICABLE10/01/2018
Dekowski, DonovanIndividualIndirect Ownership InterestNOT APPLICABLE10/01/2018
DWD TX Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE10/01/2018
Gibson, PatriciaIndividualIndirect Ownership InterestNOT APPLICABLE08/01/2021
Jack and Nancy Dwyer Workforce Development Center INCOrganizationIndirect Ownership InterestNOT APPLICABLE10/01/2018
Kainer, KeeleyIndividualDirect Ownership InterestNOT APPLICABLE03/15/2025
Kutac, MelissaIndividualDirect Ownership InterestNOT APPLICABLE01/01/2025
Olveda, LeahIndividualDirect Ownership InterestNOT APPLICABLE01/01/2025
Reg Bridge Opco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE10/01/2018
Reg HG Opco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE10/01/2018
Reg Operator Holdco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE10/01/2018
Regency Ihs of Fairwinds Hallettsville LLCOrganizationDirect Ownership InterestNOT APPLICABLE10/01/2018
Regency Integrated Health Services LLCOrganizationIndirect Ownership InterestNOT APPLICABLE10/01/2018
Regency Texas Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE10/01/2018
Selzer, KodyIndividualDirect Ownership InterestNOT APPLICABLE01/01/2025
825 Fairwinds Street LLCOrganizationOperational/Managerial ControlNOT APPLICABLE10/01/2018
825 Fairwinds Street LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2018

Showing 20 of 67 parties CMS has on file for this facility; 47 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Wellsential Health — 67 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 66 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
  • "What is your current medication error rate, and what have you changed to bring errors down?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
  • "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 31% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 67 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Stevens Nursing and Rehabilitation Center of Halle0.7 miHallettsville, TX★★★★★4/5
Shiner Nursing and Rehabilitation Center13.0 miShiner, TX★★★☆☆3/5
Yoakum Nursing and Rehabilitation Center13.8 miYoakum, TX★★☆☆☆3/5
Shady Oak Nursing and Rehabilitation14.9 miMoulton, TX★★★★★5/5
Paradigm at Stevens15.7 miYoakum, TX★★☆☆☆3/5
Paradigm at the Oak17.1 miSchulenburg, TX★☆☆☆☆1/5abuse
Schulenburg Regency Nursing Center17.4 miSchulenburg, TX★★★★☆4/5
Flatonia Healthcare Center19.8 miFlatonia, TX★☆☆☆☆2/5abuse

Compare this facility with the 3 closest →

All facilities in Hallettsville →

Facility data as of CMS processing date 2026-08-01. CCN 675095.

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