Elgin Nursing And Rehabilitation Center
1373 North Avenue C, Elgin, TX, 78621
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 114 · avg 100 residents/day
- Total nursing staff turnover
- 28.6% — lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 14.3% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $36,221 total
Medicare certification
- CMS Certification Number
- 676180
- Certified beds
- 114 beds · avg 100 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Smithville Hospital Authority
- Chain affiliation
- Wellsential Health
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 68 facilities. Chain-wide average overall rating 2.6 / 5.
Parent entity
Jack And Nancy Dwyer Workforce Development Center Inc
Disclosed owners (31 on record)
- Regency Ihs of Elgin, Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Smithville Hospital Authority
Adp of The Snf · since 2025
- Regency Ihs Clinical Consulting, Llc
Adp of The Snf · since 2025
- Brad Hurta
Corporate Officer · since 2025
- Brandon Yates
Adp of The Snf · since 2025
+ 25 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 27)
- D0656·Apr 17, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0602·Dec 4, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0880·Apr 25, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Apr 25, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0804·Apr 25, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- K0686·Apr 25, 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E0677·Apr 25, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0656·Apr 25, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal penalties
By year
- 20251 fine · $36K
Most recent events
- Apr 25, 2025Fine · $36K
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Feb 14, 2023. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Elgin Nursing And Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.