Hallettsville Nursing And Rehabilitation Center
825 W FAIRWINDS, Hallettsville, TX, 77964
Federal 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 March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 119 · avg 77 residents/day
- Total nursing staff turnover
- 41.7% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,824 total
State licensing & capacity
- License number
- 143548
- Service type
- Medicare/medicaid
- Licensed capacity
- 119 beds
- Bed type breakdown
- 19 Medicare-only · 100 Medicaid/Medicare
- Current license effective
- August 31, 2024
- Current license expires
- August 31, 2027
- Initial license date
- July 19, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Fairwinds Hallettsville, Llc
- Administrator
- Keeley Kainer
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (27 on record)
- Csv Rhea Management Holdco, Llc
Adp of The Snf · since 2025
- Dwd tx Holdings Llc
Adp of The Snf · since 2025
- Jack And Nancy Dwyer Workforce Development Center Inc
Adp of The Snf · since 2025
- Reg Bridge Opco Llc
Adp of The Snf · since 2025
- Reg hg Opco Llc
Adp of The Snf · since 2025
- Reg Operator Holdco Llc
Adp of The Snf · since 2025
+ 21 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 12)
- D0550·Dec 18, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0921·Oct 4, 2024Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0880·Oct 4, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0689·Oct 4, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- G0689·Jun 28, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0880·Aug 25, 2023Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Aug 25, 2023Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0657·Aug 25, 2023Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Federal penalties
By year
- 20241 fine · $8,824
Most recent events
- Jun 28, 2024Fine · $8,824
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Oct 4, 2024. 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 Mar 1, 2026.
About this community
Hallettsville Nursing and Rehabilitation Center is a 119-bed Medicare/Medicaid nursing home in Hallettsville, TX, operated under a hospital district license and managed by Regency IHS of Fairwinds Hallettsville. CMS rates it 3 stars overall, with a 4-star health inspection rating but a 1-star staffing rating. About 77 residents occupy the facility on an average day — 65% of licensed capacity. The license is active through August 2027.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives about 186 minutes of nursing care per day, roughly 55 minutes less than at a 4-star-staffing facility in Texas. Of those minutes, only 10 come from a registered nurse. Residents here also require more hands-on care than at a typical facility — more dependent or medically complex on average — so those 186 minutes stretch thinner than they already appear.
About 4 in 10 nursing staff left in the past year. That figure sits just below the Texas 25th-percentile cutoff of 42%, meaning turnover is better than roughly three-quarters of nursing homes in the state. For a long-stay resident, a stable team matters day to day.
One administrator has turned over in the past year. That falls into the elevated tier — not the high-churn pattern of two or more departures, but a leadership gap that can affect consistency.
The facility recorded 1 CMS fine totaling $8,824. The statewide median fine amount is $20,699, and 30% of Texas nursing homes had no fines at all in the same period.
The facility is running at about 65% of its 119 licensed beds, with roughly 77 residents on an average day. The 1-star staffing rating and the low occupancy exist alongside a 4-star health inspection rating and a 4-star long-stay quality-of-care rating — a mixed pattern across the four rating dimensions.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.7 hours per resident per day — lower than the overall reported figure; ask how many nursing staff are scheduled on a typical weekend night.
Registered nurse coverage each day
Reported RN time runs about 10 minutes per resident per day; ask whether a registered nurse is on-site during all three shifts or only during daytime hours.
Recent administrator transition
One administrator left in the past year; ask who is currently in the role, how long they have been here, and who oversees daily operations in the interim.
Why beds are largely unfilled
The facility runs at about 65% occupancy with roughly 42 beds empty on an average day; ask what is driving the lower census and whether staffing levels are adjusted to match it.
Short-stay rehab outcomes
The short-stay quality-of-care rating is 1 star while the long-stay rating is 4 stars; ask what the facility's typical discharge-to-home rate is for short-term rehabilitation residents.
Resident Council meeting schedule
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets and how families receive information about concerns raised there.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.