Elgin Nursing And Rehabilitation Center
1373 NORTH AVENUE C, Elgin, TX, 78621
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
- 114 · avg 99 residents/day
- Total nursing staff turnover
- 29.7% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 37.5% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $36,221 total
State licensing & capacity
- License number
- 144084
- Service type
- Medicare/medicaid
- Licensed capacity
- 114 beds
- Bed type breakdown
- 114 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- February 1, 2028
- Initial license date
- February 13, 2008
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Smithville Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Elgin, Llc
- Administrator
- Travis G Wheat
Texas HHS licensing registry · as of April 16, 2026
About this community
Elgin Nursing and Rehabilitation Center is a 114-bed Medicare/Medicaid nursing home in Elgin, TX, managed by Regency IHS of Elgin under a hospital district licensee. CMS rates it 2 stars overall, with 2-star ratings for health inspections and staffing. One CMS fine totaling $36,221 has been issued. Nursing staff turnover is exceptionally low — about 3 in 10 left in the past year, well below the Texas median of 5 in 10.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 2 stars on staffing. Residents receive about 163 minutes of nursing care per day — roughly 78 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 163 minutes stretch thinner than the raw number suggests.
About 3 in 10 nursing staff left in the past year. Texas nursing homes at the 25th percentile see 42% annual turnover; this facility's 29.7% rate falls below that floor — better than roughly three-quarters of nursing homes in the state. For a long-stay resident, that means fewer caregiver changes over time.
CMS recorded one fine totaling $36,221. About 30% of Texas nursing homes received no fines in the same period; the state median for facilities that were fined is $20,699, so this fine is above that midpoint.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Reported weekend nursing hours run 2.46 minutes per resident — below the already-low weekday figure; ask how many nurses and aides are on duty overnight and on weekends.
RN coverage each day
Reported RN hours work out to about 13 minutes per resident per day; ask how many hours a registered nurse is physically present in the building on a typical day.
What the $36,221 fine covered
CMS issued one fine totaling $36,221; ask which deficiency it was tied to and what process changes were made afterward.
Resident Council activity
A Resident Council exists here but no Family Council; ask how often the Resident Council meets and how families can raise concerns outside of that channel.
Regency IHS management role
Day-to-day operations are managed by Regency IHS of Elgin under the Wellsential Health chain; ask which decisions are made locally versus at the management-company level.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.