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 HHS 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 HHS licensing registry · as of April 16, 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 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.