Elgin Nursing And Rehabilitation Center

Non profit - Corporation  ·  1373 North Avenue C, Elgin, TX 78621  ·  See home’s Medicare page

Affiliated With Wellsential Health
People or companies with an ownership interest in or managerial control of this home, according to CMS data.
2.79
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 3.4
28.6%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 53.9%
114
Certified beds
Qualifying beds in the certified provider or supplier facility.
100
Average residents/day
Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
Smithville Hospital Authority (100%) since Feb, 2015
Indirect owners
No indirect owner information
Managerial control
Csv Rhea Management Holdco, LLC since Feb, 2015
Regency Ihs Of Elgin, LLC since Feb, 2015
Regency Integrated Health Services LLC since Feb, 2015
Smithville Hospital Authority since Feb, 2015
Donovan Dekowski since Feb, 2015
Travis Wheat since Sep, 2022
Managing employee(s)
No information available
Direct Ownership Interest
Regency Ihs Of Elgin, LLC since Feb, 2015
Indirect Ownership Interest
Dwd Tx Holdings LLC since Feb, 2015
Jack And Nancy Dwyer Workforce Development Center INC since Feb, 2015
Reg Leased Opco LLC since Feb, 2015
Reg Operator Holdco LLC since Feb, 2015
Regency Integrated Health Services LLC since Feb, 2015
Regency Texas Holdings LLC since Feb, 2015
Managing Control Governing Body
Daniel Baird since Apr, 2021
Mark Bunte since Oct, 2020
Antonio Carvajal since May, 2024
Barbara Clapp since Jun, 2021
Daren Cortese since Aug, 2021
Ann Fulcher since Jan, 2015
Patricia Gibson since Aug, 2021
Nicole Kaufman since Aug, 2021
Elliot Mandelbaum since Jan, 2025
Linda Wilson since Jul, 2023
Corporate Officer
Brad Hurta since Jan, 2025
Michael Kahanek since Jul, 2023
Robert Schreiner since May, 2019
James Trousdale since Jan, 2021
Linda Wilson since Jul, 2023
Adp Of The Snf
1373 North Avenue C LLC since Feb, 2015
Regency Ihs Clinical Consulting, LLC since Apr, 2025
Regency Ihs Of Elgin, LLC since Jun, 2025
Regency Ihs Rehab LLC since Feb, 2015
Regency Integrated Health Services LLC since Jun, 2025
Smithville Hospital Authority since Jun, 2025
Donovan Dekowski since Feb, 2015
Zahir Momin since Jan, 2025
Loretta Rincon since Jan, 2025
Travis Wheat since Sep, 2022
Brandon Yates since Jan, 2025

Inspection Reports

Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
26

total deficiencies

2

infection-related deficiencies

This home violated federal standards protecting residents from the spread of infections.

Dec 4, 2025
Complaint report
1 deficiency
D

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0602
Failure to: Protect each resident from the wrongful use of the resident's belongings or money.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Apr 25, 2025
Standard report
7 deficiencies
(1 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.

$36,221 Fine
D

to K
K

Quality of Life and Care Deficiency — F0686
Failure to: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity
Immediate jeopardy to resident health or safety
Scope
Some people affected
Seriousness
K

Quality of Life and Care Deficiency — F0677
Failure to: Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Resident Rights Deficiency — F0550
Failure to: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Nutrition and Dietary Deficiency — F0804
Failure to: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Nutrition and Dietary Deficiency — F0812
Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Resident Assessment and Care Planning Deficiency — F0656
Failure to: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Infection Control Deficiency — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Apr 4, 2024
Complaint report
1 deficiency
D

Quality of Life and Care Deficiency — F0697
Failure to: Provide safe, appropriate pain management for a resident who requires such services.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Mar 21, 2024
Complaint report
1 deficiency
D

Quality of Life and Care Deficiency — F0690
Failure to: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Mar 5, 2024
Standard report
7 deficiencies
(1 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.

D

to E
E

Quality of Life and Care Deficiency — F0699
Failure to: Provide care or services that was trauma informed and/or culturally competent.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Resident Assessment and Care Planning Deficiency — F0656
Failure to: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Nutrition and Dietary Deficiency — F0804
Failure to: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Nutrition and Dietary Deficiency — F0812
Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Quality of Life and Care Deficiency — F0679
Failure to: Provide activities to meet all resident's needs.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Quality of Life and Care Deficiency — F0688
Failure to: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Infection Control Deficiency — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Oct 9, 2023
Complaint report
1 deficiency
D

Resident Assessment and Care Planning Deficiency — F0644
Failure to: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Jul 12, 2023
Complaint report
1 deficiency
E

Resident Assessment and Care Planning Deficiency — F0842
Failure to: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Feb 14, 2023
Standard report
7 deficiencies
D

to F
F

Nutrition and Dietary Deficiency — F0812
Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F

Quality of Life and Care Deficiency — F0688
Failure to: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Resident Assessment and Care Planning Deficiency — F0656
Failure to: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Resident Rights Deficiency — F0584
Failure to: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Quality of Life and Care Deficiency — F0695
Failure to: Provide safe and appropriate respiratory care for a resident when needed.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Quality of Life and Care Deficiency — F0679
Failure to: Provide activities to meet all resident's needs.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Resident Assessment and Care Planning Deficiency — F0641
Failure to: Ensure each resident receives an accurate assessment.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Penalties

A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.
$36.2K

total fines

Apr 25, 2025