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Data / Nursing homes / Texas / Elgin Nursing and Rehabilitation Center

Elgin Nursing and Rehabilitation Center, Elgin, TX: 2 star rating, fined $36,221 across 1 fine

Elgin Nursing and Rehabilitation Center in Elgin, TX is owned by Smithville Hospital Authority and Regency Ihs of Elgin, LLC, is rated 2 of 5 stars by Medicare, and was fined $36,221 across 1 fine in the three years to October 1, 2026. CMS lists 29 health citations from inspections in that time, the latest survey on July 28, 2026, and 1 of them found actual harm or immediate jeopardy.

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Address
1373 North Avenue C, Elgin, TX 78621
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
3 of 5
Certified beds
114
Residents per day
96 on average
Ownership type
Nonprofit, corporation
Legal business name
Smithville Hospital Authority
Chain
Wellsential Health, 67 facilities
Fines
$36,221 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
29, of which 1 with actual harm or immediate jeopardy
Latest survey
July 28, 2026
CMS Certification Number
676180
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
April 25, 2025Fine$36,221Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 28, 2026F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 30, 2026data.cms.gov
June 16, 2026F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 16, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 16, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 16, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 16, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 16, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 16, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 16, 2026F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 16, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
April 17, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
December 4, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 5, 2025data.cms.gov
April 25, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.K: pattern, immediate jeopardyCorrectedApril 28, 2025data.cms.gov
April 25, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2025data.cms.gov
April 25, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 28, 2025data.cms.gov
April 25, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 28, 2025data.cms.gov
April 25, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 28, 2025data.cms.gov
April 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 28, 2025data.cms.gov
April 25, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 28, 2025data.cms.gov
April 4, 2024F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2024data.cms.gov
March 21, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 10, 2024data.cms.gov
March 5, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2024data.cms.gov
March 5, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2024data.cms.gov
March 5, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2024data.cms.gov
March 5, 2024F699Provide care or services that was trauma informed and/or culturally competent.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2024data.cms.gov
March 5, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2024data.cms.gov
March 5, 2024F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2024data.cms.gov
March 5, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2024data.cms.gov
October 9, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 30, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 22 individual or personal trusts (12 managers, 5 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Smithville Hospital AuthorityDirect owner100%February 1, 2015data.cms.gov
Regency Ihs of Elgin, LLCDirect ownerNot listedFebruary 1, 2015data.cms.gov
DWD TX Holdings LLCIndirect ownerNot listedFebruary 1, 2015data.cms.gov
Jack and Nancy Dwyer Workforce Development Center IncIndirect ownerNot listedFebruary 1, 2015data.cms.gov
Reg Leased OPCO LLCIndirect ownerNot listedFebruary 1, 2015data.cms.gov
Reg Operator HOLDCO LLCIndirect ownerNot listedFebruary 1, 2015data.cms.gov
Regency Integrated Health Services LLCIndirect ownerNot listedFebruary 1, 2015data.cms.gov
Regency Texas Holdings LLCIndirect ownerNot listedFebruary 1, 2015data.cms.gov
CSV Rhea Management HOLDCO, LLCOperational or managerial controlNot listedFebruary 1, 2015data.cms.gov
Regency Ihs of Elgin, LLCOperational or managerial controlNot listedFebruary 1, 2015data.cms.gov
Regency Integrated Health Services LLCOperational or managerial controlNot listedFebruary 1, 2015data.cms.gov
Smithville Hospital AuthorityOperational or managerial controlNot listedFebruary 1, 2015data.cms.gov
1373 North Avenue C LLCAdditional disclosable partyNot listedFebruary 1, 2015data.cms.gov
Regency Ihs Clinical Consulting, LLCAdditional disclosable partyNot listedApril 8, 2025data.cms.gov
Regency Ihs of Elgin, LLCAdditional disclosable partyNot listedJune 17, 2025data.cms.gov
Regency Ihs Rehab LLCAdditional disclosable partyNot listedFebruary 1, 2015data.cms.gov
Regency Integrated Health Services LLCAdditional disclosable partyNot listedJune 17, 2025data.cms.gov
Smithville Hospital AuthorityAdditional disclosable partyNot listedJune 17, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.