Non profit - Corporation · 114 certified beds · CMS number 676180
Elgin Nursing and Rehabilitation Center, Elgin, TX
CMS records 29 health deficiencies at Elgin Nursing and Rehabilitation Center in Elgin, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 16, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $36,221 in the last three years.
- 29deficiencies, 3 cycles (TX median 25)
- 12in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $36,221fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Elgin Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Elgin Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (12 deficiencies)
Standard inspection Jun 16, 2026. CMS counts 12 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 28, 2026 · Complaint inspection
1 deficiency, highest D
F699 · Trauma-informed, culturally competent care
Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
Jun 16, 2026 · Standard inspection
9 deficiencies, highest E
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 10, 2026
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 10, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 10, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 10, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 10, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 10, 2026
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 10, 2026
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 10, 2026
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 10, 2026
Apr 17, 2026 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 1, 2026
Dec 4, 2025 · Complaint inspection
1 deficiency, highest D
F602 · Protecting residents' money and belongings
Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
Previous cycle: 7 deficiencies (standard inspection Apr 25, 2025)
Standard inspection Apr 25, 2025. CMS counts 7 health deficiencies and 0 fire safety deficiencies in this cycle.
Apr 25, 2025 · Standard inspection
7 deficiencies, highest K
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 28, 2025
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 28, 2025
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 28, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 28, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 28, 2025
Earlier cycle: 10 deficiencies (standard inspection Mar 5, 2024)
Standard inspection Mar 5, 2024. CMS counts 10 health deficiencies and 0 fire safety deficiencies in this cycle.
Apr 4, 2024 · Complaint inspection
1 deficiency, highest D
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 5, 2024
Mar 21, 2024 · Complaint inspection
1 deficiency, highest D
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2024
Mar 5, 2024 · Standard inspection
7 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 19, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 19, 2024
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 19, 2024
F699 · Trauma-informed, culturally competent care
Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 19, 2024
F688 · Range of motion and mobility
Requirement cited (CMS): 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 19, 2024
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 19, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 19, 2024
Oct 9, 2023 · Complaint inspection
1 deficiency, highest D
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 30, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Elgin Nursing and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 4 | Jun 16, 2026; Apr 17, 2026; Apr 25, 2025; Mar 5, 2024 |
| F812 Food safety and sanitation | 3 | Jun 16, 2026; Apr 25, 2025; Mar 5, 2024 |
| F880 Infection prevention and control program | 3 | Jun 16, 2026; Apr 25, 2025; Mar 5, 2024 |
| F550 Dignity and the right to exercise rights | 2 | Jun 16, 2026; Apr 25, 2025 |
| F699 Trauma-informed, culturally competent care | 2 | Jul 28, 2026; Mar 5, 2024 |
| F804 Palatable, attractive food at safe temperatures | 2 | Apr 25, 2025; Mar 5, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Apr 25, 2025 | Fine | $36,221 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.04 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.31 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.69 h
- Nursing staff turnover
- 33.3% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 2 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Elgin Nursing and Rehabilitation Center, copied as published; Texas medians are ours.
Facility details
- Address
- 1373 North Avenue C, Elgin, TX 78621
- Phone
- (512) 285-2457
- County
- Bastrop
- Accepts
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Chain (CMS)
- Wellsential Health
- Certified beds
- 114
- Average residents per day
- 95.1
- In Medicare/Medicaid since
- Feb 14, 2008
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)
Other nursing homes in Elgin and the same chain
- Longview Hill Nursing and Rehabilitation Center
Longview · 60 deficiencies - Guadalupe Valley Nursing and Rehabilitation Center
Seguin · 52 deficiencies - Town and Country Nursing and Rehabilitation Center
Boerne · 51 deficiencies - Heritage Park Rehabilitation and Skilled Nursing C
Austin · 49 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.