Government - Hospital district · 119 certified beds · CMS number 675095

Hallettsville Nursing and Rehabilitation Center, Hallettsville, TX

CMS records 19 health deficiencies at Hallettsville Nursing and Rehabilitation Center in Hallettsville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 16, 2026. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists 1 fine totaling $8,824 in the last three years.

Inspections and deficiencies

CMS findings for Hallettsville Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Hallettsville Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (9 deficiencies)

Standard inspection Jan 16, 2026. CMS counts 9 health deficiencies and 1 fire safety deficiency in this cycle.

Jan 16, 2026 · Standard inspection

8 deficiencies, highest E

F921 · Safe, functional, sanitary building

Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 20, 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 Jan 20, 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 Jan 20, 2026

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 20, 2026

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 Jan 20, 2026

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 20, 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 Jan 20, 2026

F578 · Refusing treatment and advance directives

Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 20, 2026

Dec 18, 2025 · Complaint inspection

1 deficiency, highest D

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 Dec 22, 2025
Previous cycle: 3 deficiencies (standard inspection Oct 4, 2024)

Standard inspection Oct 4, 2024. CMS counts 3 health deficiencies and 4 fire safety deficiencies in this cycle.

Oct 4, 2024 · Standard + complaint inspection

3 deficiencies, highest E

F921 · Safe, functional, sanitary building

Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 22, 2024

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 22, 2024

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 22, 2024
Earlier cycle: 7 deficiencies (standard inspection Aug 25, 2023)

Standard inspection Aug 25, 2023. CMS counts 7 health deficiencies and 1 fire safety deficiency in this cycle.

Jun 28, 2024 · Complaint inspection

1 deficiency, highest G

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Jul 2, 2024

Aug 25, 2023 · Standard inspection

6 deficiencies, highest F

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 Aug 28, 2023

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
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Aug 28, 2023

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 28, 2023

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 Aug 28, 2023

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 Aug 28, 2023

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 Aug 28, 2023

Tags cited in more than one inspection

7 tags cited on more than one inspection date at Hallettsville Nursing and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F880 Infection prevention and control program3Jan 16, 2026; Oct 4, 2024; Aug 25, 2023
F550 Dignity and the right to exercise rights2Dec 18, 2025; Aug 25, 2023
F656 Comprehensive person-centered care plan2Jan 16, 2026; Aug 25, 2023
F657 Care plan timing and team review2Jan 16, 2026; Aug 25, 2023
F689 Accident prevention and supervision2Oct 4, 2024; Jun 28, 2024
F812 Food safety and sanitation2Jan 16, 2026; Aug 25, 2023
F921 Safe, functional, sanitary building2Jan 16, 2026; Oct 4, 2024

Fines and payment denials

DateTypeAmount / length
Jun 28, 2024Fine$8,824

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.15 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.18 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.72 h
Nursing staff turnover
31.1% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5

CMS figures for Hallettsville Nursing and Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
825 W Fairwinds, Hallettsville, TX 77964
Phone
(361) 798-3268
County
Lavaca
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Wellsential Health
Certified beds
119
Average residents per day
71.7
In Medicare/Medicaid since
Oct 26, 1992
Inside a hospital
No
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 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)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
  • Who sits on the care planning team, and how are family members invited? (F657, cited 2 times)

Other nursing homes in Hallettsville and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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