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Elgin Nursing And Rehabilitation Center

1373 North Avenue C, Elgin, TX 78621
5122852457
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Overall CMS Rating

2.0/5

vs State Average: 2.8 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.1/5

3.0/5

Quality Measures

vs State Average: 3.8/5

1 penalties in last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Dec 4, 2025 Protect each resident from the wrongful use of the resident's belongings or money. D
Apr 25, 2025 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
Apr 25, 2025 Provide care and assistance to perform activities of daily living for any resident who is unable. E
Apr 25, 2025 Provide appropriate pressure ulcer care and prevent new ulcers from developing. K
Apr 25, 2025 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E
Score
2.0
State Average
2.1
National Average
2.9
0.2 RN Hours / Resident / Day
2.7 Total Nurse Hours / Resident / Day
37.5% RN Turnover Rate
Score
3.0
State Average
3.8
National Average
3.6
4.0 Long-Stay QM Rating
2.0 Short-Stay QM Rating
98.9 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST SMITHVILLE HOSPITAL AUTHORITY
OPERATIONAL/MANAGERIAL CONTROL CSV RHEA MANAGEMENT HOLDCO, LLC
OPERATIONAL/MANAGERIAL CONTROL REGENCY IHS OF ELGIN, LLC
OPERATIONAL/MANAGERIAL CONTROL REGENCY INTEGRATED HEALTH SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL SMITHVILLE HOSPITAL AUTHORITY
OPERATIONAL/MANAGERIAL CONTROL DEKOWSKI, DONOVAN
OPERATIONAL/MANAGERIAL CONTROL WHEAT, TRAVIS
CORPORATE OFFICER HURTA, BRAD
CORPORATE OFFICER KAHANEK, MICHAEL
CORPORATE OFFICER SCHREINER, ROBERT
Recent Penalties
Date Type Fine
Apr 25, 2025 Fine $55,725

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