Elgin Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 30 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
Below average in Texas · Critically understaffed (RN) · Low staff turnover (stable workforce) · Below chain average · $36,221 in fines
What this means for your family
This facility offers exceptionally kind and dedicated nursing staff that many families find comforting. However, you must be vigilant regarding medication schedules and food quality, as multiple recent reports indicate lapses in these critical areas of care.
Google Reviews
Google Reviews
30 reviews analyzed“Families may find comfort in the facility's highly praised nursing staff, who are frequently described as compassionate, professional, and dedicated. However, there are serious reports regarding inconsistent medication administration, hygiene neglect, and issues with food temperature and quality. While many praise the rehabilitative care, others have raised significant concerns regarding staffing shortages and the loss of personal belongings.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and professional nursing staff
- Positive rehabilitative outcomes
- Clean and inviting environment
- Engaging community events and social activities
Concerns
- Inconsistent medication administration and delayed response to call lights (mentioned by 2 reviewers)
- Poor food quality and cold meals (mentioned by 2 reviewers)
- Staffing shortages affecting care delivery (mentioned by 2 reviewers)
- Neglect regarding personal hygiene and lost belongings
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner provides highly personalized responses to positive reviews, often naming specific staff members mentioned by the reviewer. For negative reviews, the owner uses a consistent template to acknowledge the issue and invite further private discussion.
Questions for Your Tour
- 1We've heard great things about your community events; what kind of social activities or group outings do the residents typically participate in?
- 2With the recent focus on improving care, what specific steps are being taken to ensure medication is administered accurately and on schedule?
- 3How does the nursing team manage call lights to ensure residents receive timely assistance during the night or busy shifts?
- 4Could you tell us more about the dining experience, specifically how you ensure meals are served at the proper temperature and meet nutritional needs?
- 5What is your process for ensuring that residents' personal belongings are kept safe and their hygiene needs are consistently met?
- 6In the event of a medical emergency after hours, what is the protocol for contacting physicians and coordinating immediate care?
Personalized based on this facility's data
Key Review Excerpts
“The kindness, knowledge and helpfulness of the staff is beyond compare. No matter who you are or what your health challenges are, you will be treated with dignity and respect from all the staff.”
“Very friendly. I’m very funny about leaving my mom anywhere. But I was very pleased with how the whole staff was with there patients. Very caring and helping the patients in anyway they could.”
“They went without giving him a bath for two weeks until my mom said something and so they came and wiped him off. His food is also normally cold.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
4
measures
5
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has faced recurring deficiencies in care planning, daily care assistance, and food safety across multiple surveys from 2023-2025, with families filing complaints about pain management, bladder/bowel care, and financial protection. While all violations have been corrected by the facility, the pattern of repeated issues in core care areas suggests ongoing challenges with maintaining consistent quality standards that families should carefully evaluate.
Dec 4, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Apr 25, 2025Routine7
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 4, 2024Complaint2
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Mar 21, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Mar 5, 2024Routine7
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 9, 2023Complaint1
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Federal Penalties
Fine
Apr 25, 2025
$36,221
Ownership & Operations
Who Operates This Facility
Smithville Hospital Authority
for profit
REGENCY IHS OF ELGIN, LLC
TRAVIS G WHEAT
Chain Affiliation
Wellsential Health
68 facilities nationwide
Chain avg rating: 2.8/5 · Rank 40 of 67
Ownership & Management
Owners
Smithville Hospital Authority
Owner · Organization
Regency Ihs of Elgin, LLC
Owner · Organization
Dwd TX Holdings LLC
Owner (parent company) · Organization
Jack and Nancy Dwyer Workforce Development Center INC
Owner (parent company) · Organization
Reg Leased Opco LLC
Owner (parent company) · Organization
Reg Operator Holdco LLC
Owner (parent company) · Organization
Regency Integrated Health Services LLC
Owner (parent company) · Organization
Regency Texas Holdings LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
30 reviews from families & visitors
Official Website
Visit wellsentialhealth.org
Medicare data downloads
Original nursing home datasets
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