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Nursing HomeMedicaid Investigative

Hallettsville Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

825 W Fairwinds, Hallettsville, TX 77964119 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 86 Google reviews

5
4
3
2
1

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1/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (1/5 stars)

Above average in Texas · Critically understaffed (RN) · $8,824 in fines

Source: Medicare data

What this means for your family

This facility offers excellent physical therapy and has a reputation for a very caring nursing staff. However, you must be vigilant regarding hygiene and response times, as recent reviews have raised serious alarms about neglect and medication management.

Google Reviews

Google Reviews

86 reviews analyzed
Families considering this facility will find a highly polarized landscape. While many reviewers praise the physical therapy department and the compassionate, dedicated nursing staff, there are serious allegations regarding neglect, delayed response times to call buttons, and improper medication practices.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean9.0Activities5.0Meds1.0MemoryN/AComms8.0ValueN/A

Strengths

  • Exceptional physical therapy and rehabilitation results
  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Strong teamwork and communication among staff

Concerns

  • Delayed response to call buttons and neglectful care (mentioned by 2 reviewers)
  • Allegations of improper medication/over-sedation (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.02015(1)3.02016(1)1.02017(1)5.02022(81)5.02024(4)3.42025(5)

Distribution

5
81
4
1
3
1
2
0
1
3
43 reviews posted between Jul 18, 2022Jul 22, 2022 · 43 were 5-star
17 reviews posted between Jul 25, 2022Jul 27, 2022 · 17 were 5-star

How They Respond to Reviews

100%response rate
Generic

The owner relies heavily on repetitive, templated responses that use nearly identical phrasing for almost all 5-star reviews. While they attempt to personalize by using the reviewer's name, the core message remains a copy-paste script.

Questions for Your Tour

  • 1It is wonderful to see how much the management engages with the community through review responses; how does that culture of communication extend to the daily care of residents?
  • 2We have heard great things about the physical therapy results here, so could you tell us more about how the rehab program works with the nursing staff?
  • 3What specific protocols are in place to ensure that call buttons are answered promptly, even during busy shifts?
  • 4How does the nursing team manage medication administration and monitoring to ensure everything is handled accurately and safely?
  • 5What kind of daily activities or social outings are available to help residents stay engaged with one another?
  • 6In the event of a medical emergency during the night, what is the immediate process for getting specialized care for a resident?

Personalized based on this facility's data


Key Review Excerpts

My life companion was there after the first physical therapy told me he will never walk again!!! He is now walking with a walker for very little time

Rehab patient's family · 2024★★★★★

They took care of my 93 yr old grandpa with dementia. He didn't remember me and I thought he might bc I spent my entire childhood attached to his hip or leg. I miss him so very much.

Memory care family member · 2022★★★★★

The staff are first rate. Meals are delicious and nutritional. I especially want to thank the physical therapy department for all of the hard work and encouragement to make me more independent.

Rehab patient · 2025★★★★★
Source: 86 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.17hrs
23%
Registered nurses for medical care
Total Nursing
3.00hrs
73%
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.9%
Better than Avg
Here
4.9%
US
19.4%
TX
14.2%
Lavaca
13.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.5%
Better than Avg
Here
2.5%
US
15.4%
TX
9.4%
Lavaca
14.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Lavaca
1.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.0%
Worse than Avg
Here
19.0%
US
14.4%
TX
16.1%
Lavaca
11.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.3%
Better than Avg
Here
8.3%
US
15.3%
TX
14.9%
Lavaca
8.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Lavaca
99.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
79.7%
TX
88.0%
Lavaca
97.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.1%
Better than Avg
Here
98.1%
US
81.8%
TX
89.2%
Lavaca
96.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.7%
Worse than Avg
Here
5.7%
US
1.6%
TX
1.5%
Lavaca
2.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
1penalties
Near state avg (9.1)
11 complaint-triggered
$8,824 in fines

This facility has significant red flags with 11 complaint-triggered deficiencies from families reporting concerns about resident rights violations, safety hazards, and care planning failures. The most serious issues involve accident prevention and safety supervision, which have recurred multiple times including recent incidents. While most violations show correction dates, one recent resident rights deficiency from December 2024 remains without a correction plan, suggesting ongoing problems with respecting residents' dignity and self-determination.

Jan 16, 2026Routine
9
0578ModerateCorrected

Resident Rights Deficiencies

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.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0921ModerateCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0656MinorCorrected

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.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0690MinorCorrected

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.

0741MinorCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Dec 18, 2025Complaint
1
0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Oct 4, 2024Routine
4
0211ModerateCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0920MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Oct 4, 2024Complaint
3
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921ModerateCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jun 28, 2024Complaint
1
0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 25, 2023Complaint
6
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

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.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Jun 28, 2024

$8,824

Ownership & Operations

Who Operates This Facility

Owner / Operator

Winniestowell Hospital District

Organization Type

for profit

Management Company

REGENCY IHS OF FAIRWINDS HALLETTSVILLE, LLC

Administrator

KEELEY KAINER

Chain Affiliation

Chain Name

Wellsential Health

Chain Size

68 facilities nationwide

Chain avg rating: 2.8/5 · Rank 32 of 67

Ownership & Management

Owners

Regency Ihs of Fairwinds Hallettsville LLC

Owner · Organization

Kainer, Keeley

Owner

Kutac, Melissa

Owner

Olveda, Leah

Owner

Selzer, Kody

Owner

Csv Rhea Management Holdco, LLC

Owner (parent company) · Organization

Dwd TX Holdings LLC

Owner (parent company) · Organization

Jack and Nancy Dwyer Workforce Development Center INC

Owner (parent company) · Organization

Reg Bridge Opco LLC

Owner (parent company) · Organization

Reg Hg 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

Baird, Daniel

Owner (parent company)

Clapp, Barbara

Owner (parent company)

Cortese, Daren

Owner (parent company)

Dekowski, Donovan

Owner (parent company)

Gibson, Patricia

Owner (parent company)

Key personnel

Murrell, EdwardOfficer / DirectorRollo, JefferyOfficer / DirectorStramecki, AnthonyOfficer / DirectorVratis, KaceyOfficer / DirectorWay, GeorgeOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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