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Elgin Nursing and Rehabilitation Center

All states › Texas › Elgin › Elgin Nursing and Rehabilitation Center

1373 North Avenue C Elgin, TX 78621 · Bastrop County

(512) 285-2457

Accepts Medicare Accepts Medicaid 114 certified beds Non profit

CMS certification number 676180 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Elgin Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Elgin Nursing and Rehabilitation Center as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 29 citations in the last three years. CMS imposed 1 penalty, including $36,221 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 4 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 2.98 hours per resident per day at Elgin Nursing and Rehabilitation Center, below the Texas median of 3.30 (US median: 3.72). About 0.33 of those hours are from registered nurses. On weekends it falls to 2.56 hours, 14% below its all-week average. 33.8% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.

Nursing care per resident per day 2.98 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.33 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.56 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 33.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 33.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds114
Residents per day 96 About 84% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 2008
Part of a chainWellsential Health
Legal business nameSMITHVILLE HOSPITAL AUTHORITY
Located in a hospitalYes

Paying for care at Elgin Nursing and Rehabilitation Center: Medicare and Medicaid

Elgin Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on June 16, 2026 and found 9 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 29 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 29 citations at Elgin Nursing and Rehabilitation Center across 9 inspection dates, 6 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 25, 2025. The most common areas cited were quality of life and care (8) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level K, April 25, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.

July 28, 2026 · 1 citation · includes complaint inspection

DProvide care or services that was trauma informed and/or culturally competent.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Complaint inspection · Deficient, Provider has date of correction (Jul 30, 2026)

June 16, 2026 · 9 citations

ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Jul 10, 2026)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 10, 2026)

EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Jul 10, 2026)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jul 10, 2026)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Jul 10, 2026)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jul 10, 2026)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 10, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jul 10, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 10, 2026)

April 17, 2026 · 1 citation · includes complaint inspection

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (May 1, 2026)

December 4, 2025 · 1 citation · includes complaint inspection

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Deficient, Provider has date of correction (Dec 5, 2025)

April 25, 2025 · 7 citations, includes immediate jeopardy

KProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Apr 28, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Apr 28, 2025)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Apr 28, 2025)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Apr 28, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 28, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 28, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 28, 2025)

April 4, 2024 · 1 citation · includes complaint inspection

DProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (Apr 5, 2024)

March 21, 2024 · 1 citation · includes complaint inspection

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Apr 10, 2024)

March 5, 2024 · 7 citations

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Mar 19, 2024)

EProvide care or services that was trauma informed and/or culturally competent.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Deficient, Provider has date of correction (Mar 19, 2024)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Mar 19, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 19, 2024)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Mar 19, 2024)

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Mar 19, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Mar 19, 2024)

October 9, 2023 · 1 citation · includes complaint inspection

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Complaint inspection · Deficient, Provider has date of correction (Oct 30, 2023)

Questions to ask on a tour of Elgin Nursing and Rehabilitation Center

  1. Inspectors cited the home at the immediate-jeopardy level on April 25, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on June 16, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $36,221 in fines.

DateTypeAmount or length
Apr 25, 2025 Fine $36,221

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 2/5 3/5
August 2026 2/5 2/5 2/5 4/5
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Location

Hospitals near Elgin Nursing and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Oakcrest Nursing and Rehabilitation Center Austin · 13.8 mi away ★★★★☆ Inspection 2/5 · Staffing 5/5 67 beds · Medicaid
Pflugerville Nursing and Rehabilitation Center Pflugerville · 15.4 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 120 beds · Medicaid
Falcon Ridge Rehabilitation Hutto · 15.5 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 140 beds · Medicaid
Spjst Rest Home 1 Taylor · 15.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 96 beds · Medicaid
Five Points of Pflugerville Pflugerville · 16.1 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 111 beds · Medicaid

More nursing homes near Elgin Nursing and Rehabilitation Center ›   All nursing homes in Elgin ›

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Other Wellsential Health nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 67 Wellsential Health nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/elgin/elgin-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.