Nursing home
Elgin Nursing and Rehabilitation Center
1373 North Avenue C, Elgin, TX 78621 · Map
Non profit - Corporation · Part of Wellsential Health (67 facilities) · 114 certified beds
Elgin Nursing and Rehabilitation Center is a Medicare-certified nursing home in Elgin, Texas. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.72 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Apr 25, 2025 cited 8 deficiencies.
- 1 fine totaling $36,221In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Elgin Nursing and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.72 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.22 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.75 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 29.7% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $36,221, 1 total penalty.
What inspectors found at Elgin Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 4, 2025 · Full report (PDF) - Immediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Apr 25, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Apr 4, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Mar 21, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 5, 2024 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Mar 5, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1373 North Avenue C
Elgin, TX 78621 - CMS certification #
- 676180
- Ownership
- Non profit - Corporation
- Certified beds
- 114
- Avg residents/day
- 98.9
- Provider type
- Medicare and Medicaid
- First certified
- 2008-02-14
- Chain
- Wellsential Health (67 facilities)
- Setting
- Urban
Part of Wellsential Health
Wellsential Health operates 67 nursing facilities across the United States. View all Wellsential Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Elgin Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says Respite stays, diabetes care, transportation, secured outdoor area
- Staff pay 1 federal wage case with violations found, since 2008
Full public records, with dates and sources
Care and services
From the community’s website
What Elgin Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Offers diabetes care.
Diabetes Care and Management
(page, checked Oct 12, 2026) - Provides transportation.
Transportation
(page, checked Oct 12, 2026) - Has a secured outdoor area.
Private and Secure Courtyard for Memory Support Unit
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Semi-Private Rooms
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Feb 15, 2008 to Apr 15, 2009. Violations found: Overtime. Back wages: $1,925 owed to 1 employee. Employer as DOL recorded it: Elgin Nursing and Rehabilitation Center (Regency Nursing Center Partners of Elgin, Ltd). Case 1577421.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Baylor Scott & White Medical Center Pflugerville, Pflugerville. 13.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Oakcrest Nursing and Rehabilitation Center, Austin. 13.8 miles away, straight line.
- Nearest home health agency office
- A Prime Medical Home Health Inc, Manor. 6.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78621 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Fkc Pflugerville, Pflugerville, 14.2 miles away, straight line (CMS rating 5 of 5 stars)
Davita Taylor Dialysis, Taylor, 14.7 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 34 Medicare hospices tell CMS they serve ZIP code 78621.
Magnolia Hospice, office in Pflugerville, 17.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Vitalcaring Group, office in Round Rock, 18.0 miles away, straight line
Serenity Hospice, office in Bastrop, 18.4 miles away, straight line - Nearest geriatric medicine practice
- Scott And White Clinic, Manor. 10.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Elgin Nursing and Rehabilitation Center a good nursing home?
CMS gives Elgin Nursing and Rehabilitation Center an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Elgin Nursing and Rehabilitation Center staffed?
Elgin Nursing and Rehabilitation Center reports 2.72 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Elgin Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Elgin Nursing and Rehabilitation Center have?
Elgin Nursing and Rehabilitation Center is certified for 114 beds.