Elgin Nursing and Rehabilitation Center
1373 North Avenue C · Elgin, TX · 78621 · 5122852457
114 certified beds Non profit - Corporation Chain: Wellsential Health
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
RN staffing in the bottom 10% nationally
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.79 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 2.46 | ≈ weekday level |
| Nursing turnover / year | 29% | median 45% |
| Fines (3-yr window) | 1 · $36,221 |
Inspection citations (27 in the current record)
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Potential for harm · D April 17, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K April 25, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · E April 25, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · D April 25, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 25, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · E April 25, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 28, 2025 · Nutrition and Dietary
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Potential for harm · E April 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 28, 2025 · Nutrition and Dietary
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Potential for harm · D April 25, 2025
Provide and implement an infection prevention and control program.
Corrected April 28, 2025 · Infection Control
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Potential for harm · D April 4, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 5, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 10, 2024 · Quality of Life and Care
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Potential for harm · E March 5, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2024
Provide activities to meet all resident's needs.
Corrected March 19, 2024 · Quality of Life and Care
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Potential for harm · D March 5, 2024
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.
Corrected March 19, 2024 · Quality of Life and Care
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Potential for harm · E March 5, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 19, 2024 · Quality of Life and Care
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Potential for harm · E March 5, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 19, 2024 · Nutrition and Dietary
-
Potential for harm · E March 5, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 19, 2024 · Nutrition and Dietary
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Potential for harm · D March 5, 2024
Provide and implement an infection prevention and control program.
Corrected March 19, 2024 · Infection Control
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Potential for harm · D October 9, 2023 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected October 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · E July 12, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D February 14, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 10, 2023 · Resident Rights
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Potential for harm · D February 14, 2023
Ensure each resident receives an accurate assessment.
Corrected March 10, 2023 · Resident Assessment and Care Planning
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Potential for harm · D February 14, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 10, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D February 14, 2023
Provide activities to meet all resident's needs.
Corrected March 10, 2023 · Quality of Life and Care
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Potential for harm · E February 14, 2023
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.
Corrected March 10, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 25, 2025 | Fine | $36,221 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676180 · certified since February 14, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.