Elgin Nursing and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Elgin Nursing and Rehabilitation Center is a 114-bed nonprofit nursing home in Elgin, Texas, part of Wellsential Health. In the CMS August 2026 release it reported 1.98 nurse aide hours per resident per day, about the same as the Texas average of 2.00, and 33.3% nursing staff turnover (Texas average 55.3%).
Elgin Nursing and Rehabilitation Center
1373 North Avenue CElgin, TX 78621
Bastrop County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Elgin Nursing and Rehabilitation Center, nurse aides logged 1.98 hours per resident per day, about the same as the Texas average. With about 95 residents a day, that works out to roughly 188 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.98 | 2.00 | 2.32 |
| Licensed practical nurses | 0.75 | 0.95 | 0.86 |
| Registered nurses | 0.31 | 0.43 | 0.69 |
| All nursing staff | 3.04 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.69 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
33.3% of nursing staff at Elgin Nursing and Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 0.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 25, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $36,221 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 25, 2025 | Fine | $36,221 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Elgin Nursing and Rehabilitation Center holds 2 of 5 overall; the Texas average is 2.6.
About Elgin Nursing and Rehabilitation Center
- Ownership: Non profit - Corporation
- Chain: Wellsential Health, 67 homes
- Legal name: Smithville Hospital Authority
- Medicare and Medicaid certified since: Feb 14, 2008
- Councils: resident council
- Area: urban
Nursing homes near Elgin Nursing and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Oakcrest Nursing and Rehabilitation Center Austin | 13.8 | 67 | 1.84 | 2.68 | 34.1% | 3 | $31,959 |
| Pflugerville Nursing and Rehabilitation Center Pflugerville | 15.4 | 120 | 1.90 | 2.89 | 31.3% | 5 | None |
| Falcon Ridge Rehabilitation Hutto | 15.5 | 140 | 1.91 | 2.99 | 40.8% | 2 | $8,577 |
| Spjst Rest Home 1 Taylor | 15.8 | 96 | 2.80 | 3.78 | 50.6% | 2 | $122,722 |
| Five Points of Pflugerville Pflugerville | 16.1 | 111 | 1.93 | 3.08 | 71.6% | 1 | $59,449 |
| Legend Oaks Healthcare and Rehabilitation - North Austin · abuse citation | 16.6 | 124 | 2.10 | 3.17 | — | 1 | $42,726 |
| Sedona Trace Health and Wellness Center Austin | 17.5 | 119 | 1.96 | 3.04 | — | 3 | $11,168 |
| Silver Pines Nursing and Rehabilitation Center Bastrop | 17.5 | 114 | 2.03 | 3.05 | 44.3% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.