ELGIN NURSING AND REHABILITATION CENTER – ELGIN, TX

CMS Verified | 2026-03-01

Elgin Nursing And Rehabilitation Center

1373 NORTH AVENUE C, Elgin, TX 78621
(512) 285-2457
114 beds
All Elgin facilities
2.0*
Overall
2.0*
Health Inspection
3.0*
Quality Care
2.0*
Staffing
63.68
Score /100
#10816
National Rank

#10816
of 14703 facilities
National
26.4% position
#850
of 1177 in TX
State Rank
#5
of 5 in Bastrop
County Rank
#1
of 1 in Elgin
City Rank
#1
of 1 in ZIP 78621
ZIP Rank






About Elgin Nursing And Rehabilitation CenterElgin Nursing And Rehabilitation Center is located at 1373 North Avenue C, Elgin, TX, reachable at (512) 285-2457. This Non profit – Corporation facility operates 114.0 certified beds and serves an average of 98 residents per day. It is part of the Wellsential Health network (67 facilities nationwide). Medicare and Medicaid services have been provided since 2008-02-14. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Elgin Nursing And Rehabilitation Center

Address

1373 North Avenue C, Elgin, TX 78621

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 114 Certified Beds
  • Ownership: Non profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: WELLSENTIAL HEALTH

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 11 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
63.68
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#10816 of 14703 nationally – #850 of 1177 in Texas

Who Is This Facility Best For?

Elgin Nursing And Rehabilitation Center may be considered for families with limited options in Elgin, TX, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

2 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightElgin Nursing And Rehabilitation Center currently provides 2 hours 43 minutes of total nurse staffing per resident per day, including 13 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is 29.7%, near the national average.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing2 hours 43 minutes
Nurse Aide Hours1 hour 45 minutes
Licensed Practical Nurse (LPN) Hours45 minutes
Registered Nurse (RN) Hours13 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 28 minutes
Weekend Registered Nurse (RN) Hours9 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $36,221. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $36221.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 142.75 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#10,816
of 14,703
National
Bottom 26%
#850
TX State
Bottom 28% in TX
#5
of 5
️ Bastrop County
#5 of 5
#1
of 1
️ Elgin
Best in city
#1
of 1
ZIP 78621
Best in ZIP

Nationally, Elgin Nursing And Rehabilitation Center ranks 10816th out of 14,703 facilities (composite score: 63.7/100), placing it in the below average nationwide. Within TX, it ranks 850th out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #13,813 nationally and RN hours rank #13,662 nationally (#994 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.70 #13,098 / 14,703 #985 / 1,177 ⚠️ Bottom 25%
2023 3.15 #10,894 / 14,703 #666 / 1,177 Below average
2024 2.84 #13,188 / 14,703 #898 / 1,177 ⚠️ Bottom 25%
2025 3.06 #12,605 / 14,703 #788 / 1,177 ⚠️ Bottom 25%
2026 2.72 #13,813 / 14,703 #1,059 / 1,177 ⚠️ Bottom 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.19 #13,666 / 14,703 #998 / 1,177 ⚠️ Bottom 10%
2023 0.24 #13,030 / 14,703 #811 / 1,177 ⚠️ Bottom 25%
2024 0.29 #12,636 / 14,703 #716 / 1,177 ⚠️ Bottom 25%
2025 0.38 #11,173 / 14,703 #517 / 1,177 ⚠️ Bottom 25%
2026 0.22 #13,662 / 14,703 #994 / 1,177 ⚠️ Bottom 10%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Elgin Nursing And Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2008-02-14. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (512) 285-2457 or your local Medicaid office to verify current eligibility.

Elgin Nursing And Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (2★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 63.7/100, placing it #10816 of 14703 facilities nationally and #850 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Elgin Nursing And Rehabilitation Center receives a reported average of 2 hours 43 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 13 minutes; Licensed Practical Nurse (LPN) — 45 minutes; Nurse Aide — 1 hour 45 minutes. On weekends, total nurse staffing is 2 hours 28 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 29.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $36,221. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $36,221, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 142.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Elgin Nursing And Rehabilitation Center ranks 10816th out of 14,703 facilities (composite score: 63.7/100), placing it in the below average nationwide. Within TX, it ranks 850th out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #13,813 nationally and RN hours rank #13,662 nationally (#994 in TX). Our composite quality score of 63.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Elgin, visit: https://nursinghomesnearme.org/texas/elgin/

Contact and Location

ADR
Address

1373 NORTH AVENUE C, Elgin, TX 78621
Get directions on Google Maps

TEL
LLC
Legal Name

SMITHVILLE HOSPITAL AUTHORITY

MAP
Browse by Location

All Texas ·
Bastrop County ·
Elgin ·
ZIP 78621

Facility Details

Number of Certified Beds 114
Average Residents / Day 98 (87% occupancy)
Ownership Type Non profit – Corporation
Provider Type Medicare and Medicaid
County Bastrop County, TX
City Elgin, TX
ZIP Code 78621
Approved Since February 14, 2008
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 676180
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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