Elgin Nursing and Rehabilitation Center
Nursing home in Elgin, Texas, CMS certification number 676180
1373 North Avenue C, Elgin, TX 78621 · Bastrop County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 114
- Certified for
- Medicare and Medicaid
- Last standard inspection
- June 16, 2026
- Deficiencies at that inspection
- 12
- Fines in 3 years
- $36,221 (1)
Does Elgin Nursing and Rehabilitation Center take Medicare and Medicaid?
Yes to both. Elgin Nursing and Rehabilitation Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours Elgin Nursing and Rehabilitation Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.98
- Registered nurse hours
- 0.33
- Licensed practical nurse hours
- 0.70
- Nurse aide hours
- 1.95
- Weekend total hours
- 2.56
- Nursing staff turnover
- 33.8%
- Registered nurse turnover
- 33.3%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on June 16, 2026 and cited 12 deficiencies, plus 3 from complaint visits.
The visit before, on April 25, 2025, found 7.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Elgin Nursing and Rehabilitation Center 1 time in the past 3 years, for $36,221 in total.
Beds and residents
On an average day 96.3 residents live here, about 84% of its 114 certified beds.
- Certified beds
- 114
- Average residents per day
- 96.3
- Certified since
- February 14, 2008
- Inside a hospital
- Yes
- Resident or family council
- Resident
Who owns Elgin Nursing and Rehabilitation Center
- Legal business name
- Smithville Hospital Authority
- Ownership type
- Non profit - Corporation
- Chain
- 67 homes nationally under Wellsential Health, 2.8-star chain average
Other nursing homes near Elgin Nursing and Rehabilitation Center
- Oakcrest Nursing and Rehabilitation Center9808 Crofford Ln, Austin 78724
- Pflugerville Nursing and Rehabilitation Center104 Rex Kerwin Court, Pflugerville 78660
- Falcon Ridge Rehabilitation149 Klattenhoff Lane, Hutto 78634
- Spjst Rest Home 11810 Old Granger Road, Taylor 76574
- Five Points of Pflugerville521 South Heatherwilde Boulevard, Pflugerville 78660
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Elgin Nursing and Rehabilitation Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Elgin Nursing and Rehabilitation Center
What is the CMS star rating of Elgin Nursing and Rehabilitation Center?
2 out of 5 stars overall.
Does Elgin Nursing and Rehabilitation Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Elgin Nursing and Rehabilitation Center?
12 cited at the last standard visit.
Who owns Elgin Nursing and Rehabilitation Center?
Smithville Hospital Authority, non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.