Hallettsville, TX

Hallettsville Nursing And Rehabilitation

3-star overall rating with 4-star inspections with $8,824 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

825 W Fairwinds, Hallettsville, TX

(361) 798-3268

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

119

Certified beds

Average residents

77

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Wellsential Health

Operator or chain grouping

Approved since

1992-10-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.17

Registered nurse staffing

LPN hours / resident day

0.86

Licensed practical nurse staffing

Aide hours / resident day

2.07

Nurse aide staffing

Weekend hours

2.70

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

42%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.2
2.1
1.1 pts worse
1.9
1.3 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.5
2.1
1.4 pts worse
1.8
1.7 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.1%
2.9 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
97.9%
2.1 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.4%
3.3%
3.1 pts worse
3.3%
3.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
2.7%
2.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.3%
3.3%
1 pts worse
5.4%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.8%
18.9%
0.9 pts worse
19.6%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 4.3%
10.8%
6.5 pts better
16.7%
12.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 11.9%
15.4%
3.5 pts better
16.3%
4.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 21.2%
16.1%
5.1 pts worse
14.9%
6.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.5%
0.5 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.4%
0.8%
0.4 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 7.4%
15.0%
7.6 pts better
19.8%
12.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.9%
4.2%
2.3 pts better
5.1%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
89.7%
9 pts better
81.7%
17 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.0%
12.0%
4 pts better
12.0%
4 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 6.9%
1.5%
5.4 pts worse
1.6%
5.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.1%
88.0%
9.1 pts better
79.7%
17.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 35.0%
25.9%
9.1 pts worse
23.9%
11.1 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-04 · Fire 2024-10-04

4 health deficiencies

Top issue: Environmental (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-08-25 · Fire 2023-08-25

7 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-07-08 · Fire 2022-07-08

1 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-04

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-11-01

F · Potential for more than minimal harm 2024-10-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-10-04

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-01

E · Potential for more than minimal harm 2023-08-25

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-09-19

D · Potential for more than minimal harm 2022-07-08

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-07-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-18

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Not marked corrected

E · Potential for more than minimal harm 2024-10-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-22

E · Potential for more than minimal harm 2024-10-04

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-10-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-22

G · Actual harm 2024-06-28

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-02

F · Potential for more than minimal harm 2023-08-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-08-28

D · Potential for more than minimal harm 2023-08-25

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-08-28

D · Potential for more than minimal harm 2023-08-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-08-28

D · Potential for more than minimal harm 2023-08-25

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-28

D · Potential for more than minimal harm 2023-08-25

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-08-28

D · Potential for more than minimal harm 2023-08-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-28

D · Potential for more than minimal harm 2022-07-08

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2022-07-18

Penalties and ownership

What sits behind the stars

$8,824 2024-06-28

Fine

Fine · fine $8,824

Fine

Ownership

Winnie-Stowell Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 75 facilities 2014-08-31
825 Fairwinds Street LLC

Operational/Managerial Control · Organization

0% 1 facilities 2018-10-01
Baird, Daniel

Operational/Managerial Control · Individual

0% 4 facilities 2021-04-13
Clapp, Barbara

Operational/Managerial Control · Individual

0% 5 facilities 2021-06-01
Cortese, Daren

Operational/Managerial Control · Individual

0% 4 facilities 2021-08-10
Csv Rhea Management Holdco, LLC

Operational/Managerial Control · Organization

0% 6 facilities 2018-10-01
Dekowski, Donovan

Operational/Managerial Control · Individual

0% 59 facilities 2018-10-01
Dwd Tx Holdings LLC

Operational/Managerial Control · Organization

0% 5 facilities 2018-10-01
Gibson, Patricia

Operational/Managerial Control · Individual

0% 4 facilities 2021-08-01
Jack And Nancy Dwyer Workforce Development Center Inc

Operational/Managerial Control · Organization

0% 5 facilities 2018-10-01
Kainer, Keeley

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-15
Kutac, Melissa

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Murrell, Edward

Corporate Officer · Individual

0% 77 facilities 2016-11-22
Olveda, Leah

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Reg Bridge Opco LLC

Operational/Managerial Control · Organization

0% 2 facilities 2018-10-01
Reg Hg Opco LLC

Operational/Managerial Control · Organization

0% 3 facilities 2018-10-01
Reg Operator Holdco LLC

Operational/Managerial Control · Organization

0% 5 facilities 2018-10-01
Regency Ihs Clinical Consulting, LLC

Operational/Managerial Control · Organization

0% 3 facilities 2018-10-01
Regency Ihs Of Fairwinds Hallettsville LLC

Operational/Managerial Control · Organization

0% 1 facilities 2018-10-01
Regency Ihs Rehab LLC

Operational/Managerial Control · Organization

0% 4 facilities 2018-10-01
Regency Integrated Health Services LLC

Operational/Managerial Control · Organization

0% 55 facilities 2018-10-01
Regency Texas Holdings LLC

Operational/Managerial Control · Organization

0% 5 facilities 2018-10-01
Rollo, Jeffery

Corporate Officer · Individual

0% 35 facilities 2021-02-01
Selzer, Kody

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Stramecki, Anthony

Corporate Officer · Individual

0% 34 facilities 2016-11-01
Vratis, Kacey

Corporate Officer · Individual

0% 34 facilities 2020-01-01
Way, George

Corporate Officer · Individual

0% 35 facilities 2018-02-01
Winnie-Stowell Hospital District

Operational/Managerial Control · Organization

0% 75 facilities 2018-10-01

Nearby options

Other facilities in reach

#1

Stevens Nursing And Rehabilitation Center Of Halle

Hallettsville, TX

4-star overall rating with 4-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
2 / 5
Fines
$0
#2

Shiner Nursing And Rehabilitation Center Inc

Shiner, TX

3-star overall rating with 3-star inspections with 12 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
2 / 5
Fines
$0
#3

Yoakum Nursing And Rehabilitation Center

Yoakum, TX

4-star overall rating with 4-star inspections with $13,627 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
1 / 5
Fines
$13,627

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