Federal inspection record · CMS data as of October 1, 2026
Hallettsville Nursing And Rehabilitation Center
825 W Fairwinds, Hallettsville, TX · (361) 798-3268
- Certified beds
- 119
- Residents per day
- 70
- Ownership
- Government
- Chain
- Wellsential Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 26, 1992
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Hallettsville Nursing And Rehabilitation Center carries 49 inspection points. That is fewer than 68% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
19 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning5D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Rights3E
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary2F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Quality of Life and Care2D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service1E
- E
Ensure medication error rates are not 5 percent or greater.
Inspection history
2026-01-16
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-10-04
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2023-08-25
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 14 min of nursing staff time a day, 12 min of it from a registered nurse.
This home
3 h 14 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,824 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-28 | Fine | $8,824 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 1.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 2.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse | 5.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 1.8% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4 pts better | 13.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6 pts better | 3.8% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.5 pts better | 2.4% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts better | 6.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.9 pts better | 2.6% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 2.5% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better | 98.2% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.7 pts better | 5.5% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse | 2.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.6 pts better | 98.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.7 pts worse | 26.2% | 25.5% | 23.4% |
·
Who owns and runs it
67 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 825 Fairwinds Street LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| 825 Fairwinds Street LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Baird, Daniel | Indirect Ownership Interest · Individual | 0% | 58 facilities |
| Baird, Daniel | Operational/Managerial Control · Individual | 0% | 58 facilities |
| Baird, Daniel | Adp Of The SNF · Individual | 0% | 58 facilities |
| Clapp, Barbara | Indirect Ownership Interest · Individual | 0% | 69 facilities |
| Clapp, Barbara | Operational/Managerial Control · Individual | 0% | 69 facilities |
| Clapp, Barbara | Adp Of The SNF · Individual | 0% | 69 facilities |
| Cortese, Daren | Indirect Ownership Interest · Individual | 0% | 58 facilities |
| Cortese, Daren | Operational/Managerial Control · Individual | 0% | 58 facilities |
| Cortese, Daren | Adp Of The SNF · Individual | 0% | 58 facilities |
| Csv Rhea Management Holdco, LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Csv Rhea Management Holdco, LLC | Operational/Managerial Control · Organization | 0% | 63 facilities |
| Csv Rhea Management Holdco, LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Dekowski, Donovan | Indirect Ownership Interest · Individual | 0% | 69 facilities |
| Dekowski, Donovan | Operational/Managerial Control · Individual | 0% | 69 facilities |
| Dekowski, Donovan | Adp Of The SNF · Individual | 0% | 69 facilities |
| Dwd Tx Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Dwd Tx Holdings LLC | Operational/Managerial Control · Organization | 0% | 63 facilities |
| Dwd Tx Holdings LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Gibson, Patricia | Indirect Ownership Interest · Individual | 0% | 57 facilities |
| Gibson, Patricia | Operational/Managerial Control · Individual | 0% | 57 facilities |
| Gibson, Patricia | Adp Of The SNF · Individual | 0% | 57 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Indirect Ownership Interest · Organization | 0% | 68 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Operational/Managerial Control · Organization | 0% | 68 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Adp Of The SNF · Organization | 0% | 68 facilities |
| Kainer, Keeley | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Kainer, Keeley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kainer, Keeley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kutac, Melissa | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Kutac, Melissa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kutac, Melissa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Murrell, Edward | Corporate Officer · Individual | 0% | 77 facilities |
| Olveda, Leah | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Olveda, Leah | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Olveda, Leah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Reg Bridge Opco LLC | Indirect Ownership Interest · Organization | 0% | 19 facilities |
| Reg Bridge Opco LLC | Operational/Managerial Control · Organization | 0% | 19 facilities |
| Reg Bridge Opco LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Reg Hg Opco LLC | Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Reg Hg Opco LLC | Operational/Managerial Control · Organization | 0% | 39 facilities |
| Reg Hg Opco LLC | Adp Of The SNF · Organization | 0% | 39 facilities |
| Reg Operator Holdco LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Reg Operator Holdco LLC | Operational/Managerial Control · Organization | 0% | 63 facilities |
| Reg Operator Holdco LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Regency Ihs Clinical Consulting, LLC | Operational/Managerial Control · Organization | 0% | 70 facilities |
| Regency Ihs Clinical Consulting, LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Ihs Of Fairwinds Hallettsville LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Regency Ihs Of Fairwinds Hallettsville LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Regency Ihs Of Fairwinds Hallettsville LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Regency Ihs Rehab LLC | Operational/Managerial Control · Organization | 0% | 68 facilities |
| Regency Ihs Rehab LLC | Adp Of The SNF · Organization | 0% | 68 facilities |
| Regency Integrated Health Services LLC | Indirect Ownership Interest · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Operational/Managerial Control · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Texas Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Regency Texas Holdings LLC | Operational/Managerial Control · Organization | 0% | 63 facilities |
| Regency Texas Holdings LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Rollo, Jeffery | Corporate Officer · Individual | 0% | 36 facilities |
| Selzer, Kody | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Selzer, Kody | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Selzer, Kody | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stramecki, Anthony | Corporate Officer · Individual | 0% | 36 facilities |
| Vratis, Kacey | Corporate Officer · Individual | 0% | 33 facilities |
| Way, George | Corporate Officer · Individual | 0% | 36 facilities |
| Winnie-Stowell Hospital District | Operational/Managerial Control · Organization | 0% | 18 facilities |
| Winnie-Stowell Hospital District | Adp Of The SNF · Organization | 0% | 18 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
Smoke2F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure proper usage of power strips and extension cords.
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Other homes nearby
-
Stevens Nursing And Rehabilitation Center Of Halle
Hallettsville, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0
-
Shiner Nursing and Rehabilitation Center
Shiner, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 54 min
- Fines
- $0
-
Yoakum Nursing And Rehabilitation Center
Yoakum, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 58 min
- Fines
- $13,627