106 Kahn St., Hallettsville, TX 77964 · Lavaca County · (361) 798-3606
144 certified beds, about 65 residents a day · Government - Hospital district · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675226 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 1, 2026, inspectors cited 6 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 20 health citations since November 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.43 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.
30.2% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Wellsential Health, an affiliated group of 67 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 20 health citations on file.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents received services in the facility, 1 of 4 residents (Resident #2), reviewed for reasonable accommodation. The facility failed to ensure the call light was within reach for Resident #2. This failure could place residents at risk of not being able to call for help as needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen observed for food and nutrition services. The facility failed to ensure dietary staff maintained proper hand hygiene during meal service. These failures could place residents at risk for food borne illness.
Inspectors wroteBased on observation, interview and record review the facility failed to provide pharmaceutical services (including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 1 medication room (main medication room) and 1 of 3 medication carts (100-hall nursing cart) reviewed and 1 of 1 Resident (Resident #20) reviewed for medication storage. 1. The facility failed to ensure an expired packet (total 15 tablets) of gas relief (simethicone 125 mg) was not stored inside the main medication room on 04/29/2026. The medication expired on 02/2025. 2. The facility failed to ensure an expired bottle of cream compound (Ketamine 10%, Diclofenac 5%, and Gabapentin 6% cream) was not stored inside the 100-hall nursing cart on 04/29/2026. The medication expired on 02/11/2026. 3. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure any irregularities reported by the pharmacist to the attending physician, the facility's medical director , and the director of nursing were acted upon for 1 of 5 residents (Resident #35) reviewed for medications. The facility failed follow the facility's Pharmacy Consultant Recommendation for Resident #35's lipid panel (a blood test that measures the amount of fat molecules called lipid in the blood) order due to Simvastatin for high cholesterol. The resident's physician agreed with the recommendation on 04/06/2026. This failure could place residents at risk for adverse consequences and could cause a decline in their physical, mental, and psychosocial condition.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable and failed to ensure in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls, and permitted only authorized personnel to have access to the keys for 1 of 8 residents (Resident #57) reviewed for medication storage and labels. 1. The facility failed to ensure nurses put a normal saline 10 cc syringe in the cart, instead of leaving it unattended on the nightstand inside Resident #57's room. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to have a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption, for 1 of 8 residents (Residents #57) reviewed for food and nutrition services. The facility failed to ensure foods stored in Resident #57's personal refrigerator were labeled and dated. The failure could place residents at risk for food borne illness.
Inspectors wroteBased on interview and record review the facility failed to ensure, in accordance with accepted professional standards and practices, medical records were maintained that were complete and accurately documented for 1 of 8 residents (Resident #8) reviewed for clinical records. The facility failed to ensure Resident #8's diagnosis of major depression was updated in the residents medical record. This deficient practices could result in errors in care and treatment.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public on 1 of 3 resident hallways (Hallway 100), and 1 of 1 kitchen reviewed for environmental concerns, in that: 1. The facility failed to ensure resident room [ROOM NUMBER], located on hallway 100, had repaired 3 and 5 foot wall scrapes near bed-A and had removed dust and lint from the bathroom ceiling vent. 2. The facility failed to ensure resident room [ROOM NUMBER], located on hallway 100, had repaired a 3x3 inch bathroom door penetration and had repaired an unsecured bathroom wall vent. 3. There was a 4.5- foot piece of floor baseboard molding under the prep table on the right side of the main kitchen that was missing. 4. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen, in that: 1. There was a paper bag containing personal food items from an unapproved source on a cart in the kitchen. 2. [NAME] A had facial hair and was not wearing a facial hair restraint while engaged in food preparation and service in the kitchen. 3. [NAME] B wore jewelry on her right wrist while engaged in food preparation and service in the kitchen. These failures could place residents who received meals and/or snacks from the kitchen at risk for food borne illness.
Inspectors wroteBased on interviews, and record reviews the facility failed to ensure residents' rights to voice grievances to the facility or other agencies or entities that heard grievances without discrimination or reprisal and without fear of discrimination or reprisal for 2 of 8 residents (Resident #34, and #56) reviewed for grievances, in that; 1. The facility failed to ensure the Physical Therapy Director initiated a grievance report on behalf of Resident #34's grievance on 11/21/2023. 2. The facility failed to ensure the Physical Therapy Director, The DON, and the Administrator initiated a grievance report on behalf of Resident #56's grievance on 11/17/2023. This failure could place residents at risk by denying their right to make and have grievances heard and contributed to ill feelings of not being heard and unresolved issues.
Inspectors wroteBased on interview and record review the facility failed to develop and implement written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property and establish policies and procedures to investigate any such allegations for 1 of 1 resident (Resident #34) reviewed for reporting and investigations of alleged abuse, neglect, exploitation, and mistreatment and 14 of 19 staff (RN C, RN D, RN E, LVN G, CNA H, CNA I, CNA J, CNA K, CNA L, CNA M, CNA N, CNA O, the FSS and the AD) reviewed for employee misconduct registry screenings, in that: 1. The facility failed to screen, through the employee misconduct registry, 14 staff, which included; RN C, RN D, RN E, LVN G, CNA H, CNA I, CNA J, CNA K, CNA L, CNA M, CNA N, CNA O, the FSS and the AD. 2. [...]
Inspectors wroteBased on interviews and record reviews the facility failed to ensure all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials, including to the State Survey Agency, for 4 of 10 residents (Residents #1, #7, #10, #34) reviewed for allegations of abuse, neglect, exploitation, and mistreatment, in that: 1. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure residents' right to formulate an advance directive for 2 of 8 residents (Resident #2 and #37) reviewed for advanced directives, in that: 1. Resident #2's attending physician had not printed his name on the OOHDNR when it was signed on [DATE], rendering the document invalid. 2. Resident #37's attending physician had not dated the OOHDNR when it was signed by the family on [DATE] or when the order was written on [DATE], rendering the document invalid. This failure could place residents at-risk of having their end of life wishes dishonored, and of having CPR performed against their wishes.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property. The facility must not use verbal, mental, sexual, or physical abuse, corporal punishment, or involuntary seclusion, for 1 of 1 resident (Resident #34) reviewed for abuse, in that: CNA P was identified in a recorded video transferring Resident #34 from a wheelchair to a bed, against Resident #34's will; evidenced by his calling out Owww! and simultaneously grabbing the wheelchair he was seated in and attempting to stop CNA P from the transfer. This failure could place residents at risk for abuse by denying residents of their rights.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to have evidence that all alleged violations are thoroughly investigated; Prevent further potential abuse, neglect, exploitation, or mistreatment while the investigation is in progress; and report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident, and if the alleged violation is verified appropriate corrective action must be taken for 1 of 1 Resident (Resident #34) reviewed for an investigation of allegations of abuse and neglect, in that: The facility failed to investigate to the state agency allegations of abuse and neglect received on 11/22/2023 for Resident #34. [...]
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care. The baseline care plan must include the minimum healthcare information necessary to properly care for a resident for 1 of 8 residents (Resident #269) reviewed for healthcare information necessary to properly care for a Resident, in that: The facility failed to care plan Resident #269's need for a peripherally inserted central catheter (also known as a PICC line - percutaneous indwelling central catheter, is a form of intravenous access that can be used for a prolonged period for administration of intravenous in the vein medications). [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure that the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment for 2 of 8 residents (Residents #2 and #49) for care plan revisions, in that: 1. Resident #2's care plan was not revised to reflect fall interventions after a fall on 12/27/2023 and had not been updated to address Resident #2's new respiratory needs. 2. Resident #49's care plan was not revised to reflect smoking interventions identified in an updated smoking assessment on 10/26/2023. This failure could place residents at risk of receiving inappropriate care.
Inspectors wroteBased on interviews and record reviews the facility failed to ensure residents who are trauma survivors received culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents' experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the Resident for 1 of 8 residents (Resident #56) reviewed for surviving trauma, in that: The facility failed to provide care in a manner to eliminate and/or mitigate triggers for Resident #56's Post Traumatic Stress due to a rape assault. This failure could place residents at risk for triggering re-traumatization.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to provide food that was palatable, attractive, and prepared by methods which conserved the nutritive value, flavor, and appearance for 1 of 1 meal (noon meal) reviewed for food palatability and nutritive value, in that: 1. The facility served Resident #40 a hamburger with a greenish-gray color substance on the bottom bun. 2. The facility failed to follow the recipe for Resident #32's tuna salad sandwich. This failure could place all residents who ate meals prepared from the kitchen at risk of food borne illness, possible weight loss, altered nutritional status, and diminished quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an Infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 1 of 3 residents (Resident #1) reviewed for infection control, in that: CNA A did not wash or sanitize her hands between change of gloves during incontinent care for Resident #1. These deficient practices could place residents at-risk for infection due to improper care practices.
12 fire safety citations on file: 5 on May 1, 2026, 3 on March 7, 2025, 4 on January 26, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.43 | 3.39 | 3.86 |
| Registered nurses | 0.35 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.14 | 2.98 | 3.42 |
| Nurse aides | 2.09 | ||
| Licensed practical nurses | 1.00 | ||
| Nursing staff turnover (share who left in a year) | 30.2% | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.81 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.55 on weekdays and 3.14 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.27 in April to June 2025 to 3.43 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.43 | 0.35 | 3.55 | 3.14 | 0.0% | 0 of 90 | 65 |
| Oct to Dec 2025 | 3.37 | 0.32 | 3.49 | 3.06 | 0.0% | 0 of 92 | 67 |
| Jul to Sep 2025 | 3.27 | 0.29 | 3.39 | 2.96 | 0.0% | 0 of 92 | 67 |
| Apr to Jun 2025 | 3.27 | 0.29 | 3.40 | 2.93 | 0.0% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.1 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.4 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.9 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.2 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 8.1 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.6 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Stevens Nursing and Rehabilitation Center of Halle's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (41.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
41.7% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 36 eligible stays.
11.2% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 58 eligible stays.
6.8% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 28 eligible stays.
51.7% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 29 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 38 residents counted.
2.3% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 38 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 4 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: CITIZENS MEDICAL CENTER COUNTY OF VICTORIA. CMS links this home to Wellsential Health, a group of 67 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Citizens Medical Center County of Victoria | 5% or greater direct ownership interest | Organization | 100% | 03/01/2014 |
| Regency IHS of Hallettsville LLC | Direct ownership interest | Organization | 03/01/2014 | |
| Csv Rhea Management Holdco, LLC | Indirect ownership interest | Organization | 03/01/2014 | |
| Dwd Tx Holdings LLC | Indirect ownership interest | Organization | 03/01/2014 | |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | Organization | 03/01/2014 | |
| Reg Hg Opco 1, LLC | Indirect ownership interest | Organization | 03/01/2014 | |
| Reg Hg Opco LLC | Indirect ownership interest | Organization | 03/01/2014 | |
| Reg Operator Holdco LLC | Indirect ownership interest | Organization | 03/01/2014 | |
| Regency Texas Holdings LLC | Indirect ownership interest | Organization | 03/01/2014 | |
| Baird, Daniel | Managing control - governing body | Individual | 04/13/2021 | |
| Carvajal, Antonio | Managing control - governing body | Individual | 05/16/2024 | |
| Clapp, Barbara | Managing control - governing body | Individual | 06/01/2021 | |
| Cortese, Daren | Managing control - governing body | Individual | 08/10/2021 | |
| Galvin, Ben | Managing control - governing body | Individual | 06/16/2014 | |
| Gibson, Patricia | Managing control - governing body | Individual | 08/01/2021 | |
| Gonzales, Veronica | Managing control - governing body | Individual | 05/16/2024 | |
| Gorouhi, Fariborz | Managing control - governing body | Individual | 07/01/2023 | |
| Guerra, Luis | Managing control - governing body | Individual | 01/01/2009 | |
| Holm, Paul | Managing control - governing body | Individual | 01/01/2007 | |
| Kaufman, Nicole | Managing control - governing body | Individual | 08/10/2021 | |
| Mandelbaum, Elliot | Managing control - governing body | Individual | 01/01/2025 | |
| Marshall, Russell | Managing control - governing body | Individual | 04/23/2014 | |
| Neumann, James | Managing control - governing body | Individual | 05/31/2016 | |
| Olson, Michael | Managing control - governing body | Individual | 11/12/2015 | |
| Thomas, Ashlie | Managing control - governing body | Individual | 07/01/2023 | |
| Olson, Michael | Corporate officer | Individual | 11/12/2015 | |
| Citizens Medical Center County of Victoria | Operational/managerial control | Organization | 03/01/2014 | |
| Regency IHS of Hallettsville LLC | Operational/managerial control | Organization | 03/01/2014 | |
| Regency Integrated Health Services LLC | Operational/managerial control | Organization | 03/01/2014 | |
| Dekowski, Donovan | Operational/managerial control | Individual | 03/01/2014 | |
| Velasco, Nehemias | Operational/managerial control | Individual | 04/25/2019 | |
| 106 Kahn Street LLC | Adp of the SNF | Organization | 03/01/2014 | |
| Citizens Medical Center County of Victoria | Adp of the SNF | Organization | 03/01/2014 | |
| Regency IHS Clinical Consulting, LLC | Adp of the SNF | Organization | 03/01/2014 | |
| Regency IHS Master Tenant LLC | Adp of the SNF | Organization | 03/01/2014 | |
| Regency IHS of Hallettsville LLC | Adp of the SNF | Organization | 03/27/2025 | |
| Regency IHS Rehab LLC | Adp of the SNF | Organization | 03/01/2014 | |
| Regency Integrated Health Services LLC | Adp of the SNF | Organization | 03/27/2025 | |
| Dekowski, Donovan | Adp of the SNF | Individual | 03/01/2014 | |
| Heard, Mark | Adp of the SNF | Individual | 01/01/2025 | |
| Velasco, Nehemias | Adp of the SNF | Individual | 04/25/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.