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Bastrop Lost Pines Nursing and Rehabilitation Cent

430 Old Austin Hwy, Bastrop, TX 78602 · Bastrop County · (512) 321-3527

120 certified beds, about 97 residents a day · Government - Hospital district · Medicare and Medicaid since 2009

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676222 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 30, 2026, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 26 health citations since November 2023, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 3 fines totaling $92,460 in the last three years; the largest was $59,510, and the latest is dated March 20, 2026.

Nurses and nurse aides worked 3.10 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.15 of those hours.

46.8% 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.

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 26 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
9E
2F
Potential for minimal harm
0A
0B
0C
March 20, 2026Complaint inspection · 1 citation
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for one of six residents (Resident #1) reviewed for abuse. The facility failed to ensure Resident #1 was not A. verbally and mentally abused when she was told to shut up, she was nasty, she should be in a psych ward or be demeaned and ridiculed by LVN A, CNA A, and CNA B making her cry as seen on Resident #1's room video footage on 03/08/2026. B. told to walk from her bathroom to her bed with minimum assistance from CNA A and not provided a wheelchair by LVN A and CNA B when Resident #1 asked for her wheelchair resulting in Resident #1 falling and hitting her knee on the bathroom floor as seen on Resident #1's room video footage on 03/08/2026 The noncompliance was identified as Past Noncompliance. [...]
January 30, 2026Standard inspection · 2 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on interviews, observations, and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 48 of 90 days reviewed for RN coverage. [...]
  2. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing and mental and psychosocial needs that were identified in the comprehensive assessment and described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 6 residents (Residents #10, #18, and Resident #56) reviewed for care plans. The facility failed to develop comprehensive person-centered care plans for Residents #10, #18, and #56 by not care planning for the residents' refusals to take showers. This failure could place residents at risk of not having their needs met to attain their highest practicable well-being.
December 10, 2025Complaint inspection · 1 citation
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 12, 2025
    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 diseases and infections, for two residents (Resident #1 and Resident #2) of twelve residents observed for infection control practices. The facility failed to ensure a sanitary environment for Resident #1 and Resident #2. This failure could place residents that require assistance with personal care at risk for healthcare associated cross-contamination and infections.
November 18, 2025Complaint inspection · 3 citations
  1. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 19, 2025
    Inspectors wroteBased on observation, interview, and record review facility failed to provide comfortable and safe rooms for residents for 4 of 11 residents (Resident #1, Resident #2, Resident #3, and Resident #4) reviewed for environment. The facility failed to ensure Resident #1, Resident #2, Resident #3, and Resident #4's bedroom floor was clean from trash, food crumbs and a dried spilled substance that appeared to be coffee. Resident #4's bathroom had a brown substance around the base of the toilet, used paper towels on the resident's bathroom floor, and a half black ring in the toilet. The failure could place residents at risk of living in an uncomfortable and unsafe environment, decreased feelings of self-worth, and a diminished quality of life.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 19, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed make sure that drugs are stored properly and only authorized persons have access for 1 of 4 medication carts (MC #1) reviewed for drug storage and labeling. The facility failed to ensure the 300-hall medication cart was locked and medications were secured and not accessible to other staff, residents, or visitors. This failure could place residents at risk of having unauthorized access to medications, decreased effectiveness of medication, or missing medications. Findings Included: Observation of 300-hall on 10/07/2025 at 8:25 a.m., revealed MC #1 was unattended and unlocked. MA A was at the nurses station talking to another staff member with her back turned away from the cart. The medication cart was up against the wall by the dining room entrance. The locking mechanism was protruding outward on the medication cart. [...]
  3. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 19, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed make sure that drugs are stored properly and only authorized persons have access for 1 of 4 medication carts (MC #1) reviewed for drug storage and labeling. The facility failed to ensure the 300-hall medication cart was locked and medications were secured and not accessible to other staff, residents, or visitors. This failure could place residents at risk of having unauthorized access to medications, decreased effectiveness of medication, or missing medications. Findings Included: Observation of 300-hall on 10/07/2025 at 8:25 a.m., revealed MC #1 was unattended and unlocked. MA A was at the nurses station talking to another staff member with her back turned away from the cart. The medication cart was up against the wall by the dining room entrance. The locking mechanism was protruding outward on the medication cart. [...]
December 5, 2024Standard inspection, Complaint inspection · 9 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wrotecomfortable, and homelike environment, allowing the resident to use his or her personal belongings to the extent possible for five of sixteen (room [ROOM NUMBER], 307, 313, 315, and 316) rooms reviewed for environmental conditions. 1) The facility failed to securely attach a sink basin to the wall, which ensured that the sink did not move or fall off in room [ROOM NUMBER]. 2) The facility failed to ensure the wall in room [ROOM NUMBER] was free from black scuff marks and large patches of peeling paint. 3) The facility failed to ensure the bed in room [ROOM NUMBER] had a footboard to prevent the mattress from sliding down and off the bed. 4) The facility failed to ensure the window in room [ROOM NUMBER] and room [ROOM NUMBER] closed properly without a gap to the outside to ensure proper room temperature could be held and to protect the residents from potential of vandalism or break-in. [...]
  2. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on observations, interview and record review, the facility failed to ensure a residents who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for two of eight residents (Resident # 5, and Resident #79) reviewed ADL care. 1. The facility failed to ensure Resident #5 and Resident #79 nails were cleaned, trimmed, and did not have any rough edges on 12/03/2024. This failure could place residents at risk for poor hygiene, dignity issues, and decreased quality of life.
  3. E
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for 1 of 7 residents (Resident #84) reviewed for limited range of motion. The facility failed to ensure Resident #84 was evaluated, treated, and had interventions in place for hand contractures (permanent tightening of the muscles, tendons, skin, and surrounding tissues that causes the joints to shorten and stiffen and a decrease in range of motion) . This deficient practice could place at risk for decrease in mobility, range of motion, further decline, future injuries, pain and contribute to worsening of contractures.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to establish and 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 diseases and infections for three of eight residents(Resident # 21, Resident #85, and Resident #95) reviewed for infection control. 1. The facility failed to secure the ice chest and prevent Resident # 85 from placing her fingers and hands inside the ice chest . 2. The facility failed to ensure the Wound Care Nurse LVN and CNA K followed Enhanced Barrier Precautions by wearing a gown while performing direct care tasks with Resident #21 and Resident #95. These failures could place residents at risk of transmission of disease and infection.
  5. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure the residents had the right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research and to formulate an advance directive for 1 of 5 residents (Resident #80) reviewed for advanced directives. The facility failed to ensure Resident #80's out of hospital do-not-resuscitate (OOH-DNR) form included all required signatures which included a signature from the physician. This failure could place residents at risk of having their wishes dishonored, and of having CPR (cardiopulmonary resuscitation) performed against their wishes.
  6. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure each resident's drug regimen was free from unnecessary drugs for 1 of 8 residents (Resident #78) reviewed for unnecessary drugs. The facility failed to monitor Resident #78 for adverse effects of prophylactic antibiotic use. This failure could place residents at risk of nausea, diarrhea, and secondary infection.
  7. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were were stored and labeled in accordance with currently accepted professional principles for 1 of 4 medication carts (100 hall Nurses' Medication Cart). The facility failed to ensure expired supplies were removed from 100 Nurses' Medication Cart including 7 Disposable syringes with expiration date of [DATE]. This failure could place residents at risk of contamination which could cause infection or injury.
  8. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on interview and record review the facility failed to establish an infection prevention and control program (IPCP) that must include, at a minimum, an antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use for 1 of 5 residents (Resident #78) reviewed for infection control. The facility failed to follow antibiotic stewardship policy for Resident #78 by ensuring a duration for medication. This deficient practice could place residents at risk for unnecessary antibiotic use, inappropriate antibiotic use and increased multi drug resistant organisms.
  9. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop policies and procedures to ensure each resident was offered an influenza immunization October 1 through March 31 annually, unless the immunization was medically contraindicated or the resident had already been immunized during this time period and before offering the pneumococcal immunization, each resident was offered a pneumococcal immunization, unless the immunization was medically contraindicated or the resident had already been immunized for 1 of 5 residents (Resident #92) reviewed for immunizations . 1. The facility failed to ensure Resident #92 was offered the pneumococcal and influenza vaccinations per her RP wishes. 2. The facility failed to ensure Resident #92's medical record reflected her vaccination history for the pneumonia and influenza vaccinations . 3. [...]
April 22, 2024Complaint inspection · 1 citation
  1. J
    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.
    F578 · Resident Rights · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review the facility failed to ensure the resident's right to formulate an advance directive for 1 of 3 Residents (Resident #3) whose records were reviewed for DNR code status. The facility failed to ensure nursing staff followed emergency protocol and failed to ensure staff did not provide Resident #3, who had a DNR in place, CPR, after the resident became unresponsive, without a pulse and respirations, according to professional standards of practice. The noncompliance was identified as PNC. The IJ began on [DATE] and ended on [DATE]. The facility had corrected the noncompliance before the survey began. This deficient practice could deny a resident's right to experience the dying process as they had predetermined with their advance directive, resulting in a resident having to experience the death process twice.
January 12, 2024Complaint inspection · 1 citation
  1. K
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 13, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (Resident #1) of 4 residents reviewed for quality of care, in that: The facility failed to ensure Resident #1 was sent to the ER after she experienced a severe change in condition, altered mental status, vitals not within normal parameters, being diagnosed with pneumonia, and requiring oxygen via oxygen mask and scheduled nebulizer treatments. Resident #1 was not monitored during dinner on [DATE] and was found unresponsive approximately 50 minutes after receiving her meal tray without her oxygen mask on and she subsequently was not able to be resuscitated by CPR. [...]
December 27, 2023Complaint inspection · 2 citations
  1. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all allegations involving abuse and neglect were immediately reported no later than 24 hours after an allegation was made for 2 of 4 residents (Resident #1 and #2) reviewed for grievances, in that: 1. The facility failed to report Resident #1's incident to the SA. On 12/6/23, CNA A bumped Resident #1's forehead against a bed side table during perineal care and did not report the incident to a charge nurse. Resident #1's family reported they noticed a small bump on Resident #1's forehead. Resident #1 was assessed and found to have a quarter-sized bump on her forehead. 2. The facility failed to report Resident #2's incident to the SA. On 12/8/23, the OT reported to the DOR that she observed the PTA being pushy and demanding with Resident #2. [...]
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs for one (Resident #2) of five residents reviewed for care plans, in that: The facility failed to develop and implement a comprehensive person-centered care plan for Resident #2. This deficient practice could place residents at risk of not having their individual care needs met in a timely manner or diminished quality of life.
November 7, 2023Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 13, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute food in accordance with professional standards for food service safety for one of one kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure Dietary Aide A wore a beard restraint and Dietary Aide B properly wore a hair restraint while in the kitchen. 2. The facility failed to properly store food in the dry storage room. 3. The facility failed to discard out of date thickened liquids and store in the proper container. 4. The facility failed to ensure Dietary [NAME] E properly sanitized her hands between tasks. These failures could place residents who were served from the kitchen at risk for health complications and foodborne illnesses, and decreased quality of life.
  2. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 13, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for six out of 45 residents (Resident #29, Resident #88, Resident #200, Resident #63, Resident #77, and Resident #36) reviewed for ADL's. A) The facility failed to ensure assistance was provided for showering/bathing for Resident #29, Resident # 88, and Resident #200. B) The facility failed to ensure Resident's #63, #77 and #36 were assisted with having their facial hair groomed or shaved and their nails trimmed. These failures could lead to a reduction in quality of life by creating isolating behaviors due to embarrassment, loss of self-esteem, and dignity and could contribute to health-related issues from lack of hygiene. A) 1. [...]
  3. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2023
    Inspectors wroteBased on record review, and interview the facility failed to ensure a PASRR screening was completed for residents with mental disorder or an intellectual disability for one of three residents (Resident # 30) reviewed for PASRR Level I screenings. The facility failed to ensure an accurate PASRR Level I screening (a preliminary assessment completed for all individuals prior to admission to a Medicaid - certified nursing facility to determine whether they might have a mental illness or intellectual disability) was completed for Resident #30. This failure could place residents at risk for a diminished quality of life and not receiving necessary care and services accordance with individually assessed needs.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a comprehensive care plan for one resident (Resident #93) of eight reviewed, in that: The facility failed to implement a comprehensive care plan for Resident #93 which addressed nutritional concerns related to malnutrition, safety and nutritional considerations for enteral tube-feeding, and actual pressure injury. This failure could place a resident at risk for errors in provider care, weight loss/weight gain, poor wound healing/worsening wound condition, feeling of hunger/distention/fullness, aspiration pneumonia.
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were discarded when expired in accordance with currently accepted professional principles and the open date and expiration date when applicable for 1 of 4 medication carts (medication cart 200) and for 1 of 1 medication rooms reviewed for labeling and storage. The facility failed to discard expired insulin from 200 hall medication cart. These failures could place residents who receive medications at risk for receiving outdated medications which could result in residents not receiving the intended therapeutic effects of their medications and health decline.
  6. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2023
    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 the open date and expiration date when applicable for 1 of 4 medication carts (medication cart on 200) and for 1 of 1 medication rooms reviewed for labeling and storage. The facility failed to properly label insulin with the open date which was stored on the 200-hall medication cart. These failures could place residents who receive medications at risk for receiving outdated medications which could result in residents not receiving the intended therapeutic effects of their medications and health decline.

Fire safety inspections

5 fire safety citations on file: 3 on January 30, 2026, 1 on December 5, 2024, 1 on November 7, 2023.

Every fire safety citation5 citations
  1. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 30, 2026 · Corrected (the home has a date of correction)
  2. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 30, 2026 · Corrected (the home has a date of correction)
  3. D
    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.
    K 222 · January 30, 2026 · Corrected (the home has a date of correction)
  4. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 5, 2024 · Corrected (the home has a date of correction)
  5. E
    Use approved construction type or materials.
    K 161 · November 7, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 20, 2026Fine $16,149
April 22, 2024Fine $16,801
January 12, 2024Fine $59,510

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.103.393.86
Registered nurses0.150.430.69
All nursing staff on weekends2.692.983.42
Nurse aides2.01
Licensed practical nurses0.94
Nursing staff turnover (share who left in a year)46.8%55.3%45.8%
Registered nurse turnovernot reported54.6%42.9%
Administrators who leftnot reported

CMS expects 3.71 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 3.27 on weekdays and 2.69 on weekends, 18% 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 2.95 in April to June 2025 to 3.10 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.100.153.272.69 0.0%0 of 9097
Oct to Dec 20252.970.173.172.47 0.0%0 of 92100
Jul to Sep 20252.870.173.052.39 0.0%1 of 92103
Apr to Jun 20252.950.183.142.47 0.0%0 of 91104
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%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

Staff pay at this home

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. If you work here, your report helps start one.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Bastrop Lost Pines Nursing and Rehabilitation Cent. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
12.615.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.03.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.214.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.93.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.99.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.825.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.612.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.52.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.12.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Bastrop Lost Pines Nursing and Rehabilitation Cent's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

56.6% 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. 88 eligible stays.

Potentially preventable readmissions

10.8% 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. 85 eligible stays.

Infections that led to a hospital stay

6.2% 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. 48 eligible stays.

Self-care and mobility at discharge

81.0% 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. 42 residents counted.

Falls with major injury

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. 61 residents counted.

New or worsened pressure ulcers

4.3% 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. 61 residents counted.

Medication list given at discharge

93.3% this home

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. 30 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.

Owners and operators

Legal business name: SMITHVILLE HOSPITAL AUTHORITY. CMS links this home to Wellsential Health, a group of 67 nursing homes averaging 2.7 stars overall.

NameRoleTypeShareSince
Smithville Hospital Authority5% or greater direct ownership interestOrganization100%02/01/2015
Regency IHS of Bastrop Lost Pines, LLCDirect ownership interestOrganization02/01/2015
Csv Rhea Management Holdco, LLCIndirect ownership interestOrganization02/01/2015
Dwd Tx Holdings LLCIndirect ownership interestOrganization02/01/2015
Jack and Nancy Dwyer Workforce Development Center IncIndirect ownership interestOrganization02/01/2015
Reg Hg Opco 1, LLCIndirect ownership interestOrganization02/01/2015
Reg Hg Opco LLCIndirect ownership interestOrganization02/01/2015
Reg Operator Holdco LLCIndirect ownership interestOrganization02/01/2015
Regency Integrated Health Services LLCIndirect ownership interestOrganization02/01/2015
Regency Texas Holdings LLCIndirect ownership interestOrganization02/01/2015
Baird, DanielManaging control - governing bodyIndividual04/13/2021
Bunte, MarkManaging control - governing bodyIndividual10/27/2020
Clapp, BarbaraManaging control - governing bodyIndividual06/01/2021
Cortese, DarenManaging control - governing bodyIndividual08/10/2021
Fulcher, AnnManaging control - governing bodyIndividual01/22/2015
Gibson, PatriciaManaging control - governing bodyIndividual08/01/2021
Mandelbaum, ElliotManaging control - governing bodyIndividual01/01/2025
Wilson, LindaManaging control - governing bodyIndividual07/19/2023
Wilson, LindaCorporate officerIndividual07/19/2023
Regency IHS of Bastrop Lost Pines, LLCOperational/managerial controlOrganization02/01/2015
Regency Integrated Health Services LLCOperational/managerial controlOrganization02/01/2015
Smithville Hospital AuthorityOperational/managerial controlOrganization02/01/2015
Dekowski, DonovanOperational/managerial controlIndividual02/01/2015
Peter, ChristopherOperational/managerial controlIndividual07/05/2022
430 Old Austin Highway LLCAdp of the SNFOrganization02/01/2015
Regency IHS Clinical Consulting, LLCAdp of the SNFOrganization02/01/2015
Regency IHS Master Tenant LLCAdp of the SNFOrganization02/01/2015
Regency IHS of Bastrop Lost Pines, LLCAdp of the SNFOrganization06/16/2025
Regency IHS Rehab LLCAdp of the SNFOrganization02/01/2015
Regency Integrated Health Services LLCAdp of the SNFOrganization06/16/2025
Smithville Hospital AuthorityAdp of the SNFOrganization06/16/2025
Chavez, PompeyoAdp of the SNFIndividual01/01/2025
Dekowski, DonovanAdp of the SNFIndividual02/01/2015
Owens, KatherineAdp of the SNFIndividual02/01/2015
Peter, ChristopherAdp of the SNFIndividual07/05/2022
Urban, StaciaAdp of the SNFIndividual02/01/2015

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on November 18, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on January 30, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on December 10, 2025: "Provide and implement an infection prevention and control program."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on December 5, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.69 hours per resident per day, below the Texas average of 2.98.

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Common questions

What is Bastrop Lost Pines Nursing and Rehabilitation Cent's Medicare star rating?
CMS rates Bastrop Lost Pines Nursing and Rehabilitation Cent 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Bastrop Lost Pines Nursing and Rehabilitation Cent get at its last inspection?
2 health deficiencies at the standard inspection on January 30, 2026. The Texas average is 9.4.
Has Bastrop Lost Pines Nursing and Rehabilitation Cent been fined?
Yes. CMS lists 3 fines totaling $92,460 in the last three years.
Does Bastrop Lost Pines Nursing and Rehabilitation Cent accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Bastrop Lost Pines Nursing and Rehabilitation Cent?
CMS lists 36 owners and managers, and links the home to Wellsential Health. Legal business name: SMITHVILLE HOSPITAL AUTHORITY.

Sources

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