Federal inspection record · CMS data as of October 1, 2026
Bastrop Lost Pines Nursing and Rehabilitation Cent
430 Old Austin Hwy, Bastrop, TX · (512) 321-3527
- Cited for abuse (CMS abuse icon)
- Certified beds
- 120
- Residents per day
- 100
- Ownership
- Government
- Chain
- Wellsential Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 2009
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Texas homes
Bastrop Lost Pines Nursing and Rehabilitation Cent carries 103.25 inspection points. That is fewer than 34% 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
26 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 (3)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
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.
-
K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Pharmacy Service6D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Resident Assessment and Care Planning4E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Quality of Life and Care3E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights2E
- 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.
- 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.
Nursing and Physician Services1F
- 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.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-01-30
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-12-05
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2023-11-07
10 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 2 h 50 min of nursing staff time a day, 9 min of it from a registered nurse.
This home
2 h 50 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 67% 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
$92,460 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-20 | Fine | $16,149 |
| 2024-04-22 | Fine | $16,801 |
| 2024-01-12 | Fine | $59,510 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 99.4% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2 pts better | 99.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better | 3.1% | 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 weight0.8 pts worse | 3.7% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts worse | 21.9% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.9 pts better | 4.9% | 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 worsened5.4 pts better | 7.5% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts worse | 17.1% | 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 incontinence5.2 pts worse | 17.7% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 2.8% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 94.5% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.7 pts worse | 13.9% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.6 pts worse | 82.8% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.1 pts worse | 29.6% | 25.5% | 23.4% |
·
Who owns and runs it
36 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 |
|---|---|---|---|
| Smithville Hospital Authority | 5% Or Greater Direct Ownership Interest · Organization | 100% | 5 facilities |
| 430 Old Austin Highway LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Baird, Daniel | Managing Control - Governing Body · Individual | 0% | 58 facilities |
| Bunte, Mark | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Chavez, Pompeyo | Adp Of The SNF · Individual | 0% | 1 facilities |
| Clapp, Barbara | Managing Control - Governing Body · Individual | 0% | 69 facilities |
| Cortese, Daren | Managing Control - Governing Body · Individual | 0% | 58 facilities |
| Csv Rhea Management Holdco, LLC | Indirect Ownership Interest · Organization | 0% | 63 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 |
| Fulcher, Ann | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Gibson, Patricia | Managing Control - Governing Body · Individual | 0% | 57 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Indirect Ownership Interest · Organization | 0% | 68 facilities |
| Mandelbaum, Elliot | Managing Control - Governing Body · Individual | 0% | 61 facilities |
| Owens, Katherine | Adp Of The SNF · Individual | 0% | 1 facilities |
| Peter, Christopher | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Peter, Christopher | Adp Of The SNF · Individual | 0% | 1 facilities |
| Reg Hg Opco 1, LLC | Indirect Ownership Interest · Organization | 0% | 19 facilities |
| Reg Hg Opco LLC | Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Reg Operator Holdco LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Regency Ihs Clinical Consulting, LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Ihs Master Tenant LLC | Adp Of The SNF · Organization | 0% | 17 facilities |
| Regency Ihs Of Bastrop Lost Pines, LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Regency Ihs Of Bastrop Lost Pines, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Regency Ihs Of Bastrop Lost Pines, LLC | Adp Of The SNF · Organization | 0% | 1 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 |
| Smithville Hospital Authority | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Smithville Hospital Authority | Adp Of The SNF · Organization | 0% | 5 facilities |
| Urban, Stacia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wilson, Linda | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Wilson, Linda | Corporate Officer · Individual | 0% | 7 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2E
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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.
Construction1E
- E
Use approved construction type or materials.
·
Other homes nearby
-
Windsor Nursing and Rehabilitation Center of Bastr
Bastrop, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 2 h 56 min
- Fines
- $15,920
-
Silver Pines Nursing And Rehabilitation Center
Bastrop, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 14 min
- Fines
- $0
-
Towers Nursing Home
Smithville, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 33 min
- Fines
- $15,239