Federal inspection record · CMS data as of October 1, 2026
Bertram Nursing And Rehabilitation
540 E State Hwy 29, Bertram, TX · (512) 355-2116
- Certified beds
- 74
- Residents per day
- 44
- Ownership
- For-Profit
- Chain
- Creative Solutions In Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 2006
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.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Bertram Nursing And Rehabilitation carries 51.75 inspection points. That is fewer than 65% 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
13 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 (2)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care3D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning2E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Rights1E
- E
Keep residents' personal and medical records private and confidential.
Environmental1D
- D
Keep all essential equipment working safely.
Inspection history
2025-11-26
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-08-29
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-07-07
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 50% 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
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 days1.1 pts better | 0.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.8 | 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 injury0.8 pts better | 2.4% | 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 weight2.9 pts better | 0.0% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5 pts worse | 22.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.2 pts better | 9.6% | 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 worsened1.4 pts better | 11.5% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts worse | 24.6% | 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 pts better | 7.5% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts better | 0.5% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
·
Who owns and runs it
18 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 |
|---|---|---|---|
| Baker, Dennis | Adp Of The SNF · Individual | 0% | 2 facilities |
| Bertram I Enterprises, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Bertram I Enterprises, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Blake, Gary | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Blake, Malisa | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Bowers, Sean | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Cisneros, Alfred | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Cobb, Travis | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Cooper, Stephen | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Hardin, Sherrie | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Huggins, Linda | Corporate Director · Individual | 0% | 138 facilities |
| Kerzee, Richard | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Korenek, Patricia | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Soechting, Paul | Managing Control - Governing Body · Individual | 0% | 39 facilities |
| Strack, Joe | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Syed, Asif | Adp Of The SNF · Individual | 0% | 6 facilities |
| Thompson, Johnny | Corporate Officer · Individual | 0% | 79 facilities |
| Willig, Zachary | Corporate Director · Individual | 0% | 84 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress1D
- 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.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
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Avir At Burnet
Burnet, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 57 min
- Fines
- $0
-
Granite Mesa Health Center
Marble Falls, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 26 min
- Fines
- $59,345
-
New Hope Manor
Cedar Park, TX · Caring Healthcare Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 37 min
- Fines
- $21,648