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Bastrop Lost Pines Nursing and Rehabilitation Cent
430 Old Austin Hwy, Bastrop, TX 78602
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Bastrop Lost Pines Nursing and Rehabilitation Cent serves Bastrop in Bastrop County, Texas and has taken Medicare and Medicaid residents since 2009.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (7, 9, 11 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 22.5 per 100 beds, about the same as the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $92K.
Reported nurse staffing is 3.1 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 46.8%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Bastrop Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 27 | 26 | 25 | 28.7 |
| Citations per 100 beds | 22.5 | 22.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.0 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.2 | 0.4 | 0.7 |
| Nursing staff turnover | 46.8% | 45.0% | 52.1% | 45.8% |
| Fines listed | $92,460 | $15,920 | $16,801 | — |
County and state figures are medians across facilities (5 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jan 2026, 5 Dec 2024.
Severity mix: J ×2 K ×1 D ×13 E ×9 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | Past Non-Compliance |
| 30 Jan 2026 | F0727 | 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. | F | Standard survey | 30 Jan 2026 |
| 30 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 30 Jan 2026 |
| 10 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 12 Dec 2025 |
| 18 Nov 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 19 Nov 2025 |
| 18 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 19 Nov 2025 |
| 18 Nov 2025 | F0761 | 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 | Complaint investigation | 19 Nov 2025 |
| 5 Dec 2024 | F0584 | 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. | E | Complaint investigation | 10 Dec 2024 |
| 5 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 10 Dec 2024 |
| 5 Dec 2024 | F0688 | 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 | Standard survey | 10 Dec 2024 |
| 5 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Dec 2024 |
| 5 Dec 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 10 Dec 2024 |
| 5 Dec 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 10 Dec 2024 |
| 5 Dec 2024 | F0761 | 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 | Standard survey | 10 Dec 2024 |
| 5 Dec 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 10 Dec 2024 |
| 5 Dec 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 10 Dec 2024 |
| 22 Apr 2024 | F0578 | 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. | J | Complaint investigation | 15 Mar 2024 |
| 12 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 13 Jan 2024 |
| 27 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 2 Jan 2024 |
| 27 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 2 Jan 2024 |
| 7 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Nov 2023 |
| 7 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 13 Nov 2023 |
| 7 Nov 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 13 Nov 2023 |
| 7 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Nov 2023 |
| 7 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 13 Nov 2023 |
| 7 Nov 2023 | F0761 | 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 | Standard survey | 13 Nov 2023 |
| 8 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Mar 2026 | Fine | $16,149 | |
| 22 Apr 2024 | Fine | $16,801 | |
| 12 Jan 2024 | Fine | $59,510 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 46.8%, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.8% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Smithville Hospital Authority. Chain: Wellsential Health (67 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Smithville Hospital Authority | 5% or greater direct ownership interest | 100% | 02/01/2015 |
| Regency Ihs of Bastrop Lost Pines, LLC | Direct ownership interest | NOT APPLICABLE | 02/01/2015 |
| Csv Rhea Management Holdco, LLC | Indirect ownership interest | NOT APPLICABLE | 02/01/2015 |
| Dwd Tx Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 02/01/2015 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | NOT APPLICABLE | 02/01/2015 |
| Reg Hg Opco 1, LLC | Indirect ownership interest | NOT APPLICABLE | 02/01/2015 |
| Reg Hg Opco LLC | Indirect ownership interest | NOT APPLICABLE | 02/01/2015 |
| Reg Operator Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 02/01/2015 |
| Regency Integrated Health Services LLC | Indirect ownership interest | NOT APPLICABLE | 02/01/2015 |
| Regency Texas Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 02/01/2015 |
| Regency Ihs of Bastrop Lost Pines, LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2015 |
| Regency Integrated Health Services LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2015 |
| Smithville Hospital Authority | Operational/managerial control | NOT APPLICABLE | 02/01/2015 |
| 430 Old Austin Highway LLC | Adp of the snf | NOT APPLICABLE | 02/01/2015 |
| Regency Ihs Clinical Consulting, LLC | Adp of the snf | NOT APPLICABLE | 02/01/2015 |
| Regency Ihs Master Tenant LLC | Adp of the snf | NOT APPLICABLE | 02/01/2015 |
| Regency Ihs of Bastrop Lost Pines, LLC | Adp of the snf | NOT APPLICABLE | 06/16/2025 |
| Regency Ihs Rehab LLC | Adp of the snf | NOT APPLICABLE | 02/01/2015 |
| Regency Integrated Health Services LLC | Adp of the snf | NOT APPLICABLE | 06/16/2025 |
| Smithville Hospital Authority | Adp of the snf | NOT APPLICABLE | 06/16/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bastrop County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Silver Pines Nursing and Rehabilitation Center | Bastrop | 114 | 4 | 4 | 1 | 31 | 27.2 | — | 5 Jun 2025 |
| Towers Nursing Home | Smithville | 120 | 4 | 4 | 1 | 17 | 14.2 | $15K | 11 Jun 2026 |
| Elgin Nursing and Rehabilitation Center | Elgin | 114 | 2 | 2 | 2 | 26 | 22.8 | $36K | 17 Apr 2026 |
| Windsor Nursing and Rehabilitation Center of Bastr | Bastrop | 96 | 2 | 3 | 1 | 17 | 17.7 | $16K | 30 Jun 2026 |
All 5 facilities in Bastrop County
Questions and answers
How many deficiencies has Bastrop Lost Pines Nursing and Rehabilitation Cent been cited for?
27 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Bastrop Lost Pines Nursing and Rehabilitation Cent been fined?
Yes. CMS lists fines totalling $92K in the period covered.
How does staffing at Bastrop Lost Pines Nursing and Rehabilitation Cent compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Bastrop Lost Pines Nursing and Rehabilitation Cent?
It is part of the Wellsential Health chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Smithville Hospital Authority, Regency Ihs of Bastrop Lost Pines, LLC and Csv Rhea Management Holdco, LLC. Individual owners and managers are not listed on this site.
When was Bastrop Lost Pines Nursing and Rehabilitation Cent last inspected?
The most recent survey or investigation in the CMS record is dated 20 Mar 2026; the most recent standard health survey was 30 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.