Texas › Burnet County › Bertram
Bertram Nursing and Rehabilitation
540 E State Hwy 29, Bertram, TX 78605
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.
Bertram Nursing and Rehabilitation, in Bertram, Texas, is certified for 74 beds under for-profit, corporation ownership and belongs to the Creative Solutions In Healthcare chain.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 1 and quality measures 5.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (3, 4, 6 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 17.6 per 100 beds, fewer than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $10K.
Reported nurse staffing is 2.7 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 95.6%.
Compared with county, state and nation
| Measure | This facility | Burnet Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 13 | 13 | 25 | 28.7 |
| Citations per 100 beds | 17.6 | 17.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.7 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 95.6% | 57.8% | 52.1% | 45.8% |
| Fines listed | $10,135 | $59,345 | $16,801 | — |
County and state figures are medians across facilities (4 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: 26 Nov 2025, 29 Aug 2024.
Severity mix: J ×1 G ×1 D ×6 E ×4 F ×1
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 |
|---|---|---|---|---|---|
| 28 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 20 Feb 2026 |
| 26 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Nov 2025 |
| 26 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Nov 2025 |
| 29 Aug 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 23 Sep 2024 |
| 29 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Sep 2024 |
| 29 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Sep 2024 |
| 29 Aug 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 23 Sep 2024 |
| 6 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 7 May 2024 |
| 19 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Nov 2023 |
| 5 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 6 Oct 2023 |
| 7 Jul 2023 | 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 | 7 Aug 2023 |
| 7 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Aug 2023 |
| 7 Jul 2023 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 7 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Oct 2023 | Fine | $10,135 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 95.6%, RNs 100.0%; 1 administrator 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 | 16.1% | 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 | 1.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.3% | 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: for-profit, corporation. Legal business name: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bertram I Enterprises, LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2022 |
| Bertram I Enterprises, LLC | Adp of the snf | NOT APPLICABLE | 09/01/2022 |
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 Burnet County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| The Brixton At Horseshoe Bay | Horseshoe Bay | 120 | 4 | 4 | 3 | 10 | 8.3 | $85K | 26 Jun 2025 |
| Avir At Burnet | Burnet | 112 | 3 | 4 | 1 | 13 | 11.6 | — | 29 Apr 2026 |
| Granite Mesa Health Center | Marble Falls | 124 | 2 | 3 | 1 | 24 | 19.4 | $59K | 16 Jan 2026 |
All 4 facilities in Burnet County
Questions and answers
How many deficiencies has Bertram Nursing and Rehabilitation been cited for?
13 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Bertram Nursing and Rehabilitation been fined?
Yes. CMS lists fines totalling $10K in the period covered.
How does staffing at Bertram Nursing and Rehabilitation compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Bertram Nursing and Rehabilitation?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Bertram I Enterprises, LLC. Individual owners and managers are not listed on this site.
When was Bertram Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 28 Jan 2026; the most recent standard health survey was 26 Nov 2025.
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.