Silver Pines Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 503 Old Austin Highway, Bastrop, TX 78602
- CCN
- 675434
- Ownership type
- Non-profit, corporation
- Certified beds
- 114
- Chain
- Wellsential Health
- Residents per day
- 87
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Silver Pines Nursing and Rehabilitation Center an overall rating of 4 of 5 stars. The last standard survey was on 5 Jun 2025. The latest survey cycle has 6 health citations. The median for nursing homes in Texas is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Bastrop County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 5 Jun 2025 | 6 | 8 |
| Cycle 2 | 23 May 2024 | 11 | 8 |
| Cycle 3 | No date | 14 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Jun 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 13 Jun 2025 |
| 5 Jun 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 13 Jun 2025 |
| 5 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 13 Jun 2025 |
| 5 Jun 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 | Standard survey | 13 Jun 2025 |
| 5 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 13 Jun 2025 |
| 5 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Jun 2025 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 May 2024 |
| 23 May 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 | Standard survey | 30 May 2024 |
| 23 May 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 30 May 2024 |
| 23 May 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 30 May 2024 |
| 23 May 2024 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 30 May 2024 |
| 23 May 2024 | 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 | 30 May 2024 |
| 23 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 May 2024 |
| 23 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 May 2024 |
| 23 May 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 | 30 May 2024 |
| 23 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 May 2024 |
| 23 May 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 30 May 2024 |
Survey cycle 3: 14 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Mar 2024 |
| 15 Nov 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 29 Sep 2023 |
| 18 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 19 Sep 2023 |
| 28 Mar 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Apr 2023 |
| 28 Mar 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 26 Apr 2023 |
| 28 Mar 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 26 Apr 2023 |
| 28 Mar 2023 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | E | Standard survey | 26 Apr 2023 |
| 28 Mar 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard survey | 26 Apr 2023 |
| 28 Mar 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 26 Apr 2023 |
| 28 Mar 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 26 Apr 2023 |
| 28 Mar 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 26 Apr 2023 |
| 28 Mar 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Apr 2023 |
| 28 Mar 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. | E | Standard survey | 26 Apr 2023 |
| 28 Mar 2023 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 26 Apr 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.05 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.23 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.79 | 0.95 | |
| Nurse aides | 2.03 | 2.00 | |
| All nurse staff, weekends | 2.84 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 44.3%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- No data
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.7% | 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 | 3.9% | 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 | 4.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.3% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Legal business name
- Smithville Hospital Authority
- Chain
- Wellsential Health (67 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Smithville Hospital Authority | 5% or greater direct ownership interest | 100% | 1 Apr 2018 |
| Regency IHS of Bastrop Silver Pines, LLC | Direct ownership interest | 1 Apr 2018 | |
| CSV Rhea Management Holdco, LLC | Indirect ownership interest | 1 Apr 2018 | |
| DWD TX Holdings LLC | Indirect ownership interest | 1 Apr 2018 | |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | 1 Apr 2018 | |
| Reg Bridge Opco LLC | Indirect ownership interest | 1 Apr 2018 | |
| Reg HG Opco LLC | Indirect ownership interest | 1 Apr 2018 | |
| Reg Operator Holdco LLC | Indirect ownership interest | 1 Apr 2018 | |
| Regency Integrated Health Services LLC | Indirect ownership interest | 1 Apr 2018 | |
| Regency Texas Holdings LLC | Indirect ownership interest | 1 Apr 2018 | |
| 188 Old Austin Highway LLC | Adp of the snf | 1 Apr 2018 | |
| Regency IHS Clinical Consulting, LLC | Adp of the snf | 1 Apr 2018 | |
| Regency IHS of Bastrop Silver Pines, LLC | Adp of the snf | 23 Jun 2025 | |
| Regency IHS Rehab LLC | Adp of the snf | 1 Apr 2018 | |
| Smithville Hospital Authority | Adp of the snf | 23 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Bastrop County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Bastrop Lost Pines Nursing and Rehabilitation Cent | Bastrop | 1 of 5 | 7 | $92,460 | 30 Jan 2026 | |
| Windsor Nursing and Rehabilitation Center of Bastr | Bastrop | 2 of 5 | 8 | $15,920 | 17 Jul 2025 | |
| Towers Nursing Home | Smithville | 4 of 5 | 8 | $15,239 | 31 Jul 2025 | |
| Elgin Nursing and Rehabilitation Center | Elgin | 2 of 5 | 9 | $36,221 | 25 Apr 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Silver Pines Nursing and Rehabilitation Center (CCN 675434). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/silver-pines-nursing-and-rehabilitation-center-bastrop-tx-675434/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Silver Pines Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 5 Jun 2025. It was a standard survey. It gave 6 citations. The standard survey before the last one was on 23 May 2024.
- Who operates Silver Pines Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists the home in the chain Wellsential Health. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Silver Pines Nursing and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.