Nursing HomeInspections

Silver Pines Nursing and Rehabilitation Center

Nursing home in Bastrop, TX

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
503 Old Austin Highway, Bastrop, TX 78602
Phone
(512) 321-6220
Listed under
Nonprofit, 4–5 star overall rating, No fines or payment denials in 3 years
Medicare CCN
675434
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
114
Average residents per day
87
Ownership
Nonprofit, corporation
Legal business name
Smithville Hospital Authority
Chain
Wellsential Health (67 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 21, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675434. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Aug 13, 2026. CMS lists 23 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 15, 2023 to Aug 13, 2026): 3 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 13, 2026Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Aug 13, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Aug 13, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		E
Potential for more than minimal harm, pattern
Aug 13, 2026The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights		E
Potential for more than minimal harm, pattern
Jun 5, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 5, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 5, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jun 5, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jun 5, 2025Provide activities to meet all resident's needs.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jun 5, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
May 23, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
May 23, 2024Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 23. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.23 hours
Registered nurse (RN) time per resident per day
0.30 hours
Nurse aide time per resident per day
2.17 hours
Total nurse staffing on weekends
2.97 hours
Nursing staff turnover (yearly)
55%
RN turnover (yearly)
60%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Bastrop

Windsor Nursing and Rehabilitation Center of Bastr400 Old Austin HWY · Bastrop, TX 78602 · (512) 321-2529 · For-profit19 health citations in 3 inspection cycles · last standard inspection Sep 10, 2026 · $15,920 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)
Bastrop Lost Pines Nursing and Rehabilitation Cent430 Old Austin Hwy · Bastrop, TX 78602 · (512) 321-3527 · Government-owned26 health citations in 3 inspection cycles · last standard inspection Jan 30, 2026 · $92,460 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

All 3 in Bastrop →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error