Nursing HomeInspections

Bertram Nursing and Rehabilitation

Nursing home in Bertram, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (512) 355-2116Send a messageMap ↗

Public-record details

Address
540 E State Hwy 29, Bertram, TX 78605
Phone
(512) 355-2116
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
676117
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
74
Average residents per day
48
Ownership
For-profit, corporation
Legal business name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare (149 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 1, 2006
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676117. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 26, 2025. CMS lists 13 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 7, 2023 to Jan 28, 2026): 4 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jan 28, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 26, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Nov 26, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Aug 29, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 29, 2024Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 29, 2024Keep residents' personal and medical records private and confidential.
Resident Rights		E
Potential for more than minimal harm, pattern
Aug 29, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
May 6, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Oct 19, 2023Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 5, 2023Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Jul 7, 2023Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jul 7, 2023Keep all essential equipment working safely.
Environmental		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 13. 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 Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,135 in the last three years.

Oct 5, 2023Fine: $10,135

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

Staffing

Total nurse staffing per resident per day
2.73 hours
Registered nurse (RN) time per resident per day
0.47 hours
Nurse aide time per resident per day
1.66 hours
Total nurse staffing on weekends
2.21 hours
Nursing staff turnover (yearly)
96%
RN turnover (yearly)
100%
Administrators who left in the past year
1

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.