Bastrop Lost Pines Nursing and Rehabilitation Cent
Nursing home in Bastrop, TX
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
Public-record details
- Address
- 430 Old Austin Hwy, Bastrop, TX 78602
- Phone
- (512) 321-3527
- Listed under
- Government-owned
- Medicare CCN
- 676222
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 120
- Average residents per day
- 97
- Ownership
- Government, hospital district
- Legal business name
- Smithville Hospital Authority
- Chain
- Wellsential Health (67 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jul 1, 2009
- 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
Inspection record
Most recent standard health inspection: Jan 30, 2026. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 8, 2023 to Mar 20, 2026): 11 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.
| Inspection | Citation | Severity |
|---|---|---|
| Mar 20, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| Jan 30, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| Jan 30, 2026 | 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 |
| Dec 10, 2025 | Provide and implement an infection prevention and control program. | E |
| Nov 18, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Nov 18, 2025 | 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… | D |
| Nov 18, 2025 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| Dec 5, 2024 | 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… | D |
| Dec 5, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| Dec 5, 2024 | 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… | D |
| Dec 5, 2024 | Implement a program that monitors antibiotic use. | D |
| Dec 5, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
Fines and payment denials
CMS records 3 fines totalling $92,460 in the last three years.
| Mar 20, 2026 | Fine: $16,149 |
| Apr 22, 2024 | Fine: $16,801 |
| Jan 12, 2024 | Fine: $59,510 |
Staffing
- Total nurse staffing per resident per day
- 3.10 hours
- Registered nurse (RN) time per resident per day
- 0.15 hours
- Nurse aide time per resident per day
- 2.01 hours
- Total nurse staffing on weekends
- 2.69 hours
- Nursing staff turnover (yearly)
- 47%
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.