Nursing HomeMedicaid Investigative

Bastrop Lost Pines Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

430 Old Austin Hwy, Bastrop, TX 78602|120 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

4.0/5

based on 68 Google reviews

(512) 321-3527 Directions Website

Street View

Watch Bastrop Lost Pines Nursing and Rehabilitation Center

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

5/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (2/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (13 vs median 8.0)
High staff turnover (52%)

Below average in Texas · Critically understaffed (RN) · Below chain average · $91,904 in fines

Source: Medicare data

What this means for your family

This facility offers excellent physical therapy and a very helpful admissions process that can ease the stress of transition. However, you must be vigilant about hygiene and responsiveness during evening and weekend hours, as multiple families have reported significant delays in care during these times.

Google Reviews

68 reviews analyzed

“Families can expect high-quality physical therapy and a friendly, professional admissions team, with several reviewers praising the facility's ability to aid in post-hospital recovery. However, significant concerns exist regarding inconsistent staffing levels, particularly during after-hours and weekends, which can lead to delays in patient care and hygiene needs.”

Quality Themes

Tap a score for details

Strengths

Exceptional physical therapy and rehab outcomes
Friendly and professional admissions and administrative staff
Clean and well-maintained facility
Compassionate nursing and CNA staff in specific units

Concerns

Understaffing leading to delayed patient care and hygiene (mentioned by 4 reviewers)
Difficulty reaching staff or nurses via phone/extensions (mentioned by 3 reviewers)
Inconsistent care quality during after-hours or weekends (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution

How They Respond to Reviews

100%response rate

Good

The owner provides highly personalized responses to positive reviews, often naming specific staff members mentioned by the reviewer. For negative reviews, they use a consistent template to acknowledge the issue, state that leadership has been notified, and invite further private discussion via email or phone.

Questions for Your Tour

1We've heard wonderful things about the physical therapy and rehab outcomes here; could you tell us more about how that process works for new residents?
2It's great to see how much the administration cares about feedback through your review responses; how do you typically implement suggestions from families to improve care?
3What specific steps are in place to ensure that care and hygiene standards remain consistent during the weekends and overnight shifts?
4How does the nursing team manage communication with families if we have a question or need an update during the evening or after-hours?
5Could you describe what a typical day looks like for residents, including meal times and any social activities or outings?
6In the event of a medical emergency or a sudden change in health, what is the protocol for notifying the family and coordinating with doctors?

Personalized based on this facility's data

Key Review Excerpts

“Their diligence and care is certainly improving and even saving the life of a dear family member. There are so many challenges facing nursing homes, and they can be difficult places to visit, but every interaction we have had with management, nursing, support staff, and physical therapy has been exceptional here.”

Rehab patient's family · 2025★★★★★

“I live out of state and was dealing with her admission and transfer over the phone and Amber Robinson, the Admissions Director, helped so much. She went out of her way to arrange things for Mom's transfer that happened after hours when she wouldn't be there.”

Long-term resident's family · 2024★★★★★

“On the 2nd day, my husband had diarrhea and laid in it for 2 hours. Finally when he was cleaned up (basic wipe down, no shower), they left his soiled linen at the foot of his bed for over 3 hours until I said something.”

Long-term resident's family · 2024★★★☆☆

Source: 68 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.17hrs

23%

Registered nurses for medical care

Total Nursing

2.97hrs

72%

All nurses + aides combined

Staff Turnover

48%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

12.1%

2.5%

Bastrop

1.6%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility3.6%

Better than Avg

Here

3.6%

15.4%

9.4%

Bastrop

7.7%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility23.8%

Worse than Avg

Here

23.8%

19.4%

14.2%

Bastrop

12.0%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility6.5%

Better than Avg

Here

6.5%

15.3%

14.9%

Bastrop

13.8%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

96.9%

Bastrop

99.9%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility11.2%

Better than Avg

Here

11.2%

14.4%

16.1%

Bastrop

13.6%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility93.3%

Mixed vs Avgs

Here

93.3%

79.7%

88.0%

Bastrop

98.5%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility94.7%

Mixed vs Avgs

Here

94.7%

81.8%

89.2%

Bastrop

99.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.3%

Better than Avg

Here

0.3%

1.6%

1.5%

Bastrop

1.4%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies

4penalties

Near state avg (9.1)

13 complaint-triggered

$91,904 in fines

This facility has faced concerning deficiency patterns with families filing 11 complaint-triggered reports across multiple surveys. The most recurring issues involve medication management, infection control, and basic daily care assistance, with medication problems appearing in nearly every recent survey. While the facility has corrected individual deficiencies when cited, the persistent nature of core care issues—particularly around pharmaceutical services and infection prevention—suggests ongoing quality challenges that families should carefully consider.

Mar 20, 2026Complaint1 finding

0600Severe

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Jan 30, 2026Routine5 findings

0727ModerateCorrected

Nursing and Physician Services Deficiencies

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.

0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0211MinorCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222MinorCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Dec 10, 2025Complaint1 finding

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 18, 2025Complaint3 findings

0921ModerateCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

Dec 5, 2024Routine9 findings

0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0688ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578MinorCorrected

Resident Rights Deficiencies

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 directive.

0757MinorCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0761MinorCorrected

Pharmacy Service Deficiencies

0881MinorCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0883MinorCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Dec 5, 2024Complaint1 finding

0584ModerateCorrected

Resident Rights Deficiencies

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.

Federal Penalties

Fine

Mar 20, 2026

$24,845

Fine

Apr 22, 2024

$16,801

Fine

Jan 12, 2024

$59,510

Fine

Jun 6, 2023

$15,593

Ownership & Operations

Who Operates This Facility

Owner / Operator

Smithville Hospital Authority

Organization Type

for profit

Management Company

REGENCY IHS OF BASTROP LOST PINES, LLC

Administrator

CHRISTOPHER PETER

Chain Affiliation

Chain Name

Wellsential Health

Chain Size

68 facilities nationwide

Chain avg rating: 2.8/5 · Rank 39 of 67

Ownership & Management

Owners

Smithville Hospital Authority

Owner · Organization

100%

Regency Ihs of Bastrop Lost Pines, LLC

Owner · Organization

Csv Rhea Management Holdco, LLC