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Nursing HomeMedicaid

Silver Pines Nursing and Rehabilitation Center

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

503 Old Austin Highway, Bastrop, TX 78602114 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 42 Google reviews

5
4
3
2
1
Silver Pines Nursing and Rehabilitation Center Nursing Home in Bastrop, TX — Street View
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What this means for your family

This facility is an excellent choice for families seeking a warm, community-oriented environment with highly praised activity directors and nursing staff. However, you should proactively establish a communication plan with the administration, as several families have struggled to reach staff or receive timely updates regarding their loved ones.

Google Reviews

Google Reviews

42 reviews analyzed
Silver Pines is widely praised by families for its compassionate nursing staff and a 'home-like' atmosphere that treats residents with dignity. However, there are serious, recurring allegations regarding poor communication, difficulty reaching loved ones by phone, and inconsistent care quality between day and night shifts.

Quality Themes

FoodN/AStaff8.0Clean4.0Activities9.0Meds3.0Memory7.0Comms3.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Exceptional activity programming and directors
  • Welcoming, family-oriented atmosphere
  • Effective rehabilitation and therapy services

Concerns

  • Difficulty communicating with staff and reaching residents via phone (mentioned by 2 reviewers)
  • Inconsistency in care quality between different shifts (mentioned by 2 reviewers)
  • Issues with facility cleanliness and odors

Rating Trends

Tap a year to see what changed

234'16(3)'18(2)'20(1)'22(15)'24(3)'26(2)

Distribution

5
30
4
4
3
1
2
0
1
6

How They Respond to Reviews

97%response rate
Good

The owner uses a mix of personalized acknowledgments for positive reviews—often highlighting specific staff members mentioned—and a standardized, professional protocol for negative reviews that directs users to a central email for resolution.

Questions for Your Tour

  • 1We've heard wonderful things about your activity programming; could you tell us more about what a typical week looks like for residents?
  • 2How do you ensure that the high level of care and attention we see during the day remains consistent during the overnight and weekend shifts?
  • 3What specific protocols are in place to ensure medication management is handled accurately and safely for every resident?
  • 4What is the best way for our family to stay in regular contact with our loved one, and how do you handle communication if we are unable to reach them by phone?
  • 5Could you walk us through your daily cleaning and maintenance schedule to ensure the living areas always feel fresh and comfortable?
  • 6In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

The nursing care at Silver Pines is TOP NOTCH! Sergio, Hali, Abby, Ana, Ben, Avery, Shelly, Shantell (just to name a few) are incredible nurses!

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

I have been trying for two days. Either no answer, auto answer puts me in an endless loop or goes to a vm box that is never checked, OR my personal favorite, someone picks up - then quickly hangs up sheet

Family member · 2020☆☆☆☆

If your loved one comes in after 2PM, you had better stay there to make sure they get their medications and decent care. Dr. Mota does NOT show up to make sure they get their meds.

Family member · 2018☆☆☆☆
Source: 42 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.23hrs
31%
Registered nurses for medical care
Total Nursing
2.94hrs
72%
All nurses + aides combined
Staff Turnover
44%
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

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
14.4%
TX
16.1%
Bastrop
15.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Bastrop
1.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.5%
Better than Avg
Here
3.5%
US
15.3%
TX
14.9%
Bastrop
14.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
19.4%
TX
14.2%
Bastrop
16.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.7%
Mixed vs Avgs
Here
7.7%
US
15.4%
TX
9.4%
Bastrop
6.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Mixed vs Avgs
Here
99.7%
US
93.4%
TX
96.9%
Bastrop
99.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Bastrop
96.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Bastrop
97.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
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

6deficiencies
Near state avg (9.1)
7 complaint-triggered
$37,115 in fines

Families filed complaint reports leading to serious deficiencies including pain management failures, medication errors, and inadequate nutrition care. Silver Pines shows recurring problems with resident care planning, medication management, and fire safety systems across multiple surveys. While the facility has corrected cited deficiencies, the pattern of complaints and repeat violations in core care areas warrants careful evaluation during any visit.

Jun 5, 2025Routine
11
0679ModerateCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0655MinorCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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.

0812MinorCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511MinorCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741MinorCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

May 23, 2024Routine
17
0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

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.

0645ModerateCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0925ModerateCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0355ModerateCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363ModerateCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374ModerateCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0923ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0640MinorCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0646MinorCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

May 23, 2024Complaint
1
0656MinorCorrected

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.

Mar 14, 2024Complaint
1
0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Nov 15, 2023Complaint
1
0600Minor

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.

Sep 18, 2023Complaint
1
0677MinorCorrected

Quality of Life and Care Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Smithville Hospital Authority

Organization Type

for profit

Management Company

REGENCY IHS OF BASTROP SILVER PINES LLC

Administrator

SARA BYRD

Chain Affiliation

Chain Name

Wellsential Health

Chain Size

68 facilities nationwide

Chain avg rating: 2.8/5 · Rank 18 of 67

Ownership & Management

Owners

Smithville Hospital Authority

Owner · Organization

100%

Regency Ihs of Bastrop Silver Pines, LLC

Owner · Organization

Csv Rhea Management Holdco, LLC

Owner (parent company) · Organization

Dwd TX Holdings LLC

Owner (parent company) · Organization

Jack and Nancy Dwyer Workforce Development Center INC

Owner (parent company) · Organization

Reg Bridge Opco LLC

Owner (parent company) · Organization

Reg Hg Opco LLC

Owner (parent company) · Organization

Reg Operator Holdco LLC

Owner (parent company) · Organization

Regency Integrated Health Services LLC

Owner (parent company) · Organization

Regency Texas Holdings LLC

Owner (parent company) · Organization

Key personnel

Baird, DanielManaging Control - Governing BodyBunte, MarkManaging Control - Governing BodyClapp, BarbaraManaging Control - Governing BodyCortese, DarenManaging Control - Governing BodyFulcher, AnnManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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