Government - Hospital district · 120 certified beds · CMS number 676222

Bastrop Lost Pines Nursing and Rehabilitation Cent, Bastrop, TX

CMS records 26 health deficiencies at Bastrop Lost Pines Nursing and Rehabilitation Cent in Bastrop, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 30, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $92,460 in the last three years.

Inspections and deficiencies

CMS findings for Bastrop Lost Pines Nursing and Rehabilitation Cent as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Bastrop Lost Pines Nursing and Rehabilitation Cent may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (7 deficiencies)

Standard inspection Jan 30, 2026. CMS counts 7 health deficiencies and 3 fire safety deficiencies in this cycle.

Mar 20, 2026 · Complaint inspection

1 deficiency, highest J

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection)

Jan 30, 2026 · Standard inspection

2 deficiencies, highest F

F727 · RN coverage and director of nursing

Requirement cited (CMS): 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.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jan 30, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 30, 2026

Dec 10, 2025 · Complaint inspection

1 deficiency, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 12, 2025

Nov 18, 2025 · Complaint inspection

3 deficiencies, highest E

F921 · Safe, functional, sanitary building

Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 19, 2025

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 19, 2025

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 19, 2025
Previous cycle: 9 deficiencies (standard inspection Dec 5, 2024)

Standard inspection Dec 5, 2024. CMS counts 9 health deficiencies and 1 fire safety deficiency in this cycle.

Dec 5, 2024 · Standard + complaint inspection

9 deficiencies, highest E

F883 · Flu and pneumonia vaccines

Requirement cited (CMS): Develop and implement policies and procedures for flu and pneumonia vaccinations.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 10, 2024

F881 · Antibiotic stewardship

Requirement cited (CMS): Implement a program that monitors antibiotic use.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 10, 2024

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 10, 2024

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 10, 2024

F757 · Avoiding unnecessary drugs

Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 10, 2024

F688 · Range of motion and mobility

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 10, 2024

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 10, 2024

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 10, 2024

F578 · Refusing treatment and advance directives

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 10, 2024
Earlier cycle: 10 deficiencies (standard inspection Nov 7, 2023)

Standard inspection Nov 7, 2023. CMS counts 10 health deficiencies and 1 fire safety deficiency in this cycle.

Apr 22, 2024 · Complaint inspection

1 deficiency, highest J

F578 · Refusing treatment and advance directives

Requirement cited (CMS): 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.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Mar 15, 2024

Jan 12, 2024 · Complaint inspection

1 deficiency, highest K

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Jan 13, 2024

Dec 27, 2023 · Complaint inspection

2 deficiencies, highest E

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 2, 2024

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 2, 2024

Nov 7, 2023 · Standard inspection

6 deficiencies, highest F

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Nov 13, 2023

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 13, 2023

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 13, 2023

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 13, 2023

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 13, 2023

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 13, 2023

Tags cited in more than one inspection

6 tags cited on more than one inspection date at Bastrop Lost Pines Nursing and Rehabilitation Cent; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F656 Comprehensive person-centered care plan3Jan 30, 2026; Dec 27, 2023; Nov 7, 2023
F761 Drug labeling and secure storage3Nov 18, 2025; Dec 5, 2024; Nov 7, 2023
F578 Refusing treatment and advance directives2Dec 5, 2024; Apr 22, 2024 (PNC)
F677 Help with daily care2Dec 5, 2024; Nov 7, 2023
F755 Pharmacy services and a consultant pharmacist2Nov 18, 2025; Nov 7, 2023
F880 Infection prevention and control program2Dec 10, 2025; Dec 5, 2024

Fines and payment denials

DateTypeAmount / length
Mar 20, 2026Fine$16,149
Apr 22, 2024Fine$16,801
Jan 12, 2024Fine$59,510

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.10 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.15 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.69 h
Nursing staff turnover
46.8% (Texas median 52.1%)
Administrators who left
not reported
CMS overall rating
1 of 5
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5

CMS figures for Bastrop Lost Pines Nursing and Rehabilitation Cent, copied as published; Texas medians are ours.

Facility details

Address
430 Old Austin Hwy, Bastrop, TX 78602
Phone
(512) 321-3527
County
Bastrop
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Wellsential Health
Certified beds
120
Average residents per day
97.2
In Medicare/Medicaid since
Jul 1, 2009
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
  • How are medications stored and secured on each unit? (F761, cited 3 times)
  • How does the home record and follow a resident's advance directive? (F578, cited 2 times)
  • How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)

Other nursing homes in Bastrop and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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