Non profit - Corporation · 114 certified beds · CMS number 675434

Silver Pines Nursing and Rehabilitation Center, Bastrop, TX

CMS records 31 health deficiencies at Silver Pines Nursing and Rehabilitation Center in Bastrop, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 5, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

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

Most recent cycle (6 deficiencies)

Standard inspection Jun 5, 2025. CMS counts 6 health deficiencies and 5 fire safety deficiencies in this cycle.

Jun 5, 2025 · Standard inspection

6 deficiencies, 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 Jun 13, 2025

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 13, 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 Jun 13, 2025

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 13, 2025

F679 · Activities program

Requirement cited (CMS): Provide activities to meet all resident's needs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 13, 2025

F655 · Baseline care plan within 48 hours

Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 13, 2025
Previous cycle: 11 deficiencies (standard inspection May 23, 2024)

Standard inspection May 23, 2024. CMS counts 11 health deficiencies and 7 fire safety deficiencies in this cycle.

May 23, 2024 · Standard + complaint inspection

11 deficiencies, highest E

F925 · Pest control

Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 30, 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 May 30, 2024

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 30, 2024

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 30, 2024

F684 · Quality of care

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

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 30, 2024

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 May 30, 2024

F646 · Reporting changes for PASARR residents

Requirement cited (CMS): Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 30, 2024

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

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

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 30, 2024

F640 · Submitting assessment data on time

Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 30, 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 May 30, 2024

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 30, 2024
Earlier cycle: 14 deficiencies (standard inspection Mar 28, 2023)

Standard inspection Mar 28, 2023. CMS counts 14 health deficiencies and 0 fire safety deficiencies in this cycle.

Mar 14, 2024 · Complaint inspection

1 deficiency, highest D

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 21, 2024

Nov 15, 2023 · Complaint inspection

1 deficiency, highest D

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
D No actual harm, potential for more than minimal harm, isolated
Status
Past non-compliance (fixed before the inspection), Sep 29, 2023

Sep 18, 2023 · Complaint inspection

1 deficiency, highest D

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 19, 2023

Mar 28, 2023 · Standard inspection

11 deficiencies, highest E

F810 · Adaptive eating equipment and help

Requirement cited (CMS): Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 26, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 26, 2023

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 26, 2023

F692 · Nutrition and hydration

Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 26, 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 Apr 26, 2023

F655 · Baseline care plan within 48 hours

Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 26, 2023

F577 · Seeing inspection results

Requirement cited (CMS): Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 26, 2023

F575 · Posting agency and advocate contacts

Requirement cited (CMS): Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 26, 2023

F565 · Resident and family councils

Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 26, 2023

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 26, 2023

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 26, 2023

Tags cited in more than one inspection

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

TagInspectionsDates
F550 Dignity and the right to exercise rights2May 23, 2024; Mar 28, 2023
F655 Baseline care plan within 48 hours2Jun 5, 2025; Mar 28, 2023
F677 Help with daily care2Sep 18, 2023; Mar 28, 2023
F689 Accident prevention and supervision2May 23, 2024; Mar 14, 2024
F695 Respiratory and oxygen care2Jun 5, 2025; Mar 28, 2023
F761 Drug labeling and secure storage2Jun 5, 2025; Mar 28, 2023
F812 Food safety and sanitation2Jun 5, 2025; May 23, 2024
F880 Infection prevention and control program2Jun 5, 2025; May 23, 2024

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.05 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.23 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.84 h
Nursing staff turnover
44.3% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
4 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
5 of 5

CMS figures for Silver Pines Nursing and Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
503 Old Austin Highway, Bastrop, TX 78602
Phone
(512) 321-6220
County
Bastrop
Accepts
Medicare and Medicaid
Ownership
Non profit - Corporation
Chain (CMS)
Wellsential Health
Certified beds
114
Average residents per day
86.6
In Medicare/Medicaid since
Nov 21, 1994
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 do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)
  • Can a resident or their family review the baseline care plan during the first few days? (F655, cited 2 times)
  • How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, 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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