For profit - Corporation · 74 certified beds · CMS number 676117
Bertram Nursing and Rehabilitation, Bertram, TX
CMS records 13 health deficiencies at Bertram Nursing and Rehabilitation in Bertram, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Nov 26, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $10,135 in the last three years.
- 13deficiencies, 3 cycles (TX median 25)
- 3in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $10,135fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Bertram Nursing and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Bertram Nursing and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (3 deficiencies)
Standard inspection Nov 26, 2025. CMS counts 3 health deficiencies and 2 fire safety deficiencies in this cycle.
Jan 28, 2026 · Complaint inspection
1 deficiency, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 20, 2026
Nov 26, 2025 · Standard inspection
2 deficiencies, highest F
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 Nov 27, 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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Nov 27, 2025
Previous cycle: 4 deficiencies (standard inspection Aug 29, 2024)
Standard inspection Aug 29, 2024. CMS counts 4 health deficiencies and 0 fire safety deficiencies in this cycle.
Aug 29, 2024 · Standard inspection
4 deficiencies, highest E
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 Sep 23, 2024
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 23, 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 Sep 23, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 23, 2024
Earlier cycle: 6 deficiencies (standard inspection Jul 7, 2023)
Standard inspection Jul 7, 2023. CMS counts 6 health deficiencies and 4 fire safety deficiencies in this cycle.
May 6, 2024 · Complaint inspection
1 deficiency, highest G
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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date May 7, 2024
Oct 19, 2023 · Complaint inspection
1 deficiency, highest D
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 Nov 3, 2023
Oct 5, 2023 · 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
- Correction date Oct 6, 2023
Jul 7, 2023 · Standard inspection
3 deficiencies, highest E
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 7, 2023
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 7, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 7, 2023
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Bertram Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F600 Freedom from abuse and neglect | 2 | May 6, 2024; Oct 5, 2023 |
| F812 Food safety and sanitation | 2 | Nov 26, 2025; Aug 29, 2024 |
| F880 Infection prevention and control program | 2 | Nov 26, 2025; Jul 7, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Oct 5, 2023 | Fine | $10,135 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.73 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.47 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.21 h
- Nursing staff turnover
- 95.6% (Texas median 52.1%)
- Administrators who left
- 1
- 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 Bertram Nursing and Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 540 E State Hwy 29, Bertram, TX 78605
- Phone
- (512) 355-2116
- County
- Burnet
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 74
- Average residents per day
- 47.5
- In Medicare/Medicaid since
- Nov 1, 2006
- 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 does the home screen, train, and supervise staff to protect residents? (F600, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 1 time)
Other nursing homes in Bertram and the same chain
- Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.