Bastrop Lost Pines Nursing and Rehabilitation Center, Bastrop, Texas
- 26
- Citations from health inspectionsTexas average: 28 a home
- 3
- Residents harmed or put in dangerTexas average: 2.3 a home
- $92,460
- Fines from the federal governmentTexas average: $44,141 a home
- 1 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Nine inspection visits produced 26 citations. Residents were in immediate danger in three findings. Federal fines came to $92,460 (three fines).
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 2 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 4 out of 5
- Nurse time for each resident
- 3.10 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.15 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- 46.8%against the Texas average of 55.3%
- Beds that are certified
- 120
- Ownership
- Hospital district (government)
- Chain
- Wellsential Health, with 67 homes
- Street address
- 430 Old Austin Hwy, Bastrop, Texas 78602
- County
- Bastrop
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated March 20, 2026
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
Two citations dated Jan. 30, 2026
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
One citation dated Dec. 10, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Three citations dated Nov. 18, 2025
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Nine citations dated Dec. 5, 2024
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, a pattern, several residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
One citation dated April 22, 2024
- F578 The Right to Refuse Treatment: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated Jan. 12, 2024
- F684 Quality of Care: immediate danger to residents, a pattern, several residents, found on a complaint visit.
Two citations dated Dec. 27, 2023
Six citations dated Nov. 7, 2023
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| March 20, 2026 | Fine | $16,149 |
| April 22, 2024 | Fine | $16,801 |
| Jan. 12, 2024 | Fine | $59,510 |
Ownership and Management of the Home
- The home is run by Regency Ihs of Bastrop Lost Pines, LLC (operational or managerial control).
- The home is run by Regency Integrated Health Services LLC (operational or managerial control).
- The home is run by Smithville Hospital Authority (operational or managerial control).
- The direct owner is Regency Ihs of Bastrop Lost Pines, LLC.
- The direct 100% owner is Smithville Hospital Authority.
- Owns a share through another company: Csv Rhea Management Holdco, LLC.
- Owns a share through another company: Dwd Tx Holdings LLC.
- Owns a share through another company: Jack and Nancy Dwyer Workforce Development Center Inc..
Five additional companies have a stake or a management role, according to CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 676222. Other homes in Texas.