Bastrop Lost Pines Nursing and Rehabilitation Cent

430 Old Austin Hwy · Bastrop, TX · 78602 · 5123213527

120 certified beds Government - Hospital district Chain: Wellsential Health

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.17 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.97 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 22
Staffing 20% 40
Federal penalties 15% 36
Trend 10% 86
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day2.973.48 min · 4.1 strong
RN hours / resident-day0.170.55–0.75
Weekend hours / resident-day2.47≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)3 · $101,156

Inspection citations (28 in the current record)

  • Immediate jeopardy · J March 20, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 30, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 30, 2026 · Resident Assessment and Care Planning

  • Potential for harm · F January 30, 2026

    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.

    Corrected January 30, 2026 · Nursing and Physician Services

  • Potential for harm · E December 10, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 12, 2025 · Infection Control

  • Potential for harm · D November 18, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 19, 2025 · Pharmacy Service

  • Potential for harm · D November 18, 2025 · found via complaint

    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.

    Corrected November 19, 2025 · Pharmacy Service

  • Potential for harm · E November 18, 2025 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected November 19, 2025 · Environmental

  • Potential for harm · D December 5, 2024

    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.

    Corrected December 10, 2024 · Resident Rights

  • Potential for harm · E December 5, 2024

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

    Corrected December 10, 2024 · Quality of Life and Care

  • Potential for harm · E December 5, 2024

    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.

    Corrected December 10, 2024 · Quality of Life and Care

  • Potential for harm · D December 5, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected December 10, 2024 · Pharmacy Service

  • Potential for harm · D December 5, 2024

    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.

    Corrected December 10, 2024 · Pharmacy Service

  • Potential for harm · E December 5, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 10, 2024 · Infection Control

  • Potential for harm · D December 5, 2024

    Implement a program that monitors antibiotic use.

    Corrected December 10, 2024 · Infection Control

  • Potential for harm · D December 5, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected December 10, 2024 · Infection Control

  • Potential for harm · E December 5, 2024 · found via complaint

    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.

    Corrected December 10, 2024 · Resident Rights

  • Immediate jeopardy · J April 22, 2024 · found via complaint

    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.

    Corrected March 15, 2024 · Resident Rights

  • Immediate jeopardy · K January 12, 2024 · found via complaint

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

    Corrected January 13, 2024 · Quality of Life and Care

  • Potential for harm · E December 27, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected January 2, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 27, 2023 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 2, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2023

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected November 13, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 13, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E November 7, 2023

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

    Corrected November 13, 2023 · Quality of Life and Care

  • Potential for harm · D November 7, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 13, 2023 · Pharmacy Service

  • Potential for harm · D November 7, 2023

    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.

    Corrected November 13, 2023 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 20, 2026Fine$24,845
April 22, 2024Fine$16,801
January 12, 2024Fine$59,510

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676222 · certified since July 1, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.