Bertram Nursing and Rehabilitation
540 E State Hwy 29 · Bertram, TX · 78605 · 5123552116
74 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.60 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
97% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 2.21 | ≈ weekday level |
| Nursing turnover / year | 97% | median 45% |
| Fines (3-yr window) | 1 · $10,135 |
Inspection citations (13 in the current record)
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Potential for harm · D January 28, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 20, 2026 · Resident Assessment and Care Planning
-
Potential for harm · F November 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 27, 2025 · Nutrition and Dietary
-
Potential for harm · E November 26, 2025
Provide and implement an infection prevention and control program.
Corrected November 27, 2025 · Infection Control
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Potential for harm · E August 29, 2024
Keep residents' personal and medical records private and confidential.
Corrected September 23, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 23, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 23, 2024 · Quality of Life and Care
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Potential for harm · E August 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 23, 2024 · Nutrition and Dietary
-
Actual harm · G May 6, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 19, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 3, 2023 · Quality of Life and Care
-
Immediate jeopardy · J October 5, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 6, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E July 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 August 7, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D July 7, 2023
Provide and implement an infection prevention and control program.
Corrected August 7, 2023 · Infection Control
-
Potential for harm · D July 7, 2023
Keep all essential equipment working safely.
Corrected August 7, 2023 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 5, 2023 | Fine | $10,135 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676117 · certified since November 1, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.