Silver Pines Nursing and Rehabilitation Center
503 Old Austin Highway · Bastrop, TX · 78602 · 5123216220
114 certified beds Non profit - Corporation Chain: Wellsential Health
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.23 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
2.94 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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 | 2.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
-
Potential for harm · D June 5, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 13, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E June 5, 2025
Provide activities to meet all resident's needs.
Corrected June 13, 2025 · Quality of Life and Care
-
Potential for harm · D June 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 13, 2025 · Quality of Life and Care
-
Potential for harm · D June 5, 2025
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 June 13, 2025 · Pharmacy Service
-
Potential for harm · D June 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 13, 2025 · Nutrition and Dietary
-
Potential for harm · E June 5, 2025
Provide and implement an infection prevention and control program.
Corrected June 13, 2025 · Infection Control
-
Potential for harm · D May 23, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 30, 2024 · Resident Rights
-
Potential for harm · E May 23, 2024
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 May 30, 2024 · Resident Rights
-
Potential for harm · D May 23, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected May 30, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E May 23, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 30, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D May 23, 2024
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected May 30, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D May 23, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 30, 2024 · Quality of Life and Care
-
Potential for harm · D May 23, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 30, 2024 · Quality of Life and Care
-
Potential for harm · E May 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 30, 2024 · Nutrition and Dietary
-
Potential for harm · E May 23, 2024
Provide and implement an infection prevention and control program.
Corrected May 30, 2024 · Infection Control
-
Potential for harm · E May 23, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected May 30, 2024 · Environmental
-
Potential for harm · D May 23, 2024 · 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 May 30, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 14, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 21, 2024 · Quality of Life and Care
-
Potential for harm · D November 15, 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 September 29, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 18, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 19, 2023 · Quality of Life and Care
-
Potential for harm · D March 28, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 26, 2023 · Resident Rights
-
Potential for harm · E March 28, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected April 26, 2023 · Resident Rights
-
Potential for harm · E March 28, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 26, 2023 · Resident Rights
-
Potential for harm · E March 28, 2023
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.
Corrected April 26, 2023 · Resident Rights
-
Potential for harm · E March 28, 2023
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected April 26, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675434 · certified since November 21, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.