Bastrop Lost Pines Nursing and Rehabilitation Cent
430 Old Austin Hwy, Bastrop, TX 78602
Bastrop Lost Pines Nursing and Rehabilitation Cent is a nursing home in Bastrop, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionJanuary 30, 2026 (9 months ago)
- Health citations since November 7, 202326 (Texas average 28)
- Fines in the past three years3, $92,460 in total
- CMS flagsCMS abuse icon
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CMS flags
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Fine
CMS changed the fine from March 20, 2026 from $24,845 to $16,149.
CMS update of May 27, 2026
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on March 20, 2026
1 citationCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
129 of 1,177 Texas homes (11%) got a citation at the immediate jeopardy level in 2026.
CMS fine of $16,149 on March 20, 2026.
Show the 1 citation
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Health inspection on January 30, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on January 30, 2026.
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on January 30, 2026.
CMS has cited this home for F0656 3 times since 2023.
Fire safety inspection on January 30, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on February 6, 2026.
CMS has cited this home for K0353 2 times since 2024.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on February 6, 2026.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on February 6, 2026.
Health inspection on December 10, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 12, 2025.
CMS has cited this home for F0880 2 times since 2024.
CMS update of November 20, 2025
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on November 18, 2025
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0921. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on November 19, 2025.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on November 19, 2025.
CMS has cited this home for F0755 2 times since 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on November 19, 2025.
CMS has cited this home for F0761 3 times since 2023.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Health inspection on December 5, 2024
9 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 9 citations
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on December 10, 2024.
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on December 10, 2024.
CMS has cited this home for F0677 2 times since 2023.
Citation F0688. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on December 10, 2024.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 10, 2024.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on December 10, 2024.
CMS has cited this home for F0578 2 times since 2024.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on December 10, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on December 10, 2024.
Citation F0881. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement a program that monitors antibiotic use.
CMS lists it as corrected on December 10, 2024.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on December 10, 2024.
Fire safety inspection on December 5, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 10, 2025.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of September 26, 2024
Fine
CMS changed the fine from April 22, 2024 from $25,847 to $16,801.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 25, 2024
Ownership
CMS lists this home under a new chain.
Health inspection on April 22, 2024
1 citationCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $16,801 on April 22, 2024.
Show the 1 citation
Citation F0578. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 15, 2024.
Health inspection on January 12, 2024
1 citationCMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $59,510 on January 12, 2024.
Show the 1 citation
Citation F0684. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on January 13, 2024.
Health inspection on December 27, 2023
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0609. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on January 2, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on January 2, 2024.
Health inspection on November 7, 2023
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on November 13, 2023.
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on November 13, 2023.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on November 13, 2023.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on November 13, 2023.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on November 13, 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on November 13, 2023.
Fire safety inspection on November 7, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0161. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on November 13, 2023.
CMS star ratings
- 1 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (512) 321-3527
- Last standard health inspection
- January 30, 2026 (9 months ago)
- Certified beds
- 120
- Residents per day, on average
- 99.5
- Ownership type
- Government - Hospital district
- Legal business name
- Smithville Hospital Authority
- Chain
- Wellsential Health
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (26 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SMITHVILLE HOSPITAL AUTHORITY5% or greater direct ownership interest · 100% · since 02/01/2015
- REGENCY IHS OF BASTROP LOST PINES, LLCDirect ownership interest · not applicable · since 02/01/2015
- CSV RHEA MANAGEMENT HOLDCO, LLCIndirect ownership interest · not applicable · since 02/01/2015
- DWD TX HOLDINGS LLCIndirect ownership interest · not applicable · since 02/01/2015
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCIndirect ownership interest · not applicable · since 02/01/2015
Show 10 more
- REG HG OPCO 1, LLCIndirect ownership interest · not applicable · since 02/01/2015
- REG HG OPCO LLCIndirect ownership interest · not applicable · since 02/01/2015
- REG OPERATOR HOLDCO LLCIndirect ownership interest · not applicable · since 02/01/2015
- REGENCY INTEGRATED HEALTH SERVICES LLCIndirect ownership interest · not applicable · since 02/01/2015
- REGENCY TEXAS HOLDINGS LLCIndirect ownership interest · not applicable · since 02/01/2015
- REGENCY IHS OF BASTROP LOST PINES, LLCOperational/managerial control · not applicable · since 02/01/2015
- REGENCY INTEGRATED HEALTH SERVICES LLCOperational/managerial control · not applicable · since 02/01/2015
- SMITHVILLE HOSPITAL AUTHORITYOperational/managerial control · not applicable · since 02/01/2015
- DEKOWSKI, DONOVANOperational/managerial control · not applicable · since 02/01/2015
- PETER, CHRISTOPHEROperational/managerial control · not applicable · since 07/05/2022
Questions
When was Bastrop Lost Pines Nursing and Rehabilitation Cent last inspected?
CMS lists January 30, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Bastrop Lost Pines Nursing and Rehabilitation Cent have?
CMS lists 26 health citations since November 7, 2023. CMS also calls these deficiencies.
Has Bastrop Lost Pines Nursing and Rehabilitation Cent been fined?
CMS lists 3 fines in the past three years, $92,460 in total.
What is the CMS star rating of Bastrop Lost Pines Nursing and Rehabilitation Cent?
Its CMS overall star rating is 1 of 5.
Is Bastrop Lost Pines Nursing and Rehabilitation Cent a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.