Bastrop Lost Pines Nursing And Rehabilitation Center
430 OLD AUSTIN HWY, Bastrop, TX, 78602
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Wellsential Health
- Certified beds
- 120 · avg 103 residents/day
- Total nursing staff turnover
- 51.9% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $91,904 total
State licensing & capacity
- License number
- 144560
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 8 Medicare-only · 112 Medicaid/Medicare
- Current license effective
- February 1, 2025
- Current license expires
- February 1, 2028
- Initial license date
- July 1, 2009
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Smithville Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Bastrop Lost Pines, Llc
- Administrator
- Christopher Peter
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (27 on record)
- Regency Ihs of Bastrop Lost Pines, Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Smithville Hospital Authority
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
- Pompeyo c Chavez
Adp of The Snf · since 2025
- Linda o Wilson
Corporate Officer · since 2023
+ 21 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 32)
- E0880·Dec 10, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0921·Nov 18, 2025Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0761·Nov 18, 2025Complaint
Pharmacy Service Deficiencies
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.
- D0755·Nov 18, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0584·Dec 5, 2024Complaint
Resident Rights Deficiencies
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.
- D0883·Dec 5, 2024
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E0880·Dec 5, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Dec 5, 2024
Pharmacy Service Deficiencies
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.
Federal penalties
By year
- 20242 fines · $76K
- 20231 fine · $16K
Most recent events
- Apr 22, 2024Fine · $17K
- Jan 12, 2024Fine · $60K
- Jun 6, 2023Fine · $16K
Largest single fine on record: $60K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Dec 5, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Bastrop Lost Pines Nursing and Rehabilitation Center is a 120-bed nursing home in Bastrop County, managed by Regency IHS of Bastrop Lost Pines under a hospital district licensee. CMS rates it 2 stars overall, with a 1-star staffing rating and 3 fines totaling $91,904 since the last inspection cycle. Quality-measure scores are notably high at 5 stars overall. The license is active through February 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 172 minutes of nursing care per day, about 69 minutes less than at a 4-star-staffing facility in Texas. Residents here also need more hands-on care than at a typical facility — more dependent or medically complex on average — so those 172 minutes stretch thinner than the number alone suggests.
CMS recorded 3 fines totaling $91,904. The state median for fines among Texas nursing homes that receive any is $20,699, and about 30% of Texas facilities have none at all. These fines place this facility well above typical fine amounts in the state.
Despite the staffing and fine picture, CMS rates this facility 5 stars on quality measures for long-stay residents and 4 stars for short-stay residents. Those scores reflect outcomes like pressure wounds, falls, and infection rates — drawn from clinical records rather than staffing counts or inspection findings.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Weekend nursing hours here average about 144 minutes per resident per day — ask how many nurses and aides are on the floor on a Saturday night versus a weekday.
How fines were resolved
Three CMS fines totaling $91,904 were assessed — ask what deficiencies triggered each fine and what specific changes were made afterward.
RN presence during the day
Reported RN hours work out to roughly 10 minutes per resident per day — ask how many hours a registered nurse is physically on-site on a typical day.
How quality scores stay high
CMS rates outcomes 5 stars despite 1-star staffing — ask which quality measures drive that score and how staff track residents at risk for falls or wounds.
Resident Council access
The facility has a Resident Council but no Family Council — ask how families raise concerns formally and how often feedback reaches administration.
Management company's role
Day-to-day operations are managed by Regency IHS of Bastrop Lost Pines under a hospital district license — ask how decisions about staffing levels and care policies are made between the two entities.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.