Silver Pines Nursing And Rehabilitation Center
503 OLD AUSTIN HIGHWAY, 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
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 114 · avg 91 residents/day
- Total nursing staff turnover
- 43.3% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $37,115 total
State licensing & capacity
- License number
- 149800
- Service type
- Medicare/medicaid
- Licensed capacity
- 114 beds
- Bed type breakdown
- 14 Medicare-only · 100 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- April 12, 1988
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Smithville Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Bastrop Silver Pines Llc
- Administrator
- Sara Byrd
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.
Parent entity
Jack And Nancy Dwyer Workforce Development Center Inc
Disclosed owners (24 on record)
- Regency Ihs of Bastrop Silver Pines, Llc
Adp of The Snf · since 2025
- Smithville Hospital Authority
Adp of The Snf · since 2025
- Augustin r Batlle
Adp of The Snf · since 2025
- Christie Preston
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
- Linda o Wilson
Corporate Officer · since 2023
+ 18 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 34)
- E0880·Jun 5, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·Jun 5, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Jun 5, 2025
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.
- D0695·Jun 5, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0679·Jun 5, 2025
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- D0655·Jun 5, 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D0656·May 23, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0925·May 23, 2024
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Federal penalties
By year
- 20231 fine · $37K
Most recent events
- Mar 28, 2023Fine · $37K
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Jun 5, 2025. 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
Silver Pines Nursing And Rehabilitation Center is a 114-bed nursing home in Bastrop, Texas, licensed under Smithville Hospital Authority and managed by Regency IHS of Bastrop Silver Pines LLC. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier — alongside a 5-star quality-measures rating. One CMS fine of $37,115 has been issued. The facility holds 100 beds certified for both Medicare and Medicaid and is operating at about 80% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Silver Pines 1 star on staffing — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 174 minutes of nursing care per day, about 67 minutes less than at a 4-star-staffing facility in Texas. Of those 174 minutes, only 10 come from a registered nurse. Residents here need more hands-on care than at a typical facility — they tend to be sicker or less mobile on average — so the gap between these numbers and what residents actually need is wider than the raw figures suggest.
Despite the staffing rating, CMS rates the facility 5 stars on quality measures, its highest tier, covering both long-stay residents. Those two ratings point in opposite directions: the clinical outcomes tracked by CMS look strong relative to peers, while the staffing level that supports day-to-day care is rated at the floor.
Silver Pines received one CMS fine of $37,115. That figure is above the Texas median fine of $20,699 among facilities that received any fine at all, and about 30% of Texas nursing homes received no fine in the same period.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on evenings and weekends
With 174 total nursing minutes per resident per day and only 10 from a registered nurse, ask how many nurses and aides are on the floor during evenings and on weekends specifically.
What the $37,115 fine covered
CMS issued one fine of $37,115 — ask what deficiency triggered it and what process changes followed the citation.
How quality outcomes are maintained
The facility rates 5 stars on CMS quality measures despite 1-star staffing — ask which specific measures drive that score and how care plans are reviewed when staffing is thin.
RN presence during off-hours
Reported registered-nurse time averages 10 minutes per resident per day; ask whether a registered nurse is on-site 24 hours a day or available only by call.
Management company's role day to day
The facility is licensed under a hospital authority but managed by Regency IHS of Bastrop Silver Pines LLC — ask which entity sets staffing budgets and handles resident concerns.
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.