Bertram Nursing & Rehabilitation
540 EAST STATE HIGHWAY 29, Bertram, TX, 78605-4473
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
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 74 · avg 46 residents/day
- Total nursing staff turnover
- 47.4% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 33.3% — lower 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 · $10,135 total
State licensing & capacity
- License number
- 308733
- Service type
- Medicare/medicaid
- Licensed capacity
- 74 beds
- Bed type breakdown
- 15 Medicare-only · 59 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Bertram I Enterprises, Llc
- Administrator
- Dennis Baker
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Parent entity
West Wharton County Hospital District
Disclosed owners (18 on record)
- Asif s Syed
Adp of The Snf · since 2025
- Dennis r Baker
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
- Sean Bowers
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
September 2022 (3 years ago) · acquired from Bertram Nursing & Rehabilitation
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 13)
- D0842·Jan 28, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E0880·Nov 26, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Nov 26, 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.
- E0812·Aug 29, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0697·Aug 29, 2024
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- D0689·Aug 29, 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0583·Aug 29, 2024
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- G0600·May 6, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal penalties
By year
- 20231 fine · $10K
Most recent events
- Oct 5, 2023Fine · $10K
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Jul 7, 2023. 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
Bertram Nursing & Rehabilitation is a 74-bed nursing home in Bertram, TX, licensed since 1971 and currently managed by Bertram I Enterprises under a hospital-district licensee. CMS rates it 5 stars overall — 4 stars on health inspections, 4 on staffing, and 5 on quality measures. The facility operates at about 62% of licensed capacity, with 46 of 74 beds occupied on an average day. It is part of the Creative Solutions In Healthcare chain.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 4 stars — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 189 minutes of nursing care per day. That figure sits below the 241-minute threshold for a 4-star staffing facility in Texas, but the rating reflects the full CMS methodology, not minutes alone.
RN turnover is low: about 3 in 10 registered nurses left in the past year, below the state's 25th-percentile cutoff — better than roughly three-quarters of nursing homes in Texas on this measure. Total nursing staff turnover runs at 47.4%, which falls between the Texas median of 50% and the 25th-percentile of 42% — neither a standout nor a concern.
The facility had one CMS fine totaling $10,135. The Texas median fine amount among facilities that receive any fine is $20,699, and about 30% of Texas nursing homes had zero fines in this period.
The facility is running at 62% occupancy — 46 residents in a 74-bed building. That level of vacancy is lower than typical for the region; it may reflect local demand patterns, staffing constraints, or active bed management.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for low occupancy
With only 46 of 74 beds filled on an average day, ask whether the facility is actively admitting and what accounts for the lower census.
Weekend staffing levels
CMS data shows weekend nursing hours at 2.56 per resident per day, compared to 3.15 on weekdays — ask how staffing is structured on Saturdays and Sundays.
Management company's role
Day-to-day operations are run by Bertram I Enterprises under a hospital-district license — ask how decisions are split between the licensee and the management company.
Details behind the CMS fine
One fine of $10,135 appears in the CMS record; ask what deficiency triggered it and how the facility responded.
Resident Council access
The facility has a Resident Council but no Family Council — ask how family members can formally raise concerns or get updates on care.
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.