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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.