Silver Pines Nursing and Rehabilitation Center

Name: Silver Pines Nursing and Rehabilitation Center
Address: 503 OLD AUSTIN HIGHWAY, Bastrop, TX, 78602, US
Telephone: 5123216220

503 Old Austin Highway, Bastrop, TX 78602 · Bastrop County · 114 certified beds · avg 87 residents/day · certified since Nov 21, 1994

Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.89

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (31)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 5, 2025	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jun 5, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 23, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 23, 2024	E · Potential for harm, repeated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
May 23, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 23, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 23, 2024	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
May 23, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 23, 2024	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
May 23, 2024	D · Potential for harm, one-off	The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition.
May 23, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
May 23, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 23, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 15, 2023	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Sep 18, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Mar 28, 2023	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Mar 28, 2023	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Mar 28, 2023	E · Potential for harm, repeated	The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency.
Mar 28, 2023	E · Potential for harm, repeated	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Mar 28, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 28, 2023	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 28, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 28, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 28, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 28, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 28, 2023	D · Potential for harm, one-off	The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 6).

Year	Citations	Worst severity that year
2023	13	E
2024	12	E
2025	6	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.89	3.46	3.95	bottom 17% in Texas; bottom 10% in the U.S.
Registered Nurse hours	0.22	0.44	0.69	bottom 11% in Texas; bottom 4% in the U.S.
Weekend total nurse staffing	2.69	3.04	3.50	bottom 29% in Texas; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.34	0.48	bottom 41% in Texas; bottom 24% in the U.S.
Total nursing staff turnover (%)	44.3	55.3	45.8	top 31% in Texas; top 48% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.05, RN 0.23, weekend 2.84. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
CSV Rhea Management Holdco, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2018
DWD TX Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2018
Jack and Nancy Dwyer Workforce Development Center INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2018
Reg Bridge Opco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2018
Reg HG Opco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2018
Reg Operator Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2018
Regency Ihs of Bastrop Silver Pines, LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	04/01/2018
Regency Integrated Health Services LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2018
Regency Texas Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2018
Smithville Hospital Authority	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2018
188 Old Austin Highway LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2018
Baird, Daniel	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/13/2021
Batlle, Augustin	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Bunte, Mark	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/27/2020
Byrd, Sara	Individual	Operational/Managerial Control	NOT APPLICABLE	09/10/2020
Byrd, Sara	Individual	ADP of the SNF	NOT APPLICABLE	09/10/2020
Clapp, Barbara	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2021
Cortese, Daren	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/10/2021
Dekowski, Donovan	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2018
Dekowski, Donovan	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Bastrop Lost Pines Nursing and Rehabilitation Cent	0.1 mi	Bastrop, TX	★☆☆☆☆	2/5	abuse
Windsor Nursing and Rehabilitation Center of Bastr	0.3 mi	Bastrop, TX	★★☆☆☆	3/5
Towers Nursing Home	14.0 mi	Smithville, TX	★★★★☆	4/5
Elgin Nursing and Rehabilitation Center	17.5 mi	Elgin, TX	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Bastrop →

Facility data as of CMS processing date 2026-08-01. CCN 675434.

The Care File

Visit checklist — Silver Pines Nursing and Rehabilitation Center

503 Old Austin Highway, Bastrop, TX 78602 · 5123216220

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675434 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)