Bastrop Lost Pines Nursing And Rehabilitation Center

Penalties

• Mar 20, 2026 — Fine ($16,149)
• Apr 22, 2024 — Fine ($16,801)
• Jan 12, 2024 — Fine ($59,510)

Inspection findings

1. Mar 20, 2026 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0600 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.

     CMS health inspection

2. Jan 30, 2026 Health · 5 findings
   • Not serious Scope/severity E

     F0656 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.

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity D

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Feb 6, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Feb 6, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 6, 2026 · CMS fire safety

3. Dec 10, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 12, 2025 · CMS health inspection

4. Nov 18, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Nov 19, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 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.

     Corrected Nov 19, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Nov 19, 2025 · CMS health inspection

5. Dec 5, 2024 Health · 10 findings
   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Dec 10, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0584 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.

     Corrected Dec 10, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Dec 10, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Dec 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Dec 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0761 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.

     Corrected Dec 10, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0881 Infection Control Deficiencies

     Implement a program that monitors antibiotic use.

     Corrected Dec 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0883 Infection Control Deficiencies

     Develop and implement policies and procedures for flu and pneumonia vaccinations.

     Corrected Dec 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 10, 2025 · CMS fire safety

6. Apr 22, 2024 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Mar 15, 2024 · CMS health inspection

7. Jan 12, 2024 Health · 1 finding
   • Serious Scope/severity K Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jan 13, 2024 · CMS health inspection

8. Dec 27, 2023 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jan 2, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 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.

     Corrected Jan 2, 2024 · CMS health inspection

9. Nov 7, 2023 Health · 7 findings
   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Nov 13, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0656 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.

     Corrected Nov 13, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Nov 13, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Nov 13, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0761 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.

     Corrected Nov 13, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Nov 13, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0161 Construction Deficiencies

     Use approved construction type or materials.

     Corrected Nov 13, 2023 · CMS fire safety

10. Aug 8, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Aug 9, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• BUNTE, MARK — managing control - governing body, NOT APPLICABLE, since 10/27/2020
• CHAVEZ, POMPEYO — adp of the snf, NOT APPLICABLE, since 01/01/2025
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• CORTESE, DAREN — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 02/01/2015
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 02/01/2015
• FULCHER, ANN — managing control - governing body, NOT APPLICABLE, since 01/22/2015
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• OWENS, KATHERINE — adp of the snf, NOT APPLICABLE, since 02/01/2015
• PETER, CHRISTOPHER — adp of the snf, NOT APPLICABLE, since 07/05/2022
• PETER, CHRISTOPHER — operational/managerial control, NOT APPLICABLE, since 07/05/2022
• URBAN, STACIA — adp of the snf, NOT APPLICABLE, since 02/01/2015
• WILSON, LINDA — managing control - governing body, NOT APPLICABLE, since 07/19/2023
• WILSON, LINDA — corporate officer, NOT APPLICABLE, since 07/19/2023
• 430 OLD AUSTIN HIGHWAY LLC — adp of the snf, NOT APPLICABLE, since 02/01/2015
• CSV RHEA MANAGEMENT HOLDCO, LLC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• DWD TX HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• REG HG OPCO 1, LLC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• REG HG OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• REG OPERATOR HOLDCO LLC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 02/01/2015
• REGENCY IHS MASTER TENANT LLC — adp of the snf, NOT APPLICABLE, since 02/01/2015
• REGENCY IHS OF BASTROP LOST PINES, LLC — direct ownership interest, NOT APPLICABLE, since 02/01/2015
• REGENCY IHS OF BASTROP LOST PINES, LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2015
• REGENCY IHS OF BASTROP LOST PINES, LLC — adp of the snf, NOT APPLICABLE, since 06/16/2025
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 02/01/2015
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 06/16/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2015
• REGENCY TEXAS HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 02/01/2015
• SMITHVILLE HOSPITAL AUTHORITY — adp of the snf, NOT APPLICABLE, since 06/16/2025
• SMITHVILLE HOSPITAL AUTHORITY — operational/managerial control, NOT APPLICABLE, since 02/01/2015
• SMITHVILLE HOSPITAL AUTHORITY — 5% or greater direct ownership interest, 100%, since 02/01/2015