Bertram Nursing And Rehabilitation
540 E State Hwy 29, Bertram, TX 78605 · Burnet County
For-profit · 74 certified beds · 64% occupancy · (512) 355-2116
Bertram Nursing And Rehabilitation reviews: what the government record shows
The U.S. government (CMS) rates Bertram Nursing And Rehabilitation 4 out of 5 stars overall, above average. Its nurse staffing is 16% below the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 4 of 5 stars
- Nurse staffing
- 2.73 hrs/resident/day (-16% vs TX median)
- Antipsychotic drug use
- 8.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 1.8% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $10,135
- Inspection findings
- 13 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓Earns 4 of 5 stars overall from CMS.
Concerns
- !Nurse staffing of 2.73 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Bertram Nursing And Rehabilitation
Is Bertram Nursing And Rehabilitation a good nursing home?
Bertram Nursing And Rehabilitation in Bertram, Texas holds a 4 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Bertram Nursing And Rehabilitation staffed?
Bertram Nursing And Rehabilitation reports 2.73 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Bertram Nursing And Rehabilitation been fined or flagged for abuse?
Bertram Nursing And Rehabilitation has paid approximately $10,135 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
2.73 nurse hours per resident per day. 16% below the Texas median of 3.27.
Nursing staff turnover: 95.6% · RN turnover: 100%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0812 · Nov 26, 2025Corrected Nov 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Nov 26, 2025Corrected Nov 27, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0842 · Jan 28, 2026ComplaintCorrected Feb 20, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0583 · Aug 29, 2024Corrected Sep 23, 2024
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0812 · Aug 29, 2024Corrected Sep 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0689 · Aug 29, 2024Corrected Sep 23, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0697 · Aug 29, 2024Corrected Sep 23, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0600 · Oct 5, 2023ComplaintCorrected Oct 6, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Actual harmTag F0600 · May 6, 2024ComplaintCorrected May 7, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0656 · Jul 7, 2023Corrected Aug 7, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 13 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - corporation). It is part of the Creative Solutions In Healthcare chain, which operates 149 facilities, with a chain-average CMS rating of 2.1 stars.