Nursing home · Top rated by CMS
Bertram Nursing and Rehabilitation
540 E State Hwy 29, Bertram, TX 78605 · Map
For profit - Corporation · Part of Creative Solutions In Healthcare (149 facilities) · 74 certified beds
Bertram Nursing and Rehabilitation is a Medicare-certified nursing home in Bertram, Texas. CMS rates it 5 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.15 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Nov 26, 2025 cited 3 deficiencies.
- 1 fine totaling $10,135In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Bertram Nursing and Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.15 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.50 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.07 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 47.4% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 28, 2026 inspection was corrected by February 20, 2026
Penalties in CMS records: 1 fine totaling $10,135, 1 total penalty.
What inspectors found at Bertram Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Jan 28, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 26, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 26, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 29, 2024 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Aug 29, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Aug 29, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 29, 2024 · Full report (PDF) - Actual harm
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 · May 6, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 19, 2023 - Immediate jeopardy
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 · Oct 5, 2023 - Potential for harm
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 · Jul 7, 2023 - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Jul 7, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 540 E State Hwy 29
Bertram, TX 78605 - CMS certification #
- 676117
- Ownership
- For profit - Corporation
- Certified beds
- 74
- Avg residents/day
- 46.1
- Provider type
- Medicare and Medicaid
- First certified
- 2006-11-01
- Chain
- Creative Solutions In Healthcare (149 facilities)
- Setting
- Rural
Part of Creative Solutions In Healthcare
Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Bertram Nursing and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Ascension Seton Highland Lakes, Burnet. 13.8 miles away, straight line. CMS overall hospital rating: 5 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Avir at Burnet, Burnet. 10.3 miles away, straight line.
- Nearest home health agency office
- Ascension At Home, Burnet. 10.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 9.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78605 as metropolitan (metropolitan high commuting).
- Hospice
- 20 Medicare hospices tell CMS they serve ZIP code 78605.
Enhabit Hospice, office in Marble Falls, 16.7 miles away, straight line
Blue Water Hospice, LLC, office in Leander, 17.0 miles away, straight line
Comforts Of Home Healthcare LLC, office in Cedar Park, 21.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Scott And White Clinic, Austin. 24.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Bertram, TX, risk to homes is greater than 76% of communities in Texas and 86% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire relatively moderate, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Bertram Nursing and Rehabilitation a good nursing home?
CMS gives Bertram Nursing and Rehabilitation an overall rating of 5 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Bertram Nursing and Rehabilitation staffed?
Bertram Nursing and Rehabilitation reports 3.15 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Bertram Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Bertram Nursing and Rehabilitation have?
Bertram Nursing and Rehabilitation is certified for 74 beds.