Nursing home report card · Bertram, TX

Bertram Nursing and Rehabilitation

540 E State Hwy 29, Bertram, TX 78605

Infection-control problems noted

Quick summary

Review the ratings and inspection history below

Use the star ratings as a quick grade, then read what inspectors actually wrote. Numbers alone do not tell the whole story for any one resident.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?

Medicare file prepared: Aug 1, 2026
Our record last updated: Oct 15, 2026
Last routine health inspection: Nov 26, 2025

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating

4out of 5

Combines inspection, staffing, and care measures.

Above average

Health inspections

4out of 5

Based on problems found during health inspections.

Above average

Nursing staff

1out of 5

Based on staffing levels and related measures.

Among the lowest Medicare ratings

Health and care results

5out of 5

Based on reported health and care results.

Among the highest Medicare ratings

What do the ratings and warnings mean?

Medicare ratings: One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems: Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning: Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time: Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems

Building, alarms, exits, and related safety citations

Reported fines

$10,135

Total fine amounts in the imported penalty records

Medicare file prepared

Aug 1, 2026

Medicare home ID: 676117

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

Immediate danger to residents · isolated case
Oct 5, 2023 · Inspection rule 0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Caused actual harm · isolated case
May 6, 2024 · Inspection rule 0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Could have caused harm · isolated case
Jan 28, 2026 · Inspection rule 0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)

0.47hours per resident per day

about 28 minutes per resident per day

All nursing staff

2.73hours per resident per day

about 2 hr 44 min per resident per day

Registered nurse time on weekends

0.22hours per resident per day

about 13 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

Overall CMS rating: 4 stars
Health inspection rating: 4 stars
Staffing rating: 1 stars
Registered nurse time per resident: 0.47 hours/day
Total nurse time per resident: 2.73 hours/day

See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; Texas averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

Recent citations include infection-control problems
CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

Immediate danger to residents1 citation
Caused actual harm1 citation
Could have caused harm11 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints: 0
Routine: 13
Fire safety: 0
Other: 0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Corporation.

We do not have individual owner names for this home.

Other homes in this group: All Creative Solutions in Healthcare nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

January 28, 20261 finding

Resident Assessment and Care Planning problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0842 · code D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

November 26, 20252 findings

Nutrition and Dietary problems
Could have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0812 · code F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0880 · code E
Provide and implement an infection prevention and control program.

August 29, 20244 findings

Resident Rights problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0583 · code E
Keep residents' personal and medical records private and confidential.
Nutrition and Dietary problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0812 · code E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0689 · code D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0697 · code D
Provide safe, appropriate pain management for a resident who requires such services.

May 6, 20241 finding

Freedom from Abuse, Neglect, and Exploitation problems
Caused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0600 · code G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

October 19, 20231 finding

Quality of Life and Care problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0684 · code D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.

October 5, 20231 finding

Freedom from Abuse, Neglect, and Exploitation problems
Immediate danger to residents · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0600 · code J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

July 7, 20233 findings

Resident Assessment and Care Planning problems
Could have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0656 · code E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0880 · code D
Provide and implement an infection prevention and control program.
Environmental problems
Could have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0908 · code D
Keep all essential equipment working safely.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

Fine · Oct 5, 2023$10,135

Other homes in this chain

Creative Solutions in Healthcare · other locations in Texas

Questions about Bertram Nursing and Rehabilitation

What is Bertram Nursing and Rehabilitation's Medicare star rating?

As of August 1, 2026, Bertram Nursing and Rehabilitation in Bertram, Texas has an overall CMS rating of 4 out of 5 stars. Other CMS scores: health inspection 4 of 5, staffing 1 of 5, quality measures 5 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.

Has Bertram Nursing and Rehabilitation been fined?

As of August 1, 2026, the imported penalty records list $10,135 in reported fines for Bertram Nursing and Rehabilitation. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.

Does Bertram Nursing and Rehabilitation have a Medicare abuse warning?

No. The current CMS Care Compare extract does not show an abuse warning icon for Bertram Nursing and Rehabilitation in Bertram, Texas.

How does Bertram Nursing and Rehabilitation compare with other nursing homes in Texas?

Its overall CMS rating is 4 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the Texas report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

Not a law firm. We share CMS inspection data and connect interested families with a free case review.
What happens next. A case-review specialist may follow up using the contact details you provide.
Your choice. No obligation to hire anyone. Read the contact consent and Privacy Notice before submitting your request.

Free · no obligation

Request a free case review

Answer a few questions. If you send a request, a case-review specialist may contact you. We are not a law firm.

Who will receive my information?

Nursing Home Reporter and its intake services receive your answers. We may share them with case-review or law-firm referral partners. Sending a request does not guarantee a lawyer or create an attorney-client relationship. Read our Privacy Notice.

Step 1 of 5

What happened?

Tap the closest match to continue. You can add details later.