BERTRAM NURSING AND REHABILITATION
540 E STATE HWY 29, BERTRAM, TX 78605 · CCN 676117
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 74
- Avg residents/day
- 46.1
- Phone
- 5123552116
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-11-26 | 3 | 9.1 | 9.5 | -6.1 better |
| 2 | 2024-08-29 | 5 | 9.4 | 9.8 | -4.4 better |
| 3 | 2023-07-07 | 5 | 8.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.15 | 47.4% |
| RN staffing (reported) | 0.50 | 33.3% |
| Total nurse staffing (adjusted) | 3.98 | — |
Fines & penalties
- Total fines
- $10,135
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (13)1 immediate jeopardy1 actual harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-28 · Health
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-26 · Health · corrected 2025-11-27
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-11-26 · Health · corrected 2025-11-27
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2024-08-29 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-29 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-08-29 · Health · corrected 2024-09-23
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-29 · Health · corrected 2024-09-23
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-06 · Health · corrected 2024-05-07
Actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-19 · Health · corrected 2023-11-03
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-05 · Health · corrected 2023-10-06
Immediate jeopardy
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-07 · Health · corrected 2023-08-07
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-07-07 · Health · corrected 2023-08-07
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2023-07-07 · Health · corrected 2023-08-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-09-01 |
| BERTRAM I ENTERPRISES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — | 2022-09-01 |
| WILLIG, ZACHARY | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| THOMPSON, JOHNNY | Individual | CORPORATE OFFICER | — | 2024-01-01 |
Other facilities in BERTRAM
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.