The nursing home failed to protect residents from abuse and neglect by others. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
BERTRAM NURSING AND REHABILITATION
BERTRAM, TX · Medicare-certified · 74 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Bertram Nursing and Rehabilitation in Bertram, TX has an overall 4-star rating, with 4 stars for health inspections and 5 stars for quality measures, but a 1-star staffing rating. Reported nurse staffing is 2.73 hours per resident per day, below the 4.1-hour federal benchmark, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.7346 hrs/resident/day
Quality measures
Last inspection: January 28, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7346.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.61
- Nurse aides
- 1.66
- Weekend nursing
- 2.21
Hours per resident per day.
Total staff turnover: 96%
Registered nurse turnover: 100%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.5%12.1%Worsening
Residents with a fall causing major injury
2.3%4.4%Worsening
Residents with pressure ulcers (bedsores)
1.9%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.4%9.4%Improving
Residents whose ability to walk got worse
—19.3%—
Long-stay residents on antianxiety or sleep medication
18.5%21.6%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.7%2%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to keep residents’ personal and medical records private and confidential. Cited August 2024 — limited pattern, potential for harm.
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F-Tag 583 — 42 CFR §483.10 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited July 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $10,135 in total fines.
- $10,135
Federal fine
Oct 5, 2023
Operator & ownership
Recent ownership change · Sep 1, 2022
Now operated by West Wharton County Hospital District, previously Hamilton County Hospital District.
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.2 stars avg
- Occupancy
- 47.5 residents on an average day (64% of 74 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 19 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.