The nursing home failed to protect residents from abuse and neglect by others. Cited October 2023 — isolated incident, immediate jeopardy to residents.
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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
4 of 5 overall
Bertram Nursing and Rehabilitation has a 4-star overall rating, with strong health inspection and quality measures scores, but a very low 1-star staffing rating. Reported nurse staffing is 2.60 hours per resident per day versus the 4.1 federal benchmark, and there were $0 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
2.5973 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 2.5973.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.51
- Nurse aides
- 1.68
- Weekend nursing
- 2.21
Hours per resident per day.
Total staff turnover: 97%
Registered nurse turnover: 100%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
6.1%Worsening
Residents with a fall causing major injury
1.2%Improving
Residents with pressure ulcers (bedsores)
1%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.6%Worsening
Residents whose ability to walk got worse
15.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
20.2%Improving
Short-stay residents newly given an antipsychotic
2.6%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
9.8%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
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.
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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.
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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
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 48.9 residents on an average day (66% 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.