B82

BERTRAM NURSING AND REHABILITATION

Grade B 82/100 composite score

Government - City/county

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

74

Ownership

Government - City/county

Total Fines

$10,135

Last Survey

N/A

540 E STATE HWY 29, BERTRAM, TX 78605
5123552116

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.63h
LPN
0.73h
CNA
2.62h
Total
3.98h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WEST WHARTON COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2022

100%

BERTRAM I ENTERPRISES, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2022

BLAKE, GARY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2022

BLAKE, MALISA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2022

HUGGINS, LINDA

IndividualCORPORATE DIRECTORSince Sep 2022

WILLIG, ZACHARY

IndividualCORPORATE DIRECTORSince Jan 2025

THOMPSON, JOHNNY

IndividualCORPORATE OFFICERSince Jan 2024

Penalties & Fines (1)

$10,135total fines
DateTypeDescriptionAmount
Oct 5, 2023Fine$10,135

Health Inspection Deficiencies (16)

August 29, 2024Health4 deficiencies
0583EMinimal harm, Pattern

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Sep 23, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2024
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 23, 2024
May 6, 2024Health1 deficiency1 severe
0600GActual harm, Isolated

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

Corrected May 7, 2024
October 19, 2023Health1 deficiency
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Nov 3, 2023
October 5, 2023Health1 deficiency1 severe
0600JImmediate jeopardy, Isolated

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

Corrected Oct 6, 2023
July 7, 2023Health3 deficiencies
0656EMinimal harm, Pattern

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

Corrected Aug 7, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 7, 2023
0908DMinimal harm, Isolated

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Aug 7, 2023
May 4, 2022Health6 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected May 20, 2022
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected May 20, 2022
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected May 20, 2022
0695EMinimal harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected May 20, 2022
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected May 20, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 20, 2022

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Frequently Asked Questions

What is the CareGrader rating for BERTRAM NURSING AND REHABILITATION?

BERTRAM NURSING AND REHABILITATION in BERTRAM, Texas has a CareGrader grade of B (Good), with a composite score of 82.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for BERTRAM NURSING AND REHABILITATION?

BERTRAM NURSING AND REHABILITATION has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does BERTRAM NURSING AND REHABILITATION have?

BERTRAM NURSING AND REHABILITATION has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has BERTRAM NURSING AND REHABILITATION been fined?

Yes. BERTRAM NURSING AND REHABILITATION has $10,135 in total fines from CMS enforcement actions across 1 penalty.

How many beds does BERTRAM NURSING AND REHABILITATION have?

BERTRAM NURSING AND REHABILITATION has 74 certified beds with approximately 46 current residents (62% occupancy). The facility is located at 540 E STATE HWY 29, BERTRAM, Texas 78605. It is a government - city/county facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.