Bertram Nursing and Rehabilitation: Staffing, Turnover, and Inspection Record
Bertram Nursing and Rehabilitation is a 74-bed for-profit nursing home in Bertram, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.66 nurse aide hours per resident per day, 17% below the Texas average of 2.00, and 95.6% nursing staff turnover (Texas average 55.3%).
Bertram Nursing and Rehabilitation
540 E State Hwy 29Bertram, TX 78605
Burnet County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Bertram Nursing and Rehabilitation, nurse aides logged 1.66 hours per resident per day, 17% below the Texas average. With about 48 residents a day, that works out to roughly 79 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 19% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.66 | 2.00 | 2.32 |
| Licensed practical nurses | 0.61 | 0.95 | 0.86 |
| Registered nurses | 0.47 | 0.43 | 0.69 |
| All nursing staff | 2.73 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.21 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
95.6% of nursing staff at Bertram Nursing and Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 100.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 26, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $10,135 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 5, 2023 | Fine | $10,135 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Bertram Nursing and Rehabilitation holds 4 of 5 overall; the Texas average is 2.6.
About Bertram Nursing and Rehabilitation
- Ownership: For profit - Corporation
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Nov 1, 2006
- Councils: resident council
- Area: rural
Nursing homes near Bertram Nursing and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Burnet Burnet · many days without an RN | 10.3 | 112 | 1.94 | 3.02 | 51.2% | 3 | None |
| Granite Mesa Health Center Marble Falls | 16.9 | 124 | 1.93 | 3.16 | — | 2 | $59,345 |
| New Hope Manor Cedar Park | 19.4 | 114 | 2.04 | 3.31 | 41.3% | 4 | $21,648 |
| The Springs Healthcare and Rehabilitation Cedar Park | 20.9 | 120 | 1.89 | 3.12 | 38.4% | 4 | $21,258 |
| Cedar Pointe Health and Wellness Center Cedar Park | 21.1 | 122 | 2.25 | 3.48 | 27.2% | 4 | None |
| Sagebrook Nursing and Rehabilitation Cedar Park | 21.1 | 124 | 1.96 | 3.19 | 50.7% | 4 | None |
| Georgetown Nursing and Transitional Care Georgetown | 21.8 | 142 | 2.22 | 3.55 | 41.3% | 4 | $8,281 |
| The Brixton at Horseshoe Bay Horseshoe Bay | 22.1 | 120 | 1.97 | 3.69 | 57.8% | 4 | $85,007 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.