Nursing homes across Bastrop County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Silver Pines runs a 114-bed nonprofit home in Bastrop, and its numbers split in two directions. The care side looks strong: a four-star health inspection record, a top quality-measure score, and a recent June 2025 inspection with no deficiencies at the harm or jeopardy level, though one abuse-related citation does appear among the 31 on file. Staffing is the weak spot. At 3.05 nurse hours per resident day, it sits about 21% under the national average, weekends run roughly 7% thinner than weekdays, and turnover of 44.3% is essentially the national rate. Nonprofit ownership and good survey results are real strengths, but the day-to-day nurse coverage is thin enough to ask about directly.
Windsor Nursing and Rehabilitation Center of Bastrop is run by a hospital district, and its inspection record reflects that, a four-star health inspection rating with 13 deficiencies on file, just one at the harm level and none related to abuse. The problem is staffing: 2.88 nurse hours per resident day, roughly 26% under the national average of 3.86, and weekends run about 9% thinner than weekdays. Turnover sits at 45%, basically identical to the national figure. One fine totaling $15,920 is on record, and the last inspection was July 2025. Good surveys don't help much when there are fewer hands on deck each day.
Elgin Nursing and Rehabilitation Center runs lean on direct care: 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends drop another 12% under its own weekday pace. That thin coverage shows up in the federal staffing rating, and it's worth weighing against 27 deficiencies on the current record, including one at the harm level and one tied to abuse, plus a $36,221 fine. Staff turnover at 33.3% is better than the 45.8% national figure, and the quality measure score of 4 out of 5 suggests residents' clinical outcomes aren't the main problem. The last inspection was April 2025, so the record is recent.
Towers Nursing Home in Smithville runs a nonprofit operation with 120 certified beds, and its inspection record looks solid on paper, a 4-out-of-5 health inspection rating and a recent survey from July 2025. But the staffing numbers tell a different story. At 2.59 nurse hours per resident per day, this home sits about a third below the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. Staff turnover is 58.8%, well above the 45.8% national figure, which matters when you're counting on consistent caregivers. Fifteen deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, and CMS has fined the home $15,239. Ask about weekend coverage and how they keep CNAs.
Bastrop Lost Pines is run by a hospital district, which you might expect to mean steadier resources, but the numbers don't show that. Nurses give about 3.10 hours of care per resident each day against a national average of 3.86, and weekends run roughly 13 percent thinner than weekdays, so coverage depends heavily on when you visit. The current inspection record carries 27 deficiencies, three of them serious enough to put residents in harm's way and two tied to abuse, with $101,156 in fines across three cases. Turnover sits at 46.8 percent, slightly worse than the national figure, and the most recent inspection was January 30, 2026.