Bertram Nursing And Rehabilitation is one of the top-rated nursing facilities in Bertram, Texas, earning an A grade based on CMS data. With a score of 85/100, it ranks in the top 6% of facilities statewide — a strong indicator of quality care.
With 3.15 total nurse hours per resident per day, Bertram Nursing And Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 13 deficiencies at Bertram Nursing And Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.15 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.50 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.58 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.07 | 2.4 | Below Average |
| Weekend Total Nursing | 2.56 | 3.8 | Below Average |
| Weekend RN Hours | 0.27 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarJan 27, 2026 · Resident Assessment and Care Planning Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 25, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Nov 25, 2025 · Infection Control Deficiencies
- Tag 0583 Severity EKeep residents' personal and medical records private and confidential.Aug 28, 2024 · Resident Rights Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Aug 28, 2024 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.5% | 4.5% | Better |
| Falls with major injury | 2.9% | 3.0% | Average |
| On antipsychotic medication | 8.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 10.0% | 14.0% | Better |
| Excessive weight loss | 1.6% | 7.5% | Better |
| New/worsened incontinence | 11.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $10,135
How This Grade Was Calculated
This facility's grade of A is based on a score of 85 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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