Bastrop Lost Pines Nursing and Rehabilitation Center

    430 Old Austin Hwy, Bastrop, TX, 78602
    3.9 · 66 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Caring staff but staffing concerns

    I'm grateful for many caring, friendly staff-Amber and the therapy/nursing teams went above and beyond, rehab was excellent, and the facility is clean and welcoming. That said, chronic understaffing (especially after hours/weekends) caused delayed baths, slow nurse response times, call-button/phone issues, occasional soiled linens/food problems and little privacy in two-person rooms. Communication and scheduling can be frustrating and management seems inconsistent. Overall my loved one's health improved with great clinical staff, but I worry about nights, staffing and shared rooms.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.91 · 66 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      3.7
    • Meals

      2.4
    • Amenities

      3.4
    • Value

      1.3

    Pros

    • Many staff described as friendly, caring, and compassionate
    • Strong and effective physical and occupational therapy teams
    • Multiple named staff praised for exceptional service (e.g., Amber, Georgia, Mary Kate, Steve, Melanie, Ray)
    • Helpful and responsive admissions staff, especially Amber Robinson
    • Clean facility and pleasant lobby reported by many reviewers
    • Rehabilitation successes and positive outcomes after hospital stays and strokes
    • Activities and snacks available; social engagement opportunities noted
    • Some halls and units reported as safe, comfortable, and warm
    • Good interpersonal communication from certain nurses, CNAs, and aides
    • Admissions and administrative staff sometimes proactive and easy to work with
    • Prompt, attentive care reported during daytime/business hours
    • Certain CNAs and nurses go above and beyond for residents
    • Facility described as having a pleasant atmosphere by many families
    • Therapy staff consistently noted as knowledgeable and thorough
    • Some families reported that loved ones improved mentally and physically
    • Facility generally cleaner and less odorous than other local options (per several reviewers)
    • Staff availability 24/7 reported by some reviewers
    • Helpful transportation and logistical support noted (e.g., Stephanie)
    • Comfortable communal areas and hospitable environment for visitors (per some reviews)
    • Many reviewers would recommend the facility based on staff and rehab results

    Cons

    • Chronic understaffing, especially on weekends and after-hours
    • Long nurse response times and delayed assistance (e.g., showers, toileting)
    • Inconsistent quality of care between day and night shifts
    • Soiled or unchanged linens and bedding left on beds for long periods
    • Reports of fecal/urine odors and dirty bedding in some cases
    • Call button problems and instances where assistance arrived late or wrong person responded
    • No in-room phones and busy/ineffective facility phone lines
    • Poor after-hours communication and difficulty getting status updates
    • Food service issues: cold/off-temperature food, undercooked meals, dirty ice
    • Instances of residents not being fed or assisted in dining areas
    • Shared rooms with limited privacy and small, depressing room layouts
    • Supply shortages (e.g., sheets, towels) and limited closet amenities
    • Allegations of neglect leading to hospitalization (dehydration, immobility, stroke)
    • Administrative inconsistency: some managers praised while others criticized for shutdowns/poor oversight
    • Occasional rude or unprofessional staff behavior reported
    • Problems with discharge timing and continuity of care (early discharge, delayed dentures)
    • Financial disputes regarding refunds and prepaid months
    • Residents wandering unsupervised and safety concerns (falls, lack of monitoring)
    • Conflicting reports about cleanliness — some areas reported as dirty or neglected
    • Reports of drugging or inappropriate medication practices alleged by at least one reviewer

    Summary review

    Overall sentiment is mixed but leans toward appreciation for the staff and therapy outcomes, tempered by recurring operational and management problems that cause inconsistent resident care. A strong and repeated theme is that the facility has many caring, competent, and compassionate individuals — especially in therapy, admissions, and on certain nursing halls — and these staff members often produce measurable rehabilitation successes and meaningful improvements in residents. At the same time, multiple reviewers report systemic issues (staffing shortages, communication breakdowns, and supply problems) that sometimes result in neglectful or unsafe experiences.

    Care quality and clinical services: Reviews consistently highlight excellent therapy (physical and occupational) and many specific success stories after hospital stays and strokes. Several therapists and therapy leaders received direct praise for rehabilitative skill and positive outcomes, and families frequently credited therapy staff with helping loved ones regain function. Nursing and CNA performance is uneven in the reports: many individual aides and nurses are described as superb, attentive, and life-saving, while other accounts describe delayed responses, toileting neglect, and situations that contributed to rehospitalization (dehydration, immobility). The most consistent clinical red flag is understaffing — especially nights and weekends — which reviewers link to delays in bathing, toileting, feeding assistance, and response to call buttons.

    Staff and specific personnel: A common pattern is very high praise for named individuals (Admissions Director Amber Robinson is repeatedly singled out for going above and beyond, and others such as Georgia, Mary Kate, Steve, Melanie, Ray and various CNAs receive frequent commendation). Admissions and social work staff get strong marks for responsiveness and family communication in many reports. Conversely, some reviewers called out rude or unhelpful staff members and described poor night-shift care; this points to inconsistency across shifts or units rather than uniformly poor staffing. Where staff are present and engaged, families report residents improving physically and emotionally and feeling well cared for.

    Facilities and environment: Opinions of the physical plant are mixed. Many reviews describe the facility as clean, pleasant, and smelling good, with a nice lobby and overall tidy appearance. However, other reviewers report upsetting conditions in patient rooms and certain wings: small, institutional, depressing rooms; shared two-bed rooms with limited privacy; hand-crank beds; closets missing bars; and shortages of linens and towels. There are multiple reports of soiled bedding left in place for extended periods and occasional strong urine/fecal odors. These conflicting reports suggest variability between wings or shifts — some areas are well-kept while others suffer neglect.

    Dining and nutrition: Several reviewers praised good food and snacks when meals were delivered appropriately, but there are also concrete complaints about cold or off-temperature food, undercooked meals, dirty ice, and unfulfilled beverage requests (coffee). Some residents were reportedly not assisted to eat in common areas, leading to missed meals and weight loss for at least one resident. Food-service lapses appear to intersect with staffing problems and timing issues.

    Communication, administration, and management: Administration receives polarized feedback. Admissions and certain administrators (notably Amber Robinson and other proactively named staff) get strong praise for responsiveness, coordination, and family communication. At the same time, many reviewers cite difficulty reaching staff by phone, busy signals, lack of updates for days at a time, confusing front-desk/appointment processes, and management failures such as shutdowns or poor oversight. There are also at least one or two instances of financial disputes (refunds for prepaid months) and operational breakdowns (delayed dentures, early discharges without follow-up). The net effect is a facility that can deliver excellent hands-on care in parts but struggles to maintain consistent administrative communication and operational reliability.

    Safety and adverse incidents: Several serious safety concerns appear in the reviews: reports of residents left immobile and subsequently hospitalized for dehydration or for new strokes, feces on sheets for extended periods, residents wandering unsupervised, and at least one allegation of denied pain medication or inappropriate medication practices. Call button failures and delayed or wrong-person responses are recurrent issues, exacerbating risk. Families should consider these safety-related patterns seriously, as they are directly tied to reported staffing levels and night/weekend coverage.

    Patterns and recommendations for families: The dominant pattern is variability. When the skilled staff and well-staffed shifts are in place, residents receive attentive, effective, compassionate care and strong rehab outcomes; when staffing or management lapses occur (often nights/weekends or in specific wings), families report neglect, hygiene lapses, and safety problems. Prospective families should ask specific questions about staffing ratios on the particular unit, after-hours nurse coverage, linen-change protocols, meal assistance policies, and whether private rooms are available if privacy is important. Visiting at different times (including evenings and weekends) may reveal how consistent care is across shifts. If choosing this facility, document communications, understand refund policies before prepaying, and identify key staff members who are responsive so you have direct contacts for concerns.

    Conclusion: Bastrop Lost Pines Nursing and Rehabilitation Center shows clear strengths in therapy services, several deeply committed staff members, and the capacity to improve residents’ health and morale. However, the facility also exhibits recurrent operational weaknesses — especially understaffing, inconsistent night/weekend care, communication breakdowns, and occasional hygiene and safety lapses — that create significant variability in resident experience. Families who prioritize strong rehab services and who can secure continuity with praised staff may have very positive outcomes, but those who are concerned about after-hours care, privacy, or consistent hygiene should probe these areas carefully before committing.

    Location

    Map showing location of Bastrop Lost Pines Nursing and Rehabilitation Center

    About Bastrop Lost Pines Nursing and Rehabilitation Center

    Bastrop Lost Pines Nursing and Rehabilitation Center sits at 430 Old Austin Highway in Bastrop, TX, and offers a range of care, so you'll find both long-term and short-term options there, and they've got skilled nursing, therapy, and rehabilitation services, with care that covers things like cardiac and pulmonary conditions, stroke recovery, wound care, tube feeding, and even respite care for families who need a break. The facility includes a therapy gym with a kitchen set up to help people get ready for going back home, and people recover from things like surgery, orthopedic issues, or joint replacement with help from physical, occupational, and speech therapists. There's a special memory support unit for people who need Alzheimer's or dementia care, and staff provide support for residents with these challenges. Comfortable living arrangements include private rooms, semi-private rooms, and some with en suite bathrooms or showers, and each room comes with a television. Residents can spend time in the outdoor courtyard, relax with WiFi and cable, visit the beauty salon or the Bistro, or join in on recreational activities offered at the facility. Transportation is available for those who need it. Home health services help patients stay in their homes longer, and there are hospice and palliative care services focused on comfort and quality of life. The staff includes Wellsential Health professionals who focus on personalized care each day. The facility is a non-profit and works with community partners, encouraging professional growth for the staff. Bastrop Lost Pines Nursing and Rehabilitation Center is a Medicare Advantage HMO-SNP and is operated by Texas Independence Health Plan. The center is known for providing a supportive environment for both patients and staff, and has earned a rating of 4.0 from 33 reviews, showing families what to expect if they're considering care here.

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