Silver Pines Nursing and Rehabilitation Center

    503 Old Austin Hwy, Bastrop, TX 78602
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Request a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    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

    Reviews

    4.21·(47)

    Overall rating

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

      4.4
    • Staff

      4.4
    • Meals

      4.2
    • Amenities

      4.2
    • Value

      4.2

    Pros

    • Compassionate and attentive caregiving staff
    • Knowledgeable, hands-on administration
    • Personalized, resident-centered care
    • Engaging activity program (creative offerings and scheduled events)
    • Strong rehabilitation and therapy services
    • Home-like, family-style atmosphere
    • Clean, well-maintained common areas
    • Staff familiar with residents' names and preferences
    • Reliable respite-care and VA placement options
    • Supportive admissions and transition assistance
    • Dedicated activity directors and active CNA engagement
    • Proactive nursing and clinical assessments
    • Sense of trust and peace of mind for families
    • Consistent sleep/medication support during effective shifts
    • Welcoming small-town, community-oriented culture

    Cons

    • Inconsistent family communication and notification processes
    • Inaccessible or unreliable phone/contact system
    • Gaps in medication administration and clinical coordination
    • Shift-to-shift variability in staffing quality and responsiveness
    • Resident placement and room-change processes lack transparency
    • Belongings and laundry management lapses
    • Privacy and HIPAA-procedure weaknesses
    • Sanitation and odor concerns on some wings
    • Transportation and external-care coordination weaknesses
    • Rigid visitation policies during infection-control periods
    • Allegations of rough handling and discriminatory conduct

    Summary of reviews

    Silver Pines Nursing and Rehabilitation Center presents a mixed but predominantly positive profile. Many families and long-term residents emphasize compassionate, personalized caregiving and a home-like atmosphere. Reviewers consistently praise the facility’s hands-on administration, engaged CNAs, and activity staff who provide creative, scheduled programming (bingo, themed activities, and individualized engagement). Rehabilitation and therapy services are described as strong, and admissions/transition teams are frequently noted as helpful when coordinating moves. These strengths create a general sense of trust and peace of mind for many families.

    Clinical care quality appears to be uneven. Several reviewers described proactive nursing care and thorough evaluations, especially during well-staffed shifts, but others noted gaps in medication administration, inconsistent clinical coordination with physicians and home-health providers, and failures in maintaining clear plans of care. Staffing variability — often characterized as strong morning performance but weaker later shifts — is a recurrent pattern that affects continuity of care. A number of operational shortcomings were also described, including opaque room-move procedures, lapses in managing residents’ belongings and laundry, and weaknesses in transportation or discharge coordination.

    Communication and accessibility are a notable area of concern. Families reported difficulty reaching nursing staff directly, an unreliable phone/contact system, and inconsistent family notifications (including troubling communication failures in end-of-life situations). Privacy-process issues were raised as well, with at least one reviewer describing a breakdown in confidentiality procedures. These communication gaps compound other operational weaknesses and increase family anxiety when events occur.

    Facility environment and amenities receive generally favorable comments. Common areas and many wings are described as clean and well maintained; activity spaces and a family-style culture are highlighted as strengths. However, there are intermittent sanitation and odor concerns on particular wings that the facility should address to align physical environment with the otherwise positive descriptions. Dining is not a dominant theme in the feedback provided; no consistent praise or criticism of food service stands out from the summaries given.

    Leadership and management earn both praise and criticism. Several reviewers commend visible, responsive administrators and credit management for positive changes and a supportive culture. At the same time, persistent operational issues—communications systems, staffing consistency, belongings management, and privacy procedures—point to areas where management attention and process improvement could materially improve family experience and clinical reliability. Serious individual allegations (including concerns about rough handling and discriminatory conduct) appear in the feedback and warrant prompt, transparent investigation by leadership and relevant oversight authorities.

    Bottom line: Silver Pines offers many of the qualities families seek — compassionate staff, strong therapy programs, engaging activities, and a homelike atmosphere — but also demonstrates facility-level weaknesses in communication, consistency of care across shifts, and some operational processes. Prospective residents and families would benefit from targeted questions during tours: ask about shift staffing ratios and handoff procedures, medication-administration controls, phone and family-notification protocols, belongings/laundry processes, and how the facility investigates and resolves conduct or privacy complaints.

    Reviews written on Mirador

    We have no reviews to show about Silver Pines Nursing and Rehabilitation Center.

    Help other families by writing a review about your experience with this community.

    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Silver Pines Nursing and Rehabilitation Center is located at 503 Old Austin Hwy, Bastrop, TX, 78602.

    About Silver Pines Nursing and Rehabilitation Center

    Silver Pines Nursing and Rehabilitation Center sits in Bastrop, Texas, over on 503 Old Austin Highway, and folks there often say you can feel the care when you walk in because the staff's always around, whether you need help with bathing, dressing, getting out of bed, or managing your medicines, and they do this around the clock with a certified nursing team that includes licensed vocational and certified nurses, working under skilled supervision with nurse assistants, though the nurse turnover rate here's higher than the Texas average by a bit, and you'll find nurse coverage for nearly three hours per resident each day, which is a little below what other Texas centers provide, but the care covers the basics and goes further too because Silver Pines offers skilled nursing, memory care, rehabilitation for things like surgeries or joint replacements, plus therapies like physical, speech, and occupational therapy, and if you find a loved one needing respite or hospice services, they've got those as well. The place has room for over 120 beds in total, though as of June 2025, 28 beds are open, and on average you'll find about 86 folks living here, getting care every day, and there's 114 certified beds checked by state inspectors, who noted one infection-related deficiency and a total of 38 deficiencies in recent visits, including some involving infection control and resident rights, so it's good to look over inspection reports when comparing homes. Silver Pines is part of a bigger network called Daybreak Venture, which runs more than 70 senior health centers across Texas, and the local ownership ties back to Smithville Hospital Authority, with management handled by Regency Integrated Health Services and others since 2018, and the center connects with Wellsential Health and the Texas Independence Health Plan, meaning they accept payments from Medicaid, Medicare, private insurance, managed care, VA insurance, and Medicare Advantage plans, which can help some families with costs. Silver Pines sits inside a bigger Continuing Care Retirement Community setup, so if your care needs change, residents can often move to different levels of care without leaving the property. Living spaces include private and semi-private rooms, often with air conditioning, Wi-Fi, cable TV, and handy kitchenettes, plus private bathrooms, and the common areas have sitting rooms, a dining room, and spaces like an arts room, movie theater, game room, beauty salon, barbershop, wellness center, and gardens with walking paths, and there's even a secure memory unit for residents with Alzheimer's or dementia. Dining's handled by a professional chef who offers meals all day with choices for people with dietary restrictions, including allergies or diabetes, so no one feels left out at the table, and laundry and housekeeping services keep things tidy, while coordinated move-in help and daily activity planning make settling in and staying busy a lot easier. People staying at Silver Pines or even just visiting for short-term rehab use the community-sponsored events, resident-run gatherings, fitness programs, and clubs, with both individual and group options, and families are welcome too, as there are family councils and resident councils that give people a say in how things are run. There's support for outings to doctor's visits or shopping with local bus services, and a whole social services department sets up visits with dentists, podiatrists, eye doctors, or mental health providers, and they do their best to keep the home in good shape, keeping the environment peaceful and well kept, though it's an older building with a bit of charm, and not fancy or new, just comfortable. Silver Pines takes pride in treating people as individuals, so every care plan's made special, changing if people's needs change, with medical care for conditions like diabetes, heart and lung issues, and help for wound care, tube feeding, or stroke recovery, plus they offer 24-hour call systems in all rooms for safety and support. People here mention the compassion of staff, the clean look of shared spaces, and the variety of activities, though as always, reading up on inspection reports and visiting in person gives families a better idea of what to expect. Silver Pines Nursing and Rehabilitation Center keeps doors open every day, covering both short and long-term care, so folks can come for a little while or stay as long as they need.

    People often ask...

    Silver Pines Nursing and Rehabilitation Center offers assisted living, memory care, and skilled nursing.

    There are 23 photos of Silver Pines Nursing and Rehabilitation Center on Mirador.

    The full address for this community is 503 Old Austin Hwy, Bastrop, TX 78602.

    No, Silver Pines Nursing and Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RqjSxAAJ
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity114 residents
    LicenseeSMITHVILLE HOSPITAL AUTHORITY
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    2

    Reports

    7

    Citations

    0

    Complaints

    0

    Years

    13 Aug 2026Inspection
    Found violations related to meal service and food handling, resident care, and informing residents about complaints.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    11 Aug 2026Life Safety
    Cited deficiencies in kitchen exhaust installation, improper use of surge-protection devices, and inadequate bedroom window compliance.
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Silver Pines Nursing and Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Silver Pines Nursing and Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

    Are you an owner or operator of Silver Pines Nursing and Rehabilitation Center?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 12 facilities$4,224/mo
    2. 2 facilities$3,933/mo
    3. 4 facilities$3,933/mo
    4. 3 facilities$4,952/mo
    5. 1 facilities
    6. 7 facilities$5,035/mo
    7. 3 facilities
    8. 4 facilities$4,888/mo
    9. 1 facilities
    10. 12 facilities$7,058/mo
    11. 2 facilities
    12. 3 facilities$4,243/mo
    © 2026 Mirador Living