Silver Pines Nursing and Rehabilitation Center

    503 Old Austin Hwy, Bastrop, TX, 78602
    4.2 · 45 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Caring staff but inconsistent communication

    I chose Silver Pines and, overall, my experience has been positive - many staff are kind, respectful and attentive, rehab and activities are excellent, and my loved one has flourished in a warm, home-like environment. Several nurses and CNAs went above and beyond and felt like family; administrators were responsive and caring. That said, communication and organization can be inconsistent: missed meds, lost clothing, room moves without notice, phone/contact issues and occasional rude or unprofessional staff were real problems. COVID precautions and dedicated caregivers were reassuring, but privacy/notification lapses worried me. I'm grateful for the strong, compassionate team here and would recommend Silver Pines with some reservations.

    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

    4.18 · 45 reviews

    Overall rating

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

      4.3
    • Staff

      4.4
    • Meals

      4.2
    • Amenities

      4.2
    • Value

      4.2

    Pros

    • Caring, attentive and friendly staff
    • Knowledgeable and engaged administrators
    • Staff know residents by name and provide personalized care
    • High-quality nursing and rehab services
    • Engaging, creative activity program (bingo, regular events)
    • Home-like atmosphere with warmth and trust
    • Clean facility overall
    • Reliable respite care and VA facility option
    • Hands-on management and proactive communication (in many cases)
    • Strong long-term resident satisfaction and continuity of care

    Cons

    • Poor and inconsistent communication with families
    • Lost or missing belongings and clothing
    • Room moves without advance notice
    • Medication management inconsistencies
    • Shift-to-shift variability in staff quality (morning vs afternoon/evening)
    • Inaccessible contact systems (no direct room phones, auto-answer loops)
    • Visitation restrictions and HIPAA/privacy concerns reported
    • Allegations of abuse, rough handling, neglect, and racism (serious complaints)
    • Occasional odors (urine) reported on some wings
    • Dropped or poorly managed outside home health/doctor coordination
    • Transportation problems for residents

    Summary review

    Overall sentiment: Reviews of Silver Pines Nursing and Rehabilitation Center are mixed but lean strongly positive overall, with many reviewers expressing high satisfaction and gratitude for the staff and clinical care. A large portion of reviewers highlight excellent, compassionate nursing and rehab care, long-term resident comfort, and strong relationships between staff and residents. Multiple reviewers explicitly state that the environment feels like home, that residents are known by name, and that staff treat residents with dignity, respect, and individualized attention. Several activity directors and staff members are named and praised repeatedly, which underscores a pattern of personal, relationship-driven care.

    Care quality and clinical services: Numerous reviews praise nursing and rehabilitation services as excellent — nurses and therapists are described as skilled, hands-on, and committed. Reviewers note timely administration of sleep medications, comprehensive medical evaluations, and successful therapy outcomes. Many families report peace of mind from the medical and rehabilitative attention their loved ones received. At the same time, other reviews document serious lapses: inconsistent medication administration, instances where doctors or home health were not informed, and at least one account of care being described as unsafe. These conflicting reports suggest that while core clinical capabilities and therapy programs are strong in many cases, reliability can vary by shift or individual staff.

    Staff, culture and activities: A dominant positive theme is staff compassion and familiarity — CNAs, nurses, activity directors, and administrators are frequently credited with going above and beyond. Reviewers cite smiling, laughter, personal attention, and staff who remember residents’ names. Activity programming receives explicit praise for being creative and engaging (examples include scheduled bingo and themed activities), which contributes to residents’ happiness and social engagement. Several staff members (Sara, Sonya, Miss Shantell, Deanna, Maria Corral, Amber Sparks, Ashley and others) are singled out by name for exceptional, individualized care, indicating strong personal relationships between staff and families.

    Facility and environment: Most reviewers describe the facility as clean, well-run, and home-like. Comments note an “old-fashioned,” non-institutional feel that some families find comforting. There are some localized environmental concerns — occasional urine odors on a wing and at least one review describing the facility as “stinks” — suggesting variability in cleanliness or housekeeping in specific areas or times. Respite care is described as reliable, and there is mention of VA facility options, which may be helpful to veterans and families seeking that route.

    Management and administration: Several reviewers praise hands-on administrators and responsive leadership, noting proactive communication and explanations. These positive leadership experiences often correlate with high overall satisfaction. However, other reviews report administrative and communication failures: room moves without notice, failure to notify families about critical events (including an extreme example of no notification of a resident’s death), returned/undelivered mail, and inaccessible contact methods (no phones in rooms, auto-answer loops without direct nurse contact). This split indicates a real variability in management performance or process adherence across different teams or time periods.

    Safety, communication and serious concerns: A recurring negative theme is poor communication — difficulty reaching staff, lack of family updates, and inconsistent follow-up. Several concrete operational problems were reported: missing belongings, clothing lost, lack of clear plan-of-care communication, dropped home health arrangements, and failure to inform physicians. There are also very serious allegations in a minority of reviews: reports of rough handling, bruises, neglect, racism, patients left alone, and unsafe transportation. While many reviewers explicitly praise the safety and compassion of staff, the presence of these severe complaints cannot be ignored and represents a high-risk concern that families should inquire about directly (incident reporting, investigation outcomes, staffing ratios, and training).

    Patterns and variability: A notable pattern is variability by shift and possibly by unit or staff cohort: multiple reviewers state morning staff are outstanding while later shifts were less attentive. Likewise, some families report exemplary post-admission transitions and ongoing attention, whereas others experienced disorganization, unprofessional behavior, or operational lapses. This indicates that the facility has substantial strengths but inconsistent execution in some operational areas.

    Bottom line: Silver Pines appears to provide high-quality, compassionate nursing and rehabilitation care for many residents, supported by engaged activity programs and several highly praised staff and administrators. The facility’s strengths are particularly evident in individualized, relationship-based care and therapy outcomes that make many families feel their loved ones are at home and well cared for. However, there are recurring concerns about communication, consistency of care across shifts, loss of belongings, and several serious allegations (abuse/neglect/racism and safety lapses) reported by a minority of reviewers. Prospective families should weigh the strong, repeatedly voiced positives while asking specific, direct questions about communication protocols, medication management, staff consistency across shifts, incident reporting and investigation, room-move policies, phone/contact access, and how the facility addresses the serious complaints documented by other families.

    Location

    Map showing location of Silver Pines Nursing and Rehabilitation Center

    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.

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