Silver Pines Nursing and Rehabilitation Center

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

    Compassionate attentive staff and care

    I'm very satisfied with Silver Pines - compassionate, attentive staff and nurses who go above and beyond, a hands-on administrator, and an amazing, creative activity director (Sunya) who keeps residents engaged. My mother has flourished in the clean, home-like environment; the rehab and personalized care gave us real peace of mind, and I recommend it.

    Loved one of resident
    Jul 2026

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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

    Reviews

    4.20·(46)

    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

    • Compassionate, attentive nursing and CNA staff
    • Knowledgeable, hands-on administration
    • Engaging, creative activity program
    • Personalized resident attention (staff know residents by name)
    • Strong rehabilitation and therapy services
    • Reliable respite-care and VA-contracted option
    • Established fall-prevention and safety measures
    • Clean, well-maintained interior with homelike atmosphere
    • Proactive admissions and family-oriented intake
    • Consistent sleep-medication timing and nighttime support
    • Supportive social environment with regular group activities
    • Dedicated activity leadership and programming

    Cons

    • Inconsistent family communication and notification processes
    • Shift-to-shift variability in staff engagement and responsiveness
    • Inconsistent medication administration and clinical follow-up
    • Gaps in personal belongings and laundry management
    • Room-assignment and roommate-management transparency gaps
    • Limited in-room communication infrastructure
    • Intermittent sanitation and localized odor concerns
    • Restricted visitation policy flexibility during infection-control events
    • Allegations of abusive conduct and discriminatory behavior

    Summary of reviews

    Silver Pines Nursing and Rehabilitation Center elicits strong, polarized impressions. Many caregivers, CNAs, therapists and administrators receive high praise for compassionate day-to-day care, personalized attention, and a home-like environment. Reviewers frequently cite administrators who are involved and communicative, creative and active activity leadership, and therapy/rehabilitation services that support good functional outcomes. The facility is also noted for fall-prevention practices, predictable nighttime medication timing for sleep, respite-care availability and a VA option, all of which contribute to family confidence for a large number of residents.

    Care quality and staff interaction are the most consistently positive elements. Multiple comments emphasize staff familiarity with residents (names, preferences), respectful interpersonal treatment, and activities that promote social engagement and routine. Several accounts identify specific CNAs and admins by name for going beyond routine duties, and long-term residents describe the environment as comfortable and stable. Rehabilitation and therapy services receive favorable mentions for restoring or maintaining function.

    At the same time, the facility shows recurring operational weaknesses. Communication with families and internal notification processes are uneven — examples include difficulty reaching nursing staff, failures in timely family updates, and concerns about notification after critical events. Medication administration and clinical follow-up are described as inconsistent in some shifts; reviewers contrast strong morning coverage with weaker afternoon/evening responsiveness. Logistics issues appear as recurring themes as well: lost or mishandled personal belongings, room moves without clear advance notice, and roommate-management gaps.

    Facility-level infrastructure and environment are mostly described as clean and homelike, but intermittent sanitation and localized odor concerns are noted on some wings. In-room communication capacity (phone access, reliable direct contact with the nursing station) is identified as limited, complicating family outreach. Infection-control periods have at times produced restrictive visitation that families found difficult to navigate. Finally, while many reviews are very positive about staff conduct, there are serious and specific allegations concerning staff behavior and discriminatory treatment; there are also concerns following a resident's death about notification and family communication.

    For prospective residents and families: strengths to expect include a caring frontline staff, engaged activity programming, and capable rehabilitation services. Areas to probe during a tour or intake conversation include the facility's protocols for family communication and end-of-life notification, shift staffing patterns and clinical oversight, medication-administration checks, belongings/laundry safeguards, room-assignment policies, and availability of in-room communication. Asking for recent survey or grievance summaries, and for specifics about how the facility addresses allegations of staff misconduct, will help create a more complete picture of operational performance alongside the consistently praised elements of care.

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    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

    Map showing location of Silver Pines Nursing and Rehabilitation Center

    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 18 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.

    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.

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