CCN 676222 · Bastrop County, Texas
Bastrop Lost Pines Nursing and Rehabilitation Cent
430 Old Austin Hwy, Bastrop, TX 78602
Bastrop Lost Pines Nursing and Rehabilitation Cent is a 120-bed government-owned nursing home in Bastrop, Texas, first certified for Medicare or Medicaid in 2009. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 97.2 residents a day, about 81% of its certified beds. It has an active FHA-insured Section 232 loan: $14.6 million originally, at 3.50%, with $12.8 million outstanding as of September 30, 2026 and maturity in August 2054.
Facility facts
- Certified beds
- 120
- Average residents per day
- 97.2 (81.0% of beds)
- Ownership type
- Government - Hospital district
- Certification
- Medicare and Medicaid
- Legal business name
- Smithville Hospital Authority
- Certified since
- Jul 1, 2009
- Chain or affiliated group
- Wellsential Health (67 facilities, chain average 2.7 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.10 | 3.27 | 3.68 |
| RN hours per resident per day | 0.15 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 2.69 | ||
| Nursing staff turnover | 46.8% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 81.0% | 68.6% | 85.7% |
| Fines reported by CMS | 3 totaling $92,460 | ||
| Health deficiencies, latest standard survey | 7 (Jan 30, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Bastrop Lost Pines Nursing and Rehabilitation Cent does not meet it today: overall rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Smithville Hospital AuthorityOrganization | Direct Ownership Interest | 100% | 02/01/2015 |
| Regency Ihs of Bastrop Lost Pines, LLCOrganization | Operational / Managerial Control | n/a | 02/01/2015 |
| Regency Integrated Health Services LLCOrganization | Operational / Managerial Control | n/a | 02/01/2015 |
| Smithville Hospital AuthorityOrganization | Operational / Managerial Control | n/a | 02/01/2015 |
| Dekowski, DonovanIndividual | Operational / Managerial Control | n/a | 02/01/2015 |
| Peter, ChristopherIndividual | Operational / Managerial Control | n/a | 07/05/2022 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jul 8, 2019 | 223(f) refinance or purchaseHUD project name: Regency - Bastrop Lost Pines Nursing & Rehab Ctr, 120 beds. Lender at endorsement: Keybank National Association | $14,552,000 | Active: 3.50%, $12,847,517 balanceMatures Aug 1, 2054. Servicer: Keybank National Association | 11522351 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.