Bastrop Lost Pines: Unlocked Medication Cart Violation - TX
The inspection, completed November 18, 2025, flagged the lapse under federal tag F0755, which covers the safe and accurate provision of pharmaceutical services. CMS rated the level of harm as minimal harm or potential for actual harm, and noted that a few residents were affected.
The facility's own Medication Administration policy, last revised in October 2019, is unambiguous. Only a licensed nurse or certified medical aide may carry keys to the medication cart. The cart is to remain locked at all times when not in use. Staff are explicitly instructed not to leave the cart unlocked or unattended in resident care areas. When not actively in use, the policy states, the cart should be stored in the medication room.
None of that happened.
What inspectors documented instead was a cart left accessible in a hallway or care area where residents move, live, and spend their days. The inspection record notes that when a surveyor raised the issue, a staff member asked a question and walked away. No one secured the cart in response to the concern being raised in the moment.
Medication carts in nursing homes typically hold controlled substances, prescription drugs, and supplies for administering medications to an entire unit of residents. An unlocked, unattended cart in a common care area creates the possibility that residents, visitors, or unauthorized staff could access its contents without any record or oversight.
The facility, located at 430 Old Austin Hwy in Bastrop, serves residents in long-term and rehabilitation care. The November inspection was triggered by a complaint, meaning someone, a resident, a family member, or a staff member, had already raised a concern before inspectors arrived.
The plan of correction, if one has been filed, was not included in the materials reviewed. CMS directs those seeking that information to contact the facility or the Texas state survey agency directly.
What the inspection does show is a gap between a written policy that has been on the books for more than six years and what staff were actually doing on the floor. The policy is detailed. The expectation is clear. The cart was still left open.
For residents on a unit where that cart sits unlocked, the question of who had access to it, and for how long, remains unanswered in the public record.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bastrop Lost Pines Nursing and Rehabilitation Cent from 2025-11-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 31, 2026 · Our methodology
Bastrop Lost Pines Nursing and Rehabilitation Cent in Bastrop, TX was cited for violations during a health inspection on November 18, 2025.
CMS rated the level of harm as minimal harm or potential for actual harm, and noted that a few residents were affected.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.