Bastrop Lost Pines Nursing And Rehabilitation Cent

Based on observation, interview, and record review the facility failed make sure that drugs are stored properly and only authorized persons have access for 1 of 4 medication carts (MC #1) reviewed for drug storage and labeling.

The facility failed to ensure the 300-hall medication cart was locked and medications were secured and not accessible to other staff, residents, or visitors.

This failure could place residents at risk of having unauthorized access to medications, decreased effectiveness of medication, or missing medications.Findings Included: Observation of 300-hall on 10/07/2025 at 8:25 a.m., revealed MC #1 was unattended and unlocked. MA A was at the nurses station talking to another staff member with her back turned away from the cart.

The medication cart was up against the wall by the dining room entrance.

The locking mechanism was protruding outward on the medication cart.

The cart contained prescribed medication for residents' and over the counter medications.

The state surveyor opened drawers and captured pictures. MA A did not see the surveyor open the drawers and take pictures.

During an interview on 10/07/2025 at 8:30 a.m., revealed MA A had been trained on medication storage.

She said the policy was to make sure the medication cart was locked when staff were away from the cart.

She said the medication cart must always be locked when not giving out medication.

She said she was responsible for ensuring the medication cart was locked.

She said if a medication cart was left unlocked and unattended then a resident could get into the medication cart.

She said she forgot to lock the cart because she got distracted.

During an interview with the DON on 10/02/2025 at 11:01a.m., revealed she had only been working at the facility for four days.

She said staff had been trained in medication storage.

She said she did not know what the policy was for medication storage.

She said she expected staff to follow the policy.

When asked how she would know if staff were following the policy since she did not know she said they could ask what the policy was.

She said the person on the medication cart was responsible for ensuring the medication cart was locked.

She said the medication cart was to be locked when staff were not using the medication cart.

She said if the medication cart was left unattended and unlocked a resident or anyone who was not authorized to pass medication could get into the cart.

She said the DON and charge nurse were responsible for monitoring to ensure the medication carts were locked.

She said it was monitored by observations.

She said MA A did not lock the cart because a resident called her and she forgot.

During an interview with the ADM on 10/07/2025 at 2:35 p.m., revealed he and staff have been trained on medication storage. He said the policy for the medication cart was that the medication cart was to be locked when the nurse or MA were not next to the cart. He said the nurse or MA using the medication cart was responsible for ensuring the cart was locked. He said if the medication cart was left unattended and unlocked, someone who is not supposed to get in the medication cart could get into the cart. He said all managers monitored to ensure the medication carts were locked. He said the managers monitored by line of sight. He said the lock would stick out and it was easy to see if the medication cart was unlocked. He said MA A left the medication cart unlocked because she was asked a question and walked away.

Record review of Medication Administration: Medication Carts and Supplies for Administering Medication Policy revised 10/01/2019 revealed: Procedure: Only a Licensed Nurse or Certified Medical Aide may carry keys to the medication cart.

The medication cart is locked at all times when not in use. Do not leave the medication cart unlocked or unattended in the resident care areas.

Preferably, the medication cart is stored in the Medication Room when not in use.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/18/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Bastrop Lost Pines Nursing and Rehabilitation Cent

430 Old Austin Hwy Bastrop, TX 78602

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited BASTROP LOST PINES NURSING AND REHABILITATION CENT in BASTROP, TX for a deficiency under regulatory tag F-F0921 during a complaint investigation conducted on 2025-11-18.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 3 deficiencies cited during this inspection of BASTROP LOST PINES NURSING AND REHABILITATION CENT.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-19.