Nursing HomeInspections

San Marcos Rehabilitation and Healthcare Center

Nursing home in San Marcos, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (512) 353-5026Send a messageMap ↗

Public-record details

Address
1600 N I H 35, San Marcos, TX 78666
Phone
(512) 353-5026
Listed under
For-profit
Medicare CCN
675651
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
129
Average residents per day
105
Ownership
For-profit, corporation
Legal business name
Guadalupe County Hospital Board
Chain
The Ensign Group (342 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 1, 1997
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675651. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Oct 1, 2025. CMS lists 17 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 16, 2023 to Dec 30, 2025): 7 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 30, 2025Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Aug 1, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		K
Immediate jeopardy, pattern
Aug 1, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · complaint inspection		K
Immediate jeopardy, pattern
Nov 4, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 4, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 4, 2024Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 15, 2024Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 15, 2024Keep residents' personal and medical records private and confidential.
Resident Rights		E
Potential for more than minimal harm, pattern
Aug 15, 2024Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights		E
Potential for more than minimal harm, pattern
Aug 15, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Aug 15, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Aug 15, 2024Provide activities to meet all resident's needs.
Quality of Life and Care		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 17. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $33,891 in the last three years.

Aug 1, 2025Fine: $33,891

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.98 hours
Registered nurse (RN) time per resident per day
0.64 hours
Nurse aide time per resident per day
1.90 hours
Total nurse staffing on weekends
2.54 hours
Nursing staff turnover (yearly)
49%
RN turnover (yearly)
53%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in San Marcos

Hays Nursing and Rehabilitation Center1900 Medical Parkway · San Marcos, TX 78666 · (512) 396-1888 · For-profit26 health citations in 3 inspection cycles · last standard inspection Mar 5, 2026 · $8,226 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Cypress Healthcare and Rehabilitation Center1351 Sadler · San Marcos, TX 78666 · (512) 805-5000 · For-profit41 health citations in 3 inspection cycles · last standard inspection Apr 17, 2025 · $221,139 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 3 in San Marcos →