Nursing HomeInspections

Cypress Healthcare and Rehabilitation Center

Nursing home in San Marcos, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (512) 805-5000Send a messageMap ↗

Public-record details

Address
1351 Sadler, San Marcos, TX 78666
Phone
(512) 805-5000
Listed under
For-profit
Medicare CCN
676226
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
174
Average residents per day
95
Ownership
For-profit, individual
Legal business name
West Wharton County Hospital District
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 3, 2009
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 676226. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 17, 2025. CMS lists 41 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 10, 2023 to Dec 6, 2025): 18 from complaint inspections, 9 at the “actual harm” level or higher, including 8 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 6, 2025Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 25, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 19, 2025Immediately 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		E
Potential for more than minimal harm, pattern
Apr 17, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 17, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Apr 17, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		E
Potential for more than minimal harm, pattern
Apr 17, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights		E
Potential for more than minimal harm, pattern
Apr 17, 2025Keep residents' personal and medical records private and confidential.
Resident Rights		E
Potential for more than minimal harm, pattern
Apr 17, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Apr 17, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Apr 17, 2025Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Apr 17, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 41. 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 3 fines totalling $221,139 in the last three years.

Aug 2, 2024Fine: $179,563
Jan 23, 2024Fine: $12,048
Sep 29, 2023Fine: $29,528

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
3.26 hours
Registered nurse (RN) time per resident per day
0.37 hours
Nurse aide time per resident per day
2.06 hours
Total nurse staffing on weekends
2.94 hours
Nursing staff turnover (yearly)
45%
RN turnover (yearly)
56%
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)San Marcos Rehabilitation and Healthcare Center1600 N I H 35 · San Marcos, TX 78666 · (512) 353-5026 · For-profit17 health citations in 3 inspection cycles · last standard inspection Oct 1, 2025 · $33,891 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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