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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasHays Nursing and Rehabilitation Center

Hays Nursing and Rehabilitation Center

1900 Medical Pkwy, San Marcos, TX 786665123961888
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
3/5
Quality
3/5
Beds
116
certified
1 fine(s) totaling $8,226

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 116 certified beds with an average of 94.9 residents per day (82% occupancy)

• Last health inspection found 6 deficiencies (inspected Jan 16, 2025)

• Has been fined a total of $8,226 across 1 fine(s)

• Total nursing staff: 3.44 hours per resident per day

• Staff turnover rate: 48.2%

• Part of the The Ensign Group chain (324 facilities)

Hays Nursing and Rehabilitation Center is a 3-star Medicare and Medicaid certified nursing home in San Marcos, Texas with 116 certified beds. It has been operating since 1991. The facility scored at average compared to Texas facilities.

Beds
116
Avg Residents/Day
94.9
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Oct 1, 1991
Sprinklers
Yes
Council
Resident
County
Hays
Last Inspection
Jan 16, 2025
Deficiencies (Cycle 1)
6
Weighted Score
88.5
Infection Citations
0

Deficiency Citations (25)

F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jan 16, 2025Corrected: NoCycle: 1
F0584Potential for Harm

Honor 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.

Survey: Jan 16, 2025Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Jan 16, 2025Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Jan 16, 2025Corrected: NoCycle: 1
F0761Potential for Harm

Ensure 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 locked compartments, separately locked, compartments for controlled drugs.

Survey: Jan 16, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jan 16, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 9, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 9, 2024Corrected: NoCycle: 2
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: May 2, 2024Corrected: NoCycle: 2
F0607Immediate Jeopardy

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: May 2, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 2, 2024Corrected: NoCycle: 2
F0584Potential for Harm

Honor 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.

Survey: Dec 14, 2023Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Dec 14, 2023Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Dec 14, 2023Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 14, 2023Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Dec 14, 2023Corrected: NoCycle: 2
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Dec 14, 2023Corrected: NoCycle: 2
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Dec 14, 2023Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Nov 20, 2023Corrected: NoCycle: 3
F0761Potential for Harm

Ensure 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 locked compartments, separately locked, compartments for controlled drugs.

Survey: Sep 23, 2023Corrected: NoCycle: 3
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Mar 9, 2023Corrected: NoCycle: 3
F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Oct 14, 2022Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 14, 2022Corrected: NoCycle: 3
F0791Potential for Harm

Provide or obtain dental services for each resident.

Survey: Oct 14, 2022Corrected: NoCycle: 3
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Oct 14, 2022Corrected: NoCycle: 3
Total Fines
$8,226
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMay 2, 2024
$8,226

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.96 hrs
National avg: 2.35 hrs
LPN1.04 hrs
National avg: 0.86 hrs
RN0.44 hrs
National avg: 0.68 hrs
Total Nursing3.44 hrs
National avg: 3.89 hrs
Weekend Total2.90 hrs
National avg: 0.00 hrs
Physical Therapist0.18 hrs
National avg: 0.07 hrs
Total Turnover
48.2%
RN Turnover
57.1%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
GUADALUPE COUNTY HOSPITAL BOARD5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Dec 1, 2020
WILLOW SPRINGS CREEK HEALTHCARE, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 1, 2020
CHUDLEIGH, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
PHELPS, NELSONOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 1, 2020
BURNAM, SOONCORPORATE OFFICERIndividualN/ADec 1, 2020
GANN, KODYCORPORATE OFFICERIndividualN/AApr 3, 2021
KEETCH, CHADCORPORATE OFFICERIndividualN/AMar 1, 2011

Nearby Nursing Homes

All Texas facilities

Cypress Healthcare and Rehabilitation Center

San Marcos, TX · 174 beds

For profit$236,732 in fines
Health
Staffing
Quality
2912 ft

San Marcos Rehabilitation and Healthcare Center

San Marcos, TX · 129 beds

For profit$52,140 in fines
Health
Staffing
Quality
1.9 mi

Frequently Asked Questions

What is the CMS rating for Hays Nursing and Rehabilitation Center?▾
Hays Nursing and Rehabilitation Center has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated average.
Has Hays Nursing and Rehabilitation Center had any health inspection violations?▾
Hays Nursing and Rehabilitation Center had 6 deficiency citations in its most recent health inspection (Jan 16, 2025). The facility has been fined a total of $8,226 across 1 fine(s).
What are the staffing levels at Hays Nursing and Rehabilitation Center?▾
Hays Nursing and Rehabilitation Center provides 3.44 total nursing staff hours per resident per day, including 0.44 RN hours, 1.04 LPN hours, and 1.96 nurse aide hours. The total staff turnover rate is 48.2%.
How many beds does Hays Nursing and Rehabilitation Center have?▾
Hays Nursing and Rehabilitation Center has 116 certified beds with an average of 94.9 residents per day, resulting in approximately 82% occupancy. The facility is For profit - Corporation owned and is part of the The Ensign Group chain.
Are there other nursing homes near Hays Nursing and Rehabilitation Center?▾
Yes, there are 2 other nursing homes in San Marcos, Texas with an average rating of 1.7/5. You can compare all facilities on the San Marcos nursing homes page.

Part of The Ensign Group

This chain operates 324 facilities. View all →