• 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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Provide activities to meet all resident's needs.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide and implement an infection prevention and control program.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Provide activities to meet all resident's needs.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide enough food/fluids to maintain a resident's health.
Keep all essential equipment working safely.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide or obtain dental services for each resident.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Dec 1, 2020 |
| WILLOW SPRINGS CREEK HEALTHCARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 1, 2020 |
| CHUDLEIGH, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2024 |
| PHELPS, NELSON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 1, 2020 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | Dec 1, 2020 |
| GANN, KODY | CORPORATE OFFICER | Individual | N/A | Apr 3, 2021 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Mar 1, 2011 |
This chain operates 324 facilities. View all →