CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
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. Its overall CMS rating is 3 out of 5.
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 care and assistance to perform activities of daily living for any resident who is unable.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
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.
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.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 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.
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 |
| CHUDLEIGH, JAMES | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Feb 1, 2024 |
| PHELPS, NELSON | MANAGING CONTROL - GOVERNING BODY | 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 |
| 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 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | N/A | Oct 13, 2020 |
| SAN MARCOS TX PROPCO LLC | ADP OF THE SNF | Organization | N/A | Dec 1, 2020 |
| WILLOW SPRINGS CREEK HEALTHCARE, INC. | ADP OF THE SNF | Organization | N/A | Nov 25, 2025 |
| CHUDLEIGH, JAMES | ADP OF THE SNF | Individual | N/A | Feb 1, 2024 |
| PHELPS, NELSON | ADP OF THE SNF | Individual | N/A | Dec 1, 2020 |
Compare CMS ratings and recorded fines for Hays Nursing and Rehabilitation Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 346 facilities. View all →