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HomeTexasHays Nursing and Rehabilitation Center

Hays Nursing and Rehabilitation Center

1900 Medical Pkwy, San Marcos, TX 786665123961888WebsiteGoogle Maps
4.7on Google(102 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
3/5
Quality
4/5
Beds
116
certified
1 fine(s) totaling $8,226

How Hays Nursing and Rehabilitation Center Compares in Texas

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.

CMS overall rating
3/5
TX average
2.7/5
Above state average
Health inspection rating
3/5
TX average
2.8/5
Close to state average
Staffing rating
3/5
TX average
1.9/5
Above state average
Nursing hours per resident
3.27 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.46 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
37.9%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Staff turnover is 37.9%, lower than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
13
deficiency citations
Inspected Jan 16, 2025
Most recent cycle
6
deficiency citations
Inspected Mar 5, 2026
The most recent cycle recorded 7 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Hays County 65+
28,057
11.4% of county
County Population
245,351
Hays County

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.

Beds
116
Avg Residents/Day
92.5
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
Mar 5, 2026
Deficiencies (Cycle 1)
6
Weighted Score
87.5
Infection Citations
0

Deficiency Citations (26)

F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Mar 5, 2026Corrected: 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: Mar 5, 2026Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Mar 5, 2026Corrected: 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: Mar 5, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 5, 2026Corrected: NoCycle: 1
F0810Potential for Harm

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Survey: Mar 5, 2026Corrected: NoCycle: 1
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: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Jan 16, 2025Corrected: NoCycle: 2
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: 2
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: 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: Jan 16, 2025Corrected: NoCycle: 2
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: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 9, 2024Corrected: NoCycle: 2
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
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: 3
F0607Immediate Jeopardy

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

Survey: May 2, 2024Corrected: NoCycle: 3
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: 3
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Dec 14, 2023Corrected: NoCycle: 3
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: 3
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: 3
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Dec 14, 2023Corrected: NoCycle: 3
F0684Potential for Harm

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

Survey: Dec 14, 2023Corrected: NoCycle: 3
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: 3
F0692Potential for Harm

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

Survey: Dec 14, 2023Corrected: NoCycle: 3
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
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 Aide1.85 hrs
National avg: 2.32 hrs
LPN0.96 hrs
National avg: 0.86 hrs
RN0.46 hrs
National avg: 0.69 hrs
Total Nursing3.27 hrs
National avg: 3.86 hrs
Weekend Total2.72 hrs
National avg: 0.00 hrs
Physical Therapist0.15 hrs
National avg: 0.07 hrs
Total Turnover
37.9%
RN Turnover
22.2%
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 (14)

NameRoleTypeOwnership %Since
GUADALUPE COUNTY HOSPITAL BOARD5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Dec 1, 2020
CHUDLEIGH, JAMESMANAGING CONTROL - GOVERNING BODYIndividualN/AFeb 1, 2024
PHELPS, NELSONMANAGING CONTROL - GOVERNING BODYIndividualN/ADec 1, 2020
BURNAM, SOONCORPORATE OFFICERIndividualN/ADec 1, 2020
GANN, KODYCORPORATE OFFICERIndividualN/AApr 3, 2021
KEETCH, CHADCORPORATE OFFICERIndividualN/AMar 1, 2011
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
ENSIGN SERVICES INCADP OF THE SNFOrganizationN/AOct 13, 2020
SAN MARCOS TX PROPCO LLCADP OF THE SNFOrganizationN/ADec 1, 2020
WILLOW SPRINGS CREEK HEALTHCARE, INC.ADP OF THE SNFOrganizationN/ANov 25, 2025
CHUDLEIGH, JAMESADP OF THE SNFIndividualN/AFeb 1, 2024
PHELPS, NELSONADP OF THE SNFIndividualN/ADec 1, 2020

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Hays Nursing and Rehabilitation Center and nearby alternatives.

All Texas facilities
Hays Nursing and Rehabilitation Center
San Marcos, TXCurrent facility
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $8,226
Cypress Healthcare and Rehabilitation Center
San Marcos, TX3,168 ft
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $236,732
San Marcos Rehabilitation and Healthcare Center
San Marcos, TX1.9 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $33,891
Legend Oaks Healthcare and Rehabilitation - New Br
New Braunfels, TX11.6 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Legend Oaks Healthcare and Rehabilitation-Kyle
Kyle, TX12.0 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $8,278
Sundance Inn Health Center
New Braunfels, TX12.2 miAbuse flag
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $6,364
Avir at New Braunfels
New Braunfels, TX12.4 miAbuse flag
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $163,819
FacilityDistanceCMSHealthStaffingRecorded fines
Hays Nursing and Rehabilitation Center
San Marcos, TX · Current facility
—3/53/53/5$8,226
Cypress Healthcare and Rehabilitation Center
San Marcos, TX
3,168 ft1/51/52/5$236,732
San Marcos Rehabilitation and Healthcare Center
San Marcos, TX
1.9 mi1/51/52/5$33,891
Legend Oaks Healthcare and Rehabilitation - New Br
New Braunfels, TX
11.6 mi3/53/52/5None recorded
Legend Oaks Healthcare and Rehabilitation-Kyle
Kyle, TX
12.0 mi3/53/52/5$8,278
Sundance Inn Health Center
New Braunfels, TX
12.2 mi2/52/52/5$6,364
Avir at New Braunfels
New Braunfels, TX
12.4 mi1/51/52/5$163,819

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.

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 4/5. This facility is rated average.
How much does Hays Nursing and Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Hays Nursing and Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
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 (Mar 5, 2026). The current CMS dataset records 1 fine(s) totaling $8,226.
What are the staffing levels at Hays Nursing and Rehabilitation Center?▾
Hays Nursing and Rehabilitation Center provides 3.27 total nursing staff hours per resident per day, including 0.46 RN hours, 0.96 LPN hours, and 1.85 nurse aide hours. The total staff turnover rate is 37.9%.
How many beds does Hays Nursing and Rehabilitation Center have?▾
Hays Nursing and Rehabilitation Center has 116 certified beds with an average of 92.5 residents per day, resulting in approximately 80% 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. This page lists 6 nearby nursing homes in Texas, including 2 in San Marcos. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Hays Nursing and Rehabilitation Center?▾
On Google Maps, Hays Nursing and Rehabilitation Center has a rating of 4.7 out of 5 based on 102 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of The Ensign Group

This chain operates 346 facilities. View all →