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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.
HomeTexasSan Marcos Rehabilitation and Healthcare Center

San Marcos Rehabilitation and Healthcare Center

1600 N I H 35, San Marcos, TX 786665123535026
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
3/5
Quality
4/5
Beds
129
certified
1 fine(s) totaling $52,140

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 129 certified beds with an average of 103.2 residents per day (80% occupancy)

• Last health inspection found 2 deficiencies (inspected Oct 1, 2025)

• Has been fined a total of $52,140 across 1 fine(s)

• Total nursing staff: 2.98 hours per resident per day

• Staff turnover rate: 50.0%

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

San Marcos Rehabilitation and Healthcare Center is a 1-star Medicare and Medicaid certified nursing home in San Marcos, Texas with 129 certified beds. It has been operating since 1997. The facility scored below average compared to Texas facilities.

Beds
129
Avg Residents/Day
103.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Feb 1, 1997
Sprinklers
Yes
Council
Resident
County
Hays
Last Inspection
Oct 1, 2025
Deficiencies (Cycle 1)
2
Weighted Score
213.5
Infection Citations
0

Deficiency Citations (17)

F0732Potential for Harm

Post nurse staffing information every day.

Survey: Dec 30, 2025Corrected: NoCycle: 1
F0684Immediate Jeopardy

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

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0697Immediate Jeopardy

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Nov 4, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 4, 2024Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Nov 4, 2024Corrected: NoCycle: 2
F0689Actual Harm

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

Survey: Apr 15, 2024Corrected: NoCycle: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Aug 15, 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: Aug 15, 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: Aug 15, 2024Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0790Potential for Harm

Provide routine and 24-hour emergency dental care for each resident.

Survey: Aug 15, 2024Corrected: 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: Aug 15, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Jun 16, 2023Corrected: NoCycle: 3
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jun 16, 2023Corrected: NoCycle: 3
Total Fines
$52,140
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineAug 1, 2025
$52,140

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

Nurse Aide1.86 hrs
National avg: 2.35 hrs
LPN0.53 hrs
National avg: 0.86 hrs
RN0.60 hrs
National avg: 0.68 hrs
Total Nursing2.98 hrs
National avg: 3.89 hrs
Weekend Total2.51 hrs
National avg: 0.00 hrs
Physical Therapist0.12 hrs
National avg: 0.07 hrs
Total Turnover
50.0%
RN Turnover
46.2%
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 (7)

NameRoleTypeOwnership %Since
GUADALUPE COUNTY HOSPITAL BOARD5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2017
WOOD BAYOU HEALTHCARE, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2017
CASTRO POU, GRACIELAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 27, 2024
TOCHTERMAN, JERRYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 21, 2017
BURNAM, SOONCORPORATE OFFICERIndividualN/AApr 1, 2017
GANN, KODYCORPORATE OFFICERIndividualN/AApr 1, 2017
KEETCH, CHADCORPORATE OFFICERIndividualN/AMar 1, 2011

Nearby Nursing Homes

All Texas facilities

Hays Nursing and Rehabilitation Center

San Marcos, TX · 116 beds

For profit$8,226 in fines
Health
Staffing
Quality
1.9 mi

Cypress Healthcare and Rehabilitation Center

San Marcos, TX · 174 beds

For profit$236,732 in fines
Health
Staffing
Quality
2.4 mi

Frequently Asked Questions

What is the CMS rating for San Marcos Rehabilitation and Healthcare Center?▾
San Marcos Rehabilitation and Healthcare Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 4/5. This facility is rated below average.
Has San Marcos Rehabilitation and Healthcare Center had any health inspection violations?▾
San Marcos Rehabilitation and Healthcare Center had 2 deficiency citations in its most recent health inspection (Oct 1, 2025). The facility has been fined a total of $52,140 across 1 fine(s).
What are the staffing levels at San Marcos Rehabilitation and Healthcare Center?▾
San Marcos Rehabilitation and Healthcare Center provides 2.98 total nursing staff hours per resident per day, including 0.60 RN hours, 0.53 LPN hours, and 1.86 nurse aide hours. The total staff turnover rate is 50.0%.
How many beds does San Marcos Rehabilitation and Healthcare Center have?▾
San Marcos Rehabilitation and Healthcare Center has 129 certified beds with an average of 103.2 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 San Marcos Rehabilitation and Healthcare 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 →