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.
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. Its overall CMS rating is 1 out of 5.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe, appropriate pain management for a resident who requires such services.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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% | Apr 1, 2017 |
| CASTRO POU, GRACIELA | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Dec 27, 2024 |
| TOCHTERMAN, JERRY | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Aug 21, 2017 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | Apr 1, 2017 |
| GANN, KODY | CORPORATE OFFICER | Individual | N/A | Apr 1, 2017 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Mar 1, 2011 |
| WOOD BAYOU HEALTHCARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2017 |
| CASTRO POU, GRACIELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 27, 2024 |
| TOCHTERMAN, JERRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 21, 2017 |
| CARETRUST GP LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2017 |
| CARETRUST REIT INC | ADP OF THE SNF | Organization | N/A | Apr 1, 2017 |
| CTR PARTNERSHIP LP | ADP OF THE SNF | Organization | N/A | Apr 1, 2017 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | N/A | Feb 5, 2010 |
| IVES HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2017 |
| WOOD BAYOU HEALTHCARE, INC. | ADP OF THE SNF | Organization | N/A | Sep 30, 2025 |
| CASTRO POU, GRACIELA | ADP OF THE SNF | Individual | N/A | Dec 27, 2024 |
| TOCHTERMAN, JERRY | ADP OF THE SNF | Individual | N/A | Aug 21, 2017 |
Compare CMS ratings and recorded fines for San Marcos Rehabilitation and Healthcare 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 →