Hays Nursing And Rehabilitation Center
1900 Medical Parkway, San Marcos, TX 78666 · Hays County
For-profit · 116 certified beds · 80% occupancy · (512) 396-1888
Hays Nursing And Rehabilitation Center reviews: what the government record shows
The U.S. government (CMS) rates Hays Nursing And Rehabilitation Center 3 out of 5 stars overall, average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 3 of 5 stars
- Nurse staffing
- 3.27 hrs/resident/day (+0% vs TX median)
- Antipsychotic drug use
- 5% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $8,226
- Inspection findings
- 26 cited, 2 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓Nurse staffing of 3.27 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !Cited for 2 immediate-jeopardy findings (the most serious category) in recent inspections.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Hays Nursing And Rehabilitation Center
Is Hays Nursing And Rehabilitation Center a good nursing home?
Hays Nursing And Rehabilitation Center in San Marcos, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Hays Nursing And Rehabilitation Center staffed?
Hays Nursing And Rehabilitation Center reports 3.27 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Hays Nursing And Rehabilitation Center been fined or flagged for abuse?
Hays Nursing And Rehabilitation Center has paid approximately $8,226 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.27 nurse hours per resident per day. About the Texas median.
Nursing staff turnover: 37.9% · RN turnover: 22.2%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0558 · Mar 5, 2026Corrected Mar 28, 2026
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0584 · Mar 5, 2026Corrected Mar 20, 2026
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.
Resident Rights Deficiencies
- Potential for harmTag F0677 · Mar 5, 2026Corrected Mar 22, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Mar 5, 2026Corrected Mar 28, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Mar 5, 2026Corrected Mar 27, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0810 · Mar 5, 2026Corrected Mar 28, 2026
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0550 · Jan 16, 2025Corrected Jan 23, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0679 · Jan 16, 2025Corrected Jan 23, 2025
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
- Potential for harmTag F0756 · Jan 16, 2025Corrected Jan 17, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
- Potential for harmTag F0761 · Jan 16, 2025Corrected Jan 31, 2025
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.
Pharmacy Service Deficiencies
Showing the 10 most recent and serious of 26 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - corporation). It is part of the The Ensign Group chain, which operates 342 facilities, with a chain-average CMS rating of 3.2 stars.