Hays Nursing And Rehabilitation Center
1900 Medical Pkwy, San Marcos, TX 78666 · Hays County
For-profit · 116 certified beds · 80% occupancy · (512) 396-1888
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.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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 2026-08-09. See the Texas 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 2026-08-09. 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 346 facilities, with a chain-average CMS rating of 3.2 stars.