San Marcos Rehabilitation And Healthcare Center
1600 N I H 35, San Marcos, TX 78666 · Hays County
For-profit · 129 certified beds · 81% occupancy · (512) 353-5026
San Marcos Rehabilitation And Healthcare Center reviews: what the government record shows
The U.S. government (CMS) rates San Marcos Rehabilitation And Healthcare Center 1 out of 5 stars overall, much below average. Its nurse staffing is 9% below 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
- 1 of 5 stars
- Nurse staffing
- 2.98 hrs/resident/day (-9% vs TX median)
- Antipsychotic drug use
- 5.5% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 1.8% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $33,891
- Inspection findings
- 17 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
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 2.98 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 2 immediate-jeopardy findings (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·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 San Marcos Rehabilitation And Healthcare Center
Is San Marcos Rehabilitation And Healthcare Center a good nursing home?
San Marcos Rehabilitation And Healthcare Center in San Marcos, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is San Marcos Rehabilitation And Healthcare Center staffed?
San Marcos Rehabilitation And Healthcare Center reports 2.98 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has San Marcos Rehabilitation And Healthcare Center been fined or flagged for abuse?
San Marcos Rehabilitation And Healthcare Center has paid approximately $33,891 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.
2.98 nurse hours per resident per day. 9% below the Texas median of 3.27.
Nursing staff turnover: 48.8% · RN turnover: 53.3%
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.
- Immediate jeopardyTag F0684 · Aug 1, 2025ComplaintCorrected Aug 2, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0697 · Aug 1, 2025ComplaintCorrected Aug 2, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
- Potential for harmTag F0732 · Dec 30, 2025ComplaintCorrected Jan 1, 2026
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0755 · Nov 4, 2024ComplaintCorrected Dec 4, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0760 · Nov 4, 2024ComplaintCorrected Dec 4, 2024
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Potential for harmTag F0583 · Aug 15, 2024Corrected Sep 14, 2024
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0584 · Aug 15, 2024Corrected Sep 14, 2024
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 F0656 · Aug 15, 2024Corrected Sep 14, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0677 · Aug 15, 2024Corrected Sep 14, 2024
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 F0679 · Aug 15, 2024Corrected Sep 14, 2024
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 17 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 at or below the Texas median, a reassuring sign for how closely the home supervises residents.
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.