For profit - Corporation · 116 certified beds · CMS number 455960
Hays Nursing and Rehabilitation Center, San Marcos, TX
CMS records 26 health deficiencies at Hays Nursing and Rehabilitation Center in San Marcos, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 5, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level. CMS lists 1 fine totaling $8,226 in the last three years.
- 26deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $8,226fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Hays Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Hays Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Mar 5, 2026. CMS counts 6 health deficiencies and 4 fire safety deficiencies in this cycle.
Mar 5, 2026 · Standard inspection
6 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 27, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 28, 2026
F810 · Adaptive eating equipment and help
Requirement cited (CMS): Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 28, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 22, 2026
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 20, 2026
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 28, 2026
Previous cycle: 6 deficiencies (standard inspection Jan 16, 2025)
Standard inspection Jan 16, 2025. CMS counts 6 health deficiencies and 0 fire safety deficiencies in this cycle.
Jan 16, 2025 · Standard inspection
6 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 17, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 31, 2025
F756 · Monthly pharmacist medication review
Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 17, 2025
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 23, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 31, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 23, 2025
Earlier cycle: 14 deficiencies (standard inspection Dec 14, 2023)
Standard inspection Dec 14, 2023. CMS counts 14 health deficiencies and 2 fire safety deficiencies in this cycle.
Jul 9, 2024 · Complaint inspection
2 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 16, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 16, 2024
May 2, 2024 · Complaint inspection
3 deficiencies, highest J
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 3, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date May 3, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date May 3, 2024
Dec 14, 2023 · Standard inspection
7 deficiencies, highest F
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jan 19, 2024
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 21, 2023
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 18, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 15, 2023
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 18, 2024
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 11, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2024
Nov 20, 2023 · Complaint inspection
1 deficiency, highest E
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 27, 2023
Sep 23, 2023 · Complaint inspection
1 deficiency, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 12, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Hays Nursing and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F584 Safe, clean, homelike surroundings | 3 | Mar 5, 2026; Jan 16, 2025; Dec 14, 2023 |
| F677 Help with daily care | 2 | Mar 5, 2026; Nov 20, 2023 |
| F679 Activities program | 2 | Jan 16, 2025; Dec 14, 2023 |
| F761 Drug labeling and secure storage | 2 | Jan 16, 2025; Sep 23, 2023 |
| F812 Food safety and sanitation | 2 | Mar 5, 2026; Jan 16, 2025 |
| F880 Infection prevention and control program | 2 | Mar 5, 2026; Jul 9, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| May 2, 2024 | Fine | $8,226 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.27 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.46 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.72 h
- Nursing staff turnover
- 37.9% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 4 of 5
CMS figures for Hays Nursing and Rehabilitation Center, copied as published; Texas medians are ours.
Facility details
- Address
- 1900 Medical Parkway, San Marcos, TX 78666
- Phone
- (512) 396-1888
- County
- Hays
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- The Ensign Group
- Certified beds
- 116
- Average residents per day
- 92.5
- In Medicare/Medicaid since
- Oct 1, 1991
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How often are rooms cleaned and bed linens changed? (F584, cited 3 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
- Can residents and families see this month's activity calendar, including options for residents who stay in their rooms? (F679, cited 2 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
Other nursing homes in San Marcos and the same chain
- Cypress Healthcare and Rehabilitation Center
San Marcos · 47 deficiencies - San Marcos Rehabilitation and Healthcare Center
San Marcos · 17 deficiencies - The Eden of Las Colinas
Irving · 65 deficiencies - Northeast Rehabilitation and Healthcare Center
San Antonio · 57 deficiencies - Westpark Rehabilitation and Living
Euless · 54 deficiencies - Park Village Healthcare and Rehabilitation
DeSoto · 52 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.