For profit - Corporation · 129 certified beds · CMS number 675651
San Marcos Rehabilitation and Healthcare Center, San Marcos, TX
CMS records 17 health deficiencies at San Marcos Rehabilitation and Healthcare Center in San Marcos, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Oct 1, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level. CMS lists 1 fine totaling $33,891 in the last three years.
- 17deficiencies, 3 cycles (TX median 25)
- 1in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $33,891fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for San Marcos Rehabilitation and Healthcare Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and San Marcos Rehabilitation and Healthcare Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (1 deficiency)
Standard inspection Oct 1, 2025. CMS counts 1 health deficiency and 2 fire safety deficiencies in this cycle.
Dec 30, 2025 · Complaint inspection
1 deficiency, highest F
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jan 1, 2026
Previous cycle: 13 deficiencies (standard inspection Aug 15, 2024)
Standard inspection Aug 15, 2024. CMS counts 13 health deficiencies and 2 fire safety deficiencies in this cycle.
Aug 1, 2025 · Complaint inspection
2 deficiencies, highest K
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Aug 2, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Aug 2, 2025
Nov 4, 2024 · Complaint inspection
3 deficiencies, highest E
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 4, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 4, 2024
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 4, 2024
Aug 15, 2024 · Standard inspection
8 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 Sep 14, 2024
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 Sep 14, 2024
F790 · Dental care in skilled nursing facilities
Requirement cited (CMS): Provide routine and 24-hour emergency dental care for each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 14, 2024
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 Sep 14, 2024
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 Sep 14, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 14, 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 Sep 14, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 14, 2024
Earlier cycle: 3 deficiencies (standard inspection Jun 16, 2023)
Standard inspection Jun 16, 2023. CMS counts 3 health deficiencies and 4 fire safety deficiencies in this cycle.
Apr 15, 2024 · Complaint inspection
1 deficiency, highest G
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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date May 3, 2024
Jun 16, 2023 · Standard inspection
2 deficiencies, highest D
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 Jul 7, 2023
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 7, 2023
Tags cited in more than one inspection
1 tag cited on more than one inspection date at San Marcos Rehabilitation and Healthcare Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F679 Activities program | 2 | Aug 15, 2024; Jun 16, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Aug 1, 2025 | Fine | $33,891 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.98 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.64 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.54 h
- Nursing staff turnover
- 48.8% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 2 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for San Marcos Rehabilitation and Healthcare Center, copied as published; Texas medians are ours.
Facility details
- Address
- 1600 N I H 35, San Marcos, TX 78666
- Phone
- (512) 353-5026
- County
- Hays
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- The Ensign Group
- Certified beds
- 129
- Average residents per day
- 104.8
- In Medicare/Medicaid since
- Feb 1, 1997
- 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.
- Can residents and families see this month's activity calendar, including options for residents who stay in their rooms? (F679, cited 2 times)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 1 time)
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 1 time)
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 1 time)
Other nursing homes in San Marcos and the same chain
- Cypress Healthcare and Rehabilitation Center
San Marcos · 47 deficiencies - Hays Nursing and Rehabilitation Center
San Marcos · 26 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.