nursing home in San Marcos, TX
Hays Nursing and Rehabilitation Center
1900 Medical Parkway, San Marcos, TX 78666 · (512) 396-1888
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Hays Nursing and Rehabilitation Center at a glance
Hays Nursing and Rehabilitation Center is a 116-bed for-profit nursing home in San Marcos, Texas (Hays County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3.3 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (March 5, 2026) found 6 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $8,226.
Nursing staff turnover is 37.9% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 116
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- October 1, 1991
- Resident/family council
- Resident
- County
- Hays County
- CMS Certification Number
- 455960
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.27 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.46 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.85 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.72 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 37.9% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 22.2% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 87.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,226 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 116 | 113 | 107 | |
| Average residents per day | 93 | 76 | 86 | |
| Occupancy | 79.7% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.7% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 5% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.2% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.9% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 13.7% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 4% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20.3% | 18% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 13.9% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 72% | 96.6% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 78.8% | 88% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 66.9% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 26 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 5, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected March 18, 2026 |
| March 5, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected April 3, 2026 |
| March 5, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected May 31, 2026 |
| March 5, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected April 10, 2026 |
| March 5, 2026 Standard | 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 · Tag F0584 | E Potential harm, pattern | Corrected March 20, 2026 |
| March 5, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 27, 2026 |
| March 5, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 28, 2026 |
| March 5, 2026 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected March 28, 2026 |
| March 5, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected March 22, 2026 |
| March 5, 2026 Standard | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | D Potential harm, isolated | Corrected March 28, 2026 |
| January 16, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected January 23, 2025 |
| January 16, 2025 Standard | 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 · Tag F0761 | E Potential harm, pattern | Corrected January 31, 2025 |
| January 16, 2025 Standard | 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 · Tag F0756 | E Potential harm, pattern | Corrected January 17, 2025 |
| January 16, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected January 23, 2025 |
| January 16, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected January 17, 2025 |
| January 16, 2025 Standard | 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 · Tag F0584 | D Potential harm, isolated | Corrected January 31, 2025 |
| July 9, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 16, 2024 |
| July 9, 2024 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected July 16, 2024 |
| May 2, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Corrected May 3, 2024 |
| May 2, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected May 3, 2024 |
| May 2, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 3, 2024 |
| December 14, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected February 11, 2024 |
| December 14, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected January 19, 2024 |
| December 14, 2023 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected January 19, 2024 |
| December 14, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected December 15, 2023 |
| December 14, 2023 Standard | 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 · Tag F0584 | E Potential harm, pattern | Corrected January 5, 2024 |
| December 14, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected December 21, 2023 |
| December 14, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected January 11, 2024 |
| December 14, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected January 18, 2024 |
| December 14, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 18, 2024 |
| November 20, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected November 27, 2023 |
| September 23, 2023 Complaint | 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 · Tag F0761 | D Potential harm, isolated | Corrected October 12, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,226 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 2, 2024 | Fine | $8,226 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD Organization | 5% or greater direct ownership interest | 100% | 12/01/2020 |
| CHUDLEIGH, JAMES Individual | adp of the snf | NOT APPLICABLE | 02/01/2024 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 10/13/2020 |
| PHELPS, NELSON Individual | adp of the snf | NOT APPLICABLE | 12/01/2020 |
| SAN MARCOS TX PROPCO LLC Organization | adp of the snf | NOT APPLICABLE | 12/01/2020 |
| WILLOW SPRINGS CREEK HEALTHCARE, INC. Organization | adp of the snf | NOT APPLICABLE | 11/25/2025 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 12/01/2020 |
| GANN, KODY Individual | corporate officer | NOT APPLICABLE | 04/03/2021 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| CHUDLEIGH, JAMES Individual | managing control - governing body | NOT APPLICABLE | 02/01/2024 |
| PHELPS, NELSON Individual | managing control - governing body | NOT APPLICABLE | 12/01/2020 |
| CHUDLEIGH, JAMES Individual | operational/managerial control | NOT APPLICABLE | 02/01/2024 |
| PHELPS, NELSON Individual | operational/managerial control | NOT APPLICABLE | 12/01/2020 |
| WILLOW SPRINGS CREEK HEALTHCARE, INC. Organization | operational/managerial control | NOT APPLICABLE | 12/01/2020 |
Other nursing homes near Hays Nursing and Rehabilitation Center
Cypress Healthcare and Rehabilitation Center
1351 Sadler, San Marcos, TX 78666 · under 1 mi
For-profit · 174 beds
★★★★★1Much below averageSan Marcos Rehabilitation and Healthcare Center
1600 N I H 35, San Marcos, TX 78666 · 1.9 mi
For-profit · 129 beds · Part of The Ensign Group
★★★★★2Below averageLegend Oaks Healthcare and Rehabilitation - New Br
2468 Fm 1101, New Braunfels, TX 78130 · 11.6 mi
Government · 126 beds · Part of The Ensign Group
★★★★★3AverageLegend Oaks Healthcare and Rehabilitation-Kyle
1640 Fairway, Kyle, TX 78640 · 12 mi
For-profit · 126 beds · Part of The Ensign Group
★★★★★3AverageSundance Inn Health Center
2034 Sundance Parkway, New Braunfels, TX 78130 · 12.2 mi
For-profit · 128 beds · Part of Cantex Continuing Care
★★★★★3AverageAvir at New Braunfels
821 US Hwy 81 W, New Braunfels, TX 78130 · 12.4 mi
For-profit · 154 beds · Part of Avir Health Group
- Abuse citation
- New owner (last 12 months)
★★★★★1Much below average
Frequently asked questions
What is Hays Nursing and Rehabilitation Center's rating?
Hays Nursing and Rehabilitation Center has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Hays Nursing and Rehabilitation Center receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Hays Nursing and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Hays Nursing and Rehabilitation Center?
It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Hays Nursing and Rehabilitation Center and how do I contact it?
Hays Nursing and Rehabilitation Center is at 1900 Medical Parkway, San Marcos, TX 78666. Phone: (512) 396-1888.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.