nursing home in San Marcos, TX
San Marcos Rehabilitation and Healthcare Center
1600 N I H 35, San Marcos, TX 78666 · (512) 353-5026
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
San Marcos Rehabilitation and Healthcare Center at a glance
San Marcos Rehabilitation and Healthcare Center is a 129-bed for-profit nursing home in San Marcos, Texas (Hays County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (October 1, 2025) found 1 health citation. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $33,891.
Nursing staff turnover is 48.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 129
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- February 1, 1997
- Resident/family council
- Resident
- County
- Hays County
- CMS Certification Number
- 675651
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.98 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.64 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.90 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.54 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 48.8% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 53.3% | 54.6% | 42.9% | Worse |
| 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) | 1 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 99.5 | 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) | $33,891 | $44,141 | $30,972 | Worse |
| 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 | 129 | 113 | 107 | |
| Average residents per day | 105 | 76 | 86 | |
| Occupancy | 81.2% | 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) | 1.8% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 5.5% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 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) | 19.4% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 20.8% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.1% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.3% | 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) | 9.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 13.8% | 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) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.3% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 99.4% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 17 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 30, 2025 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | F Potential harm, widespread | Corrected January 1, 2026 |
| October 1, 2025 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | F Potential harm, widespread | Corrected June 26, 2026 |
| October 1, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| August 1, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | K Immediate jeopardy, pattern | Corrected August 2, 2025 |
| August 1, 2025 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | K Immediate jeopardy, pattern | Corrected August 2, 2025 |
| November 4, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected December 4, 2024 |
| November 4, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected December 4, 2024 |
| November 4, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected December 4, 2024 |
| August 15, 2024 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 | E Potential harm, pattern | Corrected March 21, 2025 |
| August 15, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected March 21, 2025 |
| August 15, 2024 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 September 14, 2024 |
| August 15, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected September 14, 2024 |
| August 15, 2024 Standard | 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 | E Potential harm, pattern | Corrected September 14, 2024 |
| August 15, 2024 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 September 14, 2024 |
| August 15, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected September 14, 2024 |
| August 15, 2024 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 September 14, 2024 |
| August 15, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 14, 2024 |
| August 15, 2024 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected September 14, 2024 |
| April 15, 2024 Complaint | 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 | G Actual harm, isolated | Corrected May 3, 2024 |
| June 16, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected November 25, 2023 |
| June 16, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected November 25, 2023 |
| June 16, 2023 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 | E Potential harm, pattern | Corrected November 25, 2023 |
| June 16, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected October 26, 2023 |
| June 16, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected July 7, 2023 |
| June 16, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected July 7, 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 $33,891 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 1, 2025 | Fine | $33,891 |
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% | 04/01/2017 |
| CARETRUST GP LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2017 |
| CARETRUST REIT INC Organization | adp of the snf | NOT APPLICABLE | 04/01/2017 |
| CASTRO POU, GRACIELA Individual | adp of the snf | NOT APPLICABLE | 12/27/2024 |
| CTR PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 04/01/2017 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 02/05/2010 |
| IVES HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2017 |
| TOCHTERMAN, JERRY Individual | adp of the snf | NOT APPLICABLE | 08/21/2017 |
| WOOD BAYOU HEALTHCARE, INC. Organization | adp of the snf | NOT APPLICABLE | 09/30/2025 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 04/01/2017 |
| GANN, KODY Individual | corporate officer | NOT APPLICABLE | 04/01/2017 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| CASTRO POU, GRACIELA Individual | managing control - governing body | NOT APPLICABLE | 12/27/2024 |
| TOCHTERMAN, JERRY Individual | managing control - governing body | NOT APPLICABLE | 08/21/2017 |
| CASTRO POU, GRACIELA Individual | operational/managerial control | NOT APPLICABLE | 12/27/2024 |
| TOCHTERMAN, JERRY Individual | operational/managerial control | NOT APPLICABLE | 08/21/2017 |
| WOOD BAYOU HEALTHCARE, INC. Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
Other nursing homes near San Marcos Rehabilitation and Healthcare Center
Hays Nursing and Rehabilitation Center
1900 Medical Parkway, San Marcos, TX 78666 · 1.9 mi
For-profit · 116 beds · Part of The Ensign Group
★★★★★3AverageCypress Healthcare and Rehabilitation Center
1351 Sadler, San Marcos, TX 78666 · 2.4 mi
For-profit · 174 beds
★★★★★1Much below averageLegend Oaks Healthcare and Rehabilitation-Kyle
1640 Fairway, Kyle, TX 78640 · 10.1 mi
For-profit · 126 beds · Part of The Ensign Group
★★★★★3AverageDeer Creek Nursing and Rehabilitation
555 Ranch Rd 3237, Wimberley, TX 78676 · 11.8 mi
For-profit · 122 beds · Part of Eduro Healthcare
★★★★★1Much below averageLegend Oaks Healthcare and Rehabilitation - New Br
2468 Fm 1101, New Braunfels, TX 78130 · 13.2 mi
Government · 126 beds · Part of The Ensign Group
★★★★★3AverageSundance Inn Health Center
2034 Sundance Parkway, New Braunfels, TX 78130 · 13.7 mi
For-profit · 128 beds · Part of Cantex Continuing Care
★★★★★3Average
Frequently asked questions
What is San Marcos Rehabilitation and Healthcare Center's rating?
San Marcos Rehabilitation and Healthcare Center has 2 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 San Marcos Rehabilitation and Healthcare Center receive?
Its most recent standard health inspection found 1 citation, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does San Marcos Rehabilitation and Healthcare 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 San Marcos Rehabilitation and Healthcare 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 San Marcos Rehabilitation and Healthcare Center and how do I contact it?
San Marcos Rehabilitation and Healthcare Center is at 1600 N I H 35, San Marcos, TX 78666. Phone: (512) 353-5026.
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.