nursing home in San Marcos, TX
Cypress Healthcare and Rehabilitation Center
1351 Sadler, San Marcos, TX 78666 · (512) 805-5000
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- 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
Cypress Healthcare and Rehabilitation Center at a glance
Cypress Healthcare and Rehabilitation Center is a 174-bed for-profit nursing home in San Marcos, Texas (Hays County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.3 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (June 25, 2026) found 9 health citations. The Texas average is 9.4.
Federal regulators fined it 3 times in the past three years, totaling $221,139.
Nursing staff turnover is 44.9% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 174
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- August 3, 2009
- Resident/family council
- Resident
- County
- Hays County
- CMS Certification Number
- 676226
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 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) | 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) | 3.26 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.06 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.94 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 44.9% | 55.3% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 55.6% | 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) | 9 | 9 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 243.8 | 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) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $221,139 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 174 | 113 | 107 | |
| Average residents per day | 95 | 76 | 86 | |
| Occupancy | 54.3% | 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) | 0% | 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) | 0.4% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.6% | 0.8% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.7% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 18.3% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.2% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.1% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.6% | 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) | 13.8% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 13.4% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 95.7% | 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) | 0.7% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 73.1% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.5% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 47 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 8 citations involved actual harm, including 7 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 25, 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 July 18, 2026 |
| June 25, 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 June 26, 2026 |
| June 25, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected June 26, 2026 |
| June 25, 2026 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected June 26, 2026 |
| June 25, 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 | D Potential harm, isolated | Corrected June 26, 2026 |
| June 25, 2026 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 | D Potential harm, isolated | Corrected June 26, 2026 |
| June 25, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 26, 2026 |
| December 6, 2025 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected December 26, 2025 |
| November 25, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 18, 2025 |
| June 19, 2025 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 | E Potential harm, pattern | Corrected June 20, 2025 |
| April 17, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected May 14, 2025 |
| April 17, 2025 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 May 14, 2025 |
| April 17, 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 | F Potential harm, widespread | Corrected April 18, 2025 |
| April 17, 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 April 18, 2025 |
| April 17, 2025 Complaint | 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 May 7, 2025 |
| April 17, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected April 18, 2025 |
| April 17, 2025 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected April 18, 2025 |
| April 17, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected April 18, 2025 |
| April 17, 2025 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected April 18, 2025 |
| April 17, 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 April 23, 2025 |
| April 17, 2025 Standard | 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 April 23, 2025 |
| April 17, 2025 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected April 18, 2025 |
| April 17, 2025 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 | D Potential harm, isolated | Corrected April 18, 2025 |
| October 22, 2024 Complaint | 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 December 6, 2024 |
| October 22, 2024 Complaint | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Tag F0551 | D Potential harm, isolated | Corrected November 15, 2024 |
| September 20, 2024 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 | E Potential harm, pattern | Corrected November 4, 2024 |
| September 20, 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 | D Potential harm, isolated | Corrected November 4, 2024 |
| August 2, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | K Immediate jeopardy, pattern | Corrected August 6, 2024 |
| August 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 | K Immediate jeopardy, pattern | Corrected August 6, 2024 |
| August 2, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | K Immediate jeopardy, pattern | Corrected August 6, 2024 |
| August 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 | K Immediate jeopardy, pattern | Corrected August 6, 2024 |
| March 22, 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 April 21, 2024 |
| March 22, 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 April 21, 2024 |
| March 22, 2024 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | E Potential harm, pattern | Corrected April 21, 2024 |
| March 22, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected April 21, 2024 |
| March 22, 2024 Standard | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | E Potential harm, pattern | Corrected April 21, 2024 |
| March 22, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected April 21, 2024 |
| March 22, 2024 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | E Potential harm, pattern | Corrected April 21, 2024 |
| March 22, 2024 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected April 21, 2024 |
| March 22, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 21, 2024 |
| March 22, 2024 Standard | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected April 21, 2024 |
| March 22, 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 | D Potential harm, isolated | Corrected April 21, 2024 |
| March 22, 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 | D Potential harm, isolated | Corrected April 21, 2024 |
| March 22, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected April 21, 2024 |
| March 22, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected April 21, 2024 |
| January 23, 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 January 11, 2024 |
| January 23, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected February 22, 2024 |
| September 29, 2023 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | J Immediate jeopardy, isolated | Corrected October 27, 2023 |
| September 29, 2023 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 | J Immediate jeopardy, isolated | Corrected October 27, 2023 |
| September 29, 2023 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 | J Immediate jeopardy, isolated | Corrected October 27, 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 3 federal penalties in the past three years, including $221,139 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 2, 2024 | Fine | $179,563 |
| January 23, 2024 | Fine | $12,048 |
| September 29, 2023 | Fine | $29,528 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BROUSSARD, KENDALL Individual | adp of the snf | NOT APPLICABLE | 01/10/2019 |
| CALVIN H JONES ESTATE Organization | adp of the snf | NOT APPLICABLE | 08/11/2025 |
| SANDERS, JACK Individual | adp of the snf | NOT APPLICABLE | 01/10/2019 |
| SAN MARCOS HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 04/10/2025 |
| BROUSSARD, KENDALL Individual | corporate director | NOT APPLICABLE | 05/01/2019 |
| CISNEROS, ALFRED Individual | corporate director | NOT APPLICABLE | 02/18/2008 |
| COOPER, STEPHEN Individual | corporate director | NOT APPLICABLE | 11/11/2022 |
| KERZEE, RICHARD Individual | corporate director | NOT APPLICABLE | 09/24/2007 |
| BROUSSARD, KENDALL Individual | corporate officer | NOT APPLICABLE | 05/01/2019 |
| COOPER, STEPHEN Individual | corporate officer | NOT APPLICABLE | 11/11/2022 |
| SANDERS, JACK Individual | corporate officer | NOT APPLICABLE | 05/01/2019 |
| SANDERS, JACK Individual | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| SAN MARCOS HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
Other nursing homes near Cypress Healthcare and Rehabilitation Center
Hays Nursing and Rehabilitation Center
1900 Medical Parkway, San Marcos, TX 78666 · under 1 mi
For-profit · 116 beds · Part of The Ensign Group
★★★★★3AverageSan Marcos Rehabilitation and Healthcare Center
1600 N I H 35, San Marcos, TX 78666 · 2.4 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 mi
Government · 126 beds · Part of The Ensign Group
★★★★★3AverageSundance Inn Health Center
2034 Sundance Parkway, New Braunfels, TX 78130 · 11.7 mi
For-profit · 128 beds · Part of Cantex Continuing Care
★★★★★3AverageAvir at New Braunfels
821 US Hwy 81 W, New Braunfels, TX 78130 · 11.8 mi
For-profit · 154 beds · Part of Avir Health Group
- Abuse citation
- New owner (last 12 months)
★★★★★1Much below averageLegend Oaks Healthcare and Rehabilitation-Kyle
1640 Fairway, Kyle, TX 78640 · 12.5 mi
For-profit · 126 beds · Part of The Ensign Group
★★★★★3Average
Frequently asked questions
What is Cypress Healthcare and Rehabilitation Center's rating?
Cypress Healthcare and Rehabilitation Center has 1 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 Cypress Healthcare and Rehabilitation Center receive?
Its most recent standard health inspection found 9 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Cypress Healthcare 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 Cypress Healthcare and Rehabilitation Center?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Cypress Healthcare and Rehabilitation Center and how do I contact it?
Cypress Healthcare and Rehabilitation Center is at 1351 Sadler, San Marcos, TX 78666. Phone: (512) 805-5000.
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.