San Marcos Rehabilitation And Healthcare Center
Nursing Home · 1600 N I H 35, San Marcos, TX 78666 · 5123535026
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 1.0 / 5 | high |
| Staffing | 2.0 / 5 | med |
| Clinical outcomes | 3.2 / 5 | high |
| Enforcement | 3.4 / 5 | high |
| Financial stability | 3.6 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 129 |
| Ownership | For Profit - Corporation |
| Operator | Guadalupe County Hospital Board |
| Chain size | 338 facilities |
| Certified since | 1997-02-01 |
| CMS overall star | 2 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$ of 5 · ~$379/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 2 immediate jeopardy · 1 actual harm · 14 potential for harm · 0 minor
- Federal fines: $33,891 · payment denials: 0 · penalty actions: 1
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-12-30 | Post nurse staffing information every day. (Nursing and Physician Services Deficiencies, tag 0732) | F | corrected 2026-01-01 |
| 2025-08-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Quality of Life and Care Deficiencies, tag 0684) | K · immediate jeopardy | corrected 2025-08-02 |
| 2025-08-01 | Provide safe, appropriate pain management for a resident who requires such services. (Quality of Life and Care Deficiencies, tag 0697) | K · immediate jeopardy | corrected 2025-08-02 |
| 2024-11-04 | 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 0580) | D | corrected 2024-12-04 |
| 2024-11-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Pharmacy Service Deficiencies, tag 0755) | E | corrected 2024-12-04 |
| 2024-11-04 | Ensure that residents are free from significant medication errors. (Pharmacy Service Deficiencies, tag 0760) | E | corrected 2024-12-04 |
| 2024-08-15 | Keep residents' personal and medical records private and confidential. (Resident Rights Deficiencies, tag 0583) | E | corrected 2024-09-14 |
| 2024-08-15 | 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 0584) | E | corrected 2024-09-14 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Annual nursing-staff turnover: 53.4% · RN turnover 60.0% (US median 45.3% · lower is better)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 31.8% | 56.2 → 38.9 → 25 → 6.9 | worse than 97% of US homes · TX median 14.8% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 31.7% | 52.1 → 24.9 → 31.7 → 18.4 | worse than 94% of US homes · TX median 13% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0.9% | 0 → 1.1 → 1.2 → 1.3 | better than 54% of US homes · TX median 0.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 2.1% | 2.4 → 1.2 → 2.3 → 2.4 | better than 65% of US homes · TX median 3% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0.3% | 0 → 0 → 1.2 → 0 | better than 72% of US homes · TX median 0.3% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 2% | 1.2 → 2 → 2.8 → 2.1 | better than 84% of US homes · TX median 3.4% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 5.2% | 1.8 → 5.8 → 5.9 → 7.5 | better than 86% of US homes · TX median 8.1% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
What this costs
- This facility's reported avg daily charge: $379/day · $$$$ (price tier 4 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-09. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 70% Medicaid · 6% Medicare · 24% other/private · 73% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Hays County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Christus Santa Rosa Hospital-san Marcos | San Marcos | Yes | 4★ | Acute care |
| Ascension Seton Hays | Kyle | Yes | 3★ | Acute care |
| Ascension Seton Southwest | Austin | Yes | — | Acute care |
| Baylor Scott & White Medical Center - Buda | Buda | Yes | — | Acute care |
Compare nearby
- B+ Avir At Dripping Springs · Dripping Springs
- B Hays Nursing And Rehabilitation Center · San Marcos
- B- Legend Oaks Healthcare And Rehabilitation-Kyle · Kyle
- C Cypress Healthcare And Rehabilitation Center · San Marcos
- C Deer Creek Nursing And Rehabilitation · Wimberley
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Hays County nursing homes coverage. Spot an error? Tell us.