Hays Nursing and Rehabilitation Center
Nursing Home · San Marcos, TX
CMS certification number455960
Contact & location
1900 Medical ParkwaySan Marcos, TX 78666
Hays County
- Phone
- (512) 396-1888
- ZIP code
- 78666 – all care providers
Facility details
- Certified beds
- 116
- Residents per day
- 92.5 (80% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Guadalupe County Hospital Board
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- October 1, 1991
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.27 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.46 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.96 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.85 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.72 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 37.9 (state 55.3 · U.S. 45.8)%
- RN turnover
- 22.2 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- March 5, 2026
- Health deficiencies (last cycle)
- 6.0 (state 9.3 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 26 health · 6 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-05 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-28 |
| 2026-03-05 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-20 |
| 2026-03-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-22 |
| 2026-03-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-28 |
| 2026-03-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-27 |
| 2026-03-05 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-28 |
| 2025-01-16 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-23 |
| 2025-01-16 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-23 |
| 2025-01-16 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-31 |
| 2025-01-16 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-31 |
| 2025-01-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-07-09 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-16 |
| 2024-07-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-16 |
| 2024-05-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-05-03 |
| 2024-05-02 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-05-03 |
| 2024-05-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-03 |
| 2023-12-14 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-01-19 |
| 2023-12-14 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
| 2023-12-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-15 |
| 2023-12-14 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-11 |
| 2023-12-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-14 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-18 |
| 2023-12-14 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-21 |
| 2023-11-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-27 |
| 2023-09-23 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-12 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $8,226 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-05-02 | Fine | $8,226 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Guadalupe County Hospital Board (organization) | 5%+ Direct Ownership Interest · 100% | |
| Chudleigh, James (individual) | Administrator · NOT APPLICABLE | |
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Phelps, Nelson (individual) | Administrator · NOT APPLICABLE | |
| San Marcos TX Propco LLC (organization) | Administrator · NOT APPLICABLE | |
| Willow Springs Creek Healthcare, INC. (organization) | Administrator · NOT APPLICABLE | |
| Burnam, Soon (individual) | Corporate Officer · NOT APPLICABLE | |
| Gann, Kody (individual) | Corporate Officer · NOT APPLICABLE | |
| Keetch, Chad (individual) | Corporate Officer · NOT APPLICABLE | |
| Chudleigh, James (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Phelps, Nelson (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Chudleigh, James (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Phelps, Nelson (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Willow Springs Creek Healthcare, INC. (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Hays Nursing and Rehabilitation Center?
Hays Nursing and Rehabilitation Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Hays Nursing and Rehabilitation Center have?
It has 116 certified beds and cares for about 93 residents per day.
Has Hays Nursing and Rehabilitation Center been fined?
Yes. CMS lists 1 penalty totaling $8,226 in the last three years.
Who owns Hays Nursing and Rehabilitation Center?
It is part of The Ensign Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Hays Nursing and Rehabilitation Center?
(512) 396-1888. The facility is located at 1900 Medical Parkway, San Marcos, TX 78666.
Other nursing homes in San Marcos
-
Cypress Healthcare and Rehabilitation Center
Nursing Home · San Marcos, TX · 174 beds
★ -
San Marcos Rehabilitation and Healthcare Center
Nursing Home · San Marcos, TX · 129 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.