San Marcos Rehabilitation and Healthcare Center
Nursing Home · San Marcos, TX
CMS certification number675651
Contact & location
1600 N I H 35San Marcos, TX 78666
Hays County
- Phone
- (512) 353-5026
- ZIP code
- 78666 – all care providers
Facility details
- Certified beds
- 129
- Residents per day
- 104.8 (81% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Guadalupe County Hospital Board
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- February 1, 1997
- 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
- 2.98 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.64 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.45 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.90 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.54 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 48.8 (state 55.3 · U.S. 45.8)%
- RN turnover
- 53.3 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- October 1, 2025
- Health deficiencies (last cycle)
- 3.0 (state 9.3 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 17 health · 8 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-12-30 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-01 |
| 2025-08-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2025-08-02 |
| 2025-08-01 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2025-08-02 |
| 2024-11-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-04 |
| 2024-11-04 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-04 |
| 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. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-04 |
| 2024-08-15 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-14 |
| 2024-08-15 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-14 |
| 2024-08-15 | 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 2024-09-14 |
| 2024-08-15 | 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 2024-09-14 |
| 2024-08-15 | 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 2024-09-14 |
| 2024-08-15 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-14 |
| 2024-08-15 | Provide routine and 24-hour emergency dental care for each resident. F0790 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-14 |
| 2024-04-15 | 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 · complaint inspection |
G Actual harm |
Corrected 2024-05-03 |
| 2023-06-16 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-07 |
| 2023-06-16 | 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 2023-07-07 |
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 $33,891 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-01 | Fine | $33,891 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Guadalupe County Hospital Board (organization) | 5%+ Direct Ownership Interest · 100% | |
| Caretrust GP LLC (organization) | Administrator · NOT APPLICABLE | |
| Caretrust Reit INC (organization) | Administrator · NOT APPLICABLE | |
| Castro Pou, Graciela (individual) | Administrator · NOT APPLICABLE | |
| CTR Partnership LP (organization) | Administrator · NOT APPLICABLE | |
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Ives Health Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Tochterman, Jerry (individual) | Administrator · NOT APPLICABLE | |
| Wood Bayou 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 | |
| Castro Pou, Graciela (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Tochterman, Jerry (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Castro Pou, Graciela (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Tochterman, Jerry (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wood Bayou Healthcare, INC. (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of San Marcos Rehabilitation and Healthcare Center?
San Marcos Rehabilitation and Healthcare Center has a 1-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 San Marcos Rehabilitation and Healthcare Center have?
It has 129 certified beds and cares for about 105 residents per day.
Has San Marcos Rehabilitation and Healthcare Center been fined?
Yes. CMS lists 1 penalty totaling $33,891 in the last three years.
Who owns San Marcos Rehabilitation and Healthcare 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 San Marcos Rehabilitation and Healthcare Center?
(512) 353-5026. The facility is located at 1600 N I H 35, San Marcos, TX 78666.
Other nursing homes in San Marcos
-
Hays Nursing and Rehabilitation Center
Nursing Home · San Marcos, TX · 116 beds
★★★ -
Cypress Healthcare and Rehabilitation Center
Nursing Home · San Marcos, TX · 174 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.