San Marcos Rehabilitation and Healthcare Center

Nursing Home

1600 N I H 35
San Marcos, TX 78666 · Hays County
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Call (512) 353-5026

Official website not yet verified

Overall Medicare rating★★★★★
Overall: state avg 2.8 · U.S. 3.0
Health inspections★★★★★
Staffing★★★★★
Staffing: state avg 1.9 · U.S. 3.0
Quality measures★★★★★

Source: CMS Care Compare (data as of October 1, 2026)

View Safety Report

Safety at a glance

3Serious citations (actual harm or immediate jeopardy), last 3 inspection cycles
17Total health citations, last 3 inspection cycles
$33,891Federal fines, last 3 years (1 fine)

Most recent standard inspection: December 30, 2025.

Most recent serious findings

K
Provide safe, appropriate pain management for a resident who requires such services.
August 1, 2025 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected more than a very small number of residents, or happened repeatedly. Found during a complaint investigation.
K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
August 1, 2025 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected more than a very small number of residents, or happened repeatedly. Found during a complaint investigation.
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 15, 2024 · Inspectors rated this “actual harm to a resident (not immediate jeopardy).” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.

View the full Safety Report →

Availability

Availability Unknown

This facility has not confirmed current availability. We never estimate vacancies. Please call (512) 353-5026 to ask about openings and waiting lists.

We'll show the answer here once the facility provides it.

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Nurse staffing

Total nurse hours per resident per day
2.90 hours · state avg 3.42, U.S. 3.90
Registered nurse (RN) hours per resident per day
0.64 hours
Total nurse hours on weekends
2.50 hours · state avg 2.99
Nursing staff turnover (yearly)
46.1% · state avg 50.8%
RN turnover (yearly)
43.8%
Administrators who left (yearly)
0

Hours per resident per day = total nursing hours worked ÷ number of residents. Higher usually means more hands-on time. Values are from payroll records reported to CMS (Payroll-Based Journal).

Source: CMS Provider Information (data as of October 1, 2026)

Paying for care

Medicaid: This nursing home is certified to accept Medicaid. It is also Medicare certified, so Medicare can pay for short-term skilled care after a qualifying hospital stay.

In Texas, Medicaid long-term care is provided through STAR+PLUS (incl. STAR+PLUS HCBS).

Ways to pay for care in Texas →

Pricing

Published price: Not Yet Verified

What families report paying

No family reports yet. To protect privacy and avoid misleading figures, we show a summary only after 5 reports.

Yearly price increases

No increase reports yet. Shown after 5 reports.

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Nursing home care may be paid by Medicare (short-term skilled care after a qualifying hospital stay), Medicaid (if eligible), long-term care insurance, or privately. This facility is Medicaid certified.

Family Cameras & Video Access

Family-installed room cameras
Not Verified
Facility-provided room cameras
Not Verified
Authorized remote family viewing
Not Verified
Live video visitation
Not Verified
We'll show the answer here once the facility provides it.

We have not yet verified this facility’s camera policy. Rules for in-room cameras vary by state and usually require consent from the resident and any roommate. Ask the facility for its written electronic-monitoring policy.

Applying & contacting

Online admission application
Not yet checked
Online waiting-list form
Not yet checked
Online inquiry form
Not yet checked
Online tour scheduling
Not yet checked
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Application checklist & links Applying to several facilities? Add each one to your compare list and open the apply page.

Ownership

Ownership type
For profit - Corporation
Chain / affiliation
The Ensign Group
Legal business name
Guadalupe County Hospital Board
Owner or managerRoleShare
GUADALUPE COUNTY HOSPITAL BOARD5% OR GREATER DIRECT OWNERSHIP INTEREST100%
BURNAM, SOONCORPORATE OFFICER—
CARETRUST GP LLCADP OF THE SNF—
CARETRUST REIT INCADP OF THE SNF—
CASTRO POU, GRACIELAADP OF THE SNF—
CASTRO POU, GRACIELAMANAGING CONTROL - GOVERNING BODY—
CASTRO POU, GRACIELAOPERATIONAL/MANAGERIAL CONTROL—
CTR PARTNERSHIP LPADP OF THE SNF—
ENSIGN SERVICES INCADP OF THE SNF—
GANN, KODYCORPORATE OFFICER—
IVES HEALTH HOLDINGS LLCADP OF THE SNF—
KEETCH, CHADCORPORATE OFFICER—

Source: CMS Provider Information (data as of October 1, 2026)

About this listing

CMS Certification Number
675651
Certified beds
129
Average residents per day
103.2
Medicare / Medicaid
Medicare and Medicaid
Continuing care retirement community
No
First certified
February 1, 1997
Last confirmed by official source
October 1, 2026

Read full inspection narratives at Medicare Care Compare or ProPublica Nursing Home Inspect.

Nearby facilities

Hays Nursing and Rehabilitation Center

1900 Medical Parkway, San Marcos, TX 78666 · 1.9 miles away
Nursing Home116 certified bedsAccepts MedicaidMedicare certified(512) 396-1888
Availability Unknown
Overall (Medicare)★★★★★
Health inspections★★★★★
Staffing★★★★★
Serious citations*2
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