All states › Texas › San Marcos › Cypress Healthcare and Rehabilitation Center
1351 Sadler San Marcos, TX 78666 · Hays County
All 3 nursing homes in San Marcos, TX (3 take Medicaid)
CMS certification number 676226 · See this home on Medicare Care Compare
Is Cypress Healthcare and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Cypress Healthcare and Rehabilitation Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.35 hours per resident per day at Cypress Healthcare and Rehabilitation Center, about the same as the Texas median of 3.30 (US median: 3.72). About 0.38 of those hours are from registered nurses. On weekends it falls to 3.08 hours, 8% below its all-week average. 51.8% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Cypress Healthcare and Rehabilitation Center: Medicare and Medicaid
Cypress Healthcare and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 25, 2026 and found 7 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 44 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 44 citations at Cypress Healthcare and Rehabilitation Center across 10 inspection dates, 14 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 2, 2024 (complaint inspection). The most common areas cited were resident rights (13) and nutrition and dietary (10). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, August 2, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
June 25, 2026 · 7 citations
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EHonor 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.
EProvide activities to meet all resident's needs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide and implement an infection prevention and control program.
December 6, 2025 · 1 citation · includes complaint inspection
DKeep residents' personal and medical records private and confidential.
November 25, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
June 19, 2025 · 1 citation · includes complaint inspection
EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
April 17, 2025 · 11 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EKeep residents' personal and medical records private and confidential.
EHonor 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.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
October 22, 2024 · 2 citations · includes complaint inspection
EHonor 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.
DGive the resident's representative the ability to exercise the resident's rights.
September 20, 2024 · 2 citations · includes complaint inspection
EEnsure 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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
August 2, 2024 · 4 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
KTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
KRespond appropriately to all alleged violations.
March 22, 2024 · 13 citations
EEnsure the activities program is directed by a qualified professional.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave a policy regarding use and storage of foods brought to residents by family and other visitors.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DReasonably accommodate the needs and preferences of each resident.
DKeep residents' personal and medical records private and confidential.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure 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.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
January 23, 2024 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Cypress Healthcare and Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on August 2, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 2, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- The home averages about 55% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $191,611 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 2, 2024 | Fine | $179,563 |
| Jan 23, 2024 | Fine | $12,048 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
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Location
Hospitals near Cypress Healthcare and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.4 mi
CHRISTUS Santa Rosa Hospital-San Marcos San MarcosEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 23m for patients treated and sent home
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11.3 mi
Resolute Health Hospital New BraunfelsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 16m for patients treated and sent home
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12.6 mi
Seton Medical Center Hays KyleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 43m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Cypress Healthcare and Rehabilitation Center › All nursing homes in San Marcos ›
Compare Cypress Healthcare and Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Hays Nursing and Rehabilitation Center · San Marcos · 3 stars · 0.6 mi
- San Marcos Rehabilitation and Healthcare Center · San Marcos · 3 stars · 2.4 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.