All states › Texas › San Marcos › San Marcos Rehabilitation and Healthcare Center
1600 N I H 35 San Marcos, TX 78666 · Hays County
All 3 nursing homes in San Marcos, TX (3 take Medicaid)
CMS certification number 675651 · See this home on Medicare Care Compare
Is San Marcos Rehabilitation and Healthcare 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 San Marcos Rehabilitation and Healthcare Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as 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 2.90 hours per resident per day at San Marcos Rehabilitation and Healthcare Center, below the Texas median of 3.30 (US median: 3.72). About 0.64 of those hours are from registered nurses. On weekends it falls to 2.50 hours, 14% below its all-week average. 46.1% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at San Marcos Rehabilitation and Healthcare Center: Medicare and Medicaid
San Marcos Rehabilitation and Healthcare 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 October 1, 2025 and found 0 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 17 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 17 citations at San Marcos Rehabilitation and Healthcare Center across 6 inspection dates, 7 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 1, 2025 (complaint inspection). The most common areas cited were quality of life and care (7) and resident rights (4). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level K, August 1, 2025).
December 30, 2025 · 1 citation · includes complaint inspection
FPost nurse staffing information every day.
August 1, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
KProvide appropriate treatment and care according to orders, resident’s preferences and goals.
KProvide safe, appropriate pain management for a resident who requires such services.
November 4, 2024 · 3 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure that residents are free from significant medication errors.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
August 15, 2024 · 8 citations
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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
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.
EProvide and implement an infection prevention and control program.
DProvide routine and 24-hour emergency dental care for each resident.
April 15, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 16, 2023 · 2 citations
DReasonably accommodate the needs and preferences of each resident.
DProvide activities to meet all resident's needs.
Questions to ask on a tour of San Marcos Rehabilitation and Healthcare Center
- Inspectors cited the home at the immediate-jeopardy level on August 1, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- 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
1 penalty in the last three years, including $33,891 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 1, 2025 | Fine | $33,891 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 3/5 | 5/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
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Location
Hospitals near San Marcos Rehabilitation and Healthcare 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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2.1 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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10.3 mi
Seton Medical Center Hays KyleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 43m for patients treated and sent home
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13.4 mi
Resolute Health Hospital New BraunfelsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 16m 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 San Marcos Rehabilitation and Healthcare Center › All nursing homes in San Marcos ›
Compare San Marcos Rehabilitation and Healthcare Center with the 3 closest homes side by side ›
Other The Ensign Group nursing homes in Texas
- Grand Terrace Rehabilitation and Healthcare · McAllen · 5 stars
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- Golden Palms Rehabilitation and Retirement · Harlingen · 5 stars
- Beacon Harbor Healthcare and Rehabilitation · Rockwall · 5 stars
- Crestwood Health and Rehabilitation Center · Wills Point · 5 stars
- Legend Oaks Healthcare and Rehabilitation - Ennis · Ennis · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›
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.