Nursing home
Cypress Healthcare and Rehabilitation Center
1351 Sadler, San Marcos, TX 78666 · Map
For profit - Individual · 174 certified beds
Cypress Healthcare and Rehabilitation Center is a Medicare-certified nursing home in San Marcos, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.23 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Apr 17, 2025 cited 14 deficiencies.
- 4 fines totaling $236,732In CMS records: 4 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Cypress Healthcare and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.23 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.32 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.10 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 55.3% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 14.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 4 fines totaling $236,732, 4 total penalties.
What inspectors found at Cypress Healthcare and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Dec 6, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Jun 19, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Apr 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Ensure 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.
Nutrition and Dietary Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Apr 17, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Apr 17, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1351 Sadler
San Marcos, TX 78666 - CMS certification #
- 676226
- Ownership
- For profit - Individual
- Certified beds
- 174
- Avg residents/day
- 87.8
- Provider type
- Medicare and Medicaid
- First certified
- 2009-08-03
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Cypress Healthcare and Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Christus Santa Rosa Hospital-San Marcos, San Marcos. 0.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Hays Nursing and Rehabilitation Center, San Marcos. 0.6 miles away, straight line.
- Nearest home health agency office
- Halcyon Home, San Marcos. 1.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Medpark Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78666 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Nna San Marcos, San Marcos, 0.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Davita New Braunfels Dialysis, New Braunfels, 11.1 miles away, straight line (CMS rating 3 of 5 stars)
Shc Kyle, Kyle, 11.8 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 62 Medicare hospices tell CMS they serve ZIP code 78666.
Christus Hospice - Central Texas, office in San Marcos, 0.2 miles away, straight line
Heart To Heart Hospice Of San Marcos LLC, office in San Marcos, 0.4 miles away, straight line (CMS family survey rating 3 of 5 stars)
Gentiva, office in San Marcos, 1.2 miles away, straight line - Nearest geriatric medicine practice
- Tmc Provider Group PLLC, Austin. 22.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In San Marcos, TX, risk to homes is greater than 35% of communities in Texas and 72% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively moderate, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Cypress Healthcare and Rehabilitation Center a good nursing home?
CMS gives Cypress Healthcare and Rehabilitation Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Cypress Healthcare and Rehabilitation Center staffed?
Cypress Healthcare and Rehabilitation Center reports 3.23 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Cypress Healthcare and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 14 deficiencies.
How many beds does Cypress Healthcare and Rehabilitation Center have?
Cypress Healthcare and Rehabilitation Center is certified for 174 beds.