Nursing home
San Marcos Rehabilitation and Healthcare Center
1600 N I H 35, San Marcos, TX 78666 · Map
For profit - Corporation · Part of The Ensign Group (329 facilities) · 129 certified beds
San Marcos Rehabilitation and Healthcare 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). Its most recent inspection on Oct 1, 2025 cited 3 deficiencies.
- 1 fine totaling $52,140In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How San Marcos Rehabilitation and Healthcare 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) | — | 3.40 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.44 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.01 | 2.34 | — |
| Nursing staff turnover | 50.0% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 9.1 | 9.5 | below 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.
- Every deficiency from the December 30, 2025 inspection was corrected by January 1, 2026
Penalties in CMS records: 1 fine totaling $52,140, 1 total penalty.
What inspectors found at San Marcos Rehabilitation and Healthcare 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
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Dec 30, 2025 · Full report (PDF) - Immediate jeopardy
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Aug 1, 2025 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 1, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Nov 4, 2024 · 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 · Nov 4, 2024 · Full report (PDF)
Show all 12 deficiencies
- 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 · Nov 4, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 15, 2024 · 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 · Aug 15, 2024 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Aug 15, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Aug 15, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Aug 15, 2024 · 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 · Aug 15, 2024 · 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
- 1600 N I H 35
San Marcos, TX 78666 - CMS certification #
- 675651
- Ownership
- For profit - Corporation
- Certified beds
- 129
- Avg residents/day
- 103.2
- Provider type
- Medicare and Medicaid
- First certified
- 1997-02-01
- Chain
- The Ensign Group (329 facilities)
- Setting
- Urban
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around San Marcos Rehabilitation and Healthcare Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day
- Staff pay 1 federal wage case with violations found, since 2020
Full public records, with dates and sources
Care and services
From the community’s website
What San Marcos Rehabilitation and Healthcare Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our Nursing staff provides 24-hour round the clock care for our residents under the direction of our in-house physicians.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Feb 1, 2020 to Jan 31, 2022. Violations found: Overtime. Back wages: $5,084 owed to 3 employees. Employer as DOL recorded it: San Marcos Rehabilitation & Health Care (Wood Bayou Healthcare Inc.). Case 1954581.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Christus Santa Rosa Hospital-San Marcos, San Marcos. 2.1 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Hays Nursing and Rehabilitation Center, San Marcos. 1.9 miles away, straight line.
- Nearest home health agency office
- Halcyon Home, San Marcos. 3.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- B&J Pharmacy. 0.1 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, 2.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Shc Kyle, Kyle, 9.5 miles away, straight line (CMS rating 5 of 5 stars)
Davita Hill Country Dialysis, Kyle, 10.3 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 62 Medicare hospices tell CMS they serve ZIP code 78666.
Gentiva, office in San Marcos, 1.5 miles away, straight line
Christus Hospice - Central Texas, office in San Marcos, 2.2 miles away, straight line
Heart To Heart Hospice Of San Marcos LLC, office in San Marcos, 2.3 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Tmc Provider Group PLLC, Austin. 20.5 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)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively moderate, 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 | See above |
| 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 | Not shown: FEMA rates wildfire risk here very low |
| 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 | See above |
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Frequently asked questions
Is San Marcos Rehabilitation and Healthcare Center a good nursing home?
CMS gives San Marcos Rehabilitation and Healthcare 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.
Has San Marcos Rehabilitation and Healthcare Center had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does San Marcos Rehabilitation and Healthcare Center have?
San Marcos Rehabilitation and Healthcare Center is certified for 129 beds.