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Data / Nursing homes / Texas / Hays Nursing and Rehabilitation Center

Hays Nursing and Rehabilitation Center, San Marcos, TX: 3 star rating, fined $8,226 across 1 fine

Hays Nursing and Rehabilitation Center in San Marcos, TX is owned by Guadalupe County Hospital Board, is rated 3 of 5 stars by Medicare, and was fined $8,226 across 1 fine in the three years to October 1, 2026. CMS lists 25 health citations from inspections in that time, the latest survey on March 5, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
1900 Medical Parkway, San Marcos, TX 78666
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
5 of 5
Certified beds
116
Residents per day
97 on average
Ownership type
For profit, corporation
Legal business name
Guadalupe County Hospital Board
Chain
The Ensign Group, 347 facilities
Fines
$8,226 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
25, of which 2 with actual harm or immediate jeopardy
Latest survey
March 5, 2026
CMS Certification Number
455960
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 2, 2024Fine$8,226Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
March 5, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2026data.cms.gov
March 5, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2026data.cms.gov
March 5, 2026F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2026data.cms.gov
March 5, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 22, 2026data.cms.gov
March 5, 2026F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 20, 2026data.cms.gov
March 5, 2026F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2026data.cms.gov
January 16, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2025data.cms.gov
January 16, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 23, 2025data.cms.gov
January 16, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2025data.cms.gov
January 16, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 23, 2025data.cms.gov
July 9, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
July 9, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
May 2, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.J: isolated, immediate jeopardyCorrectedMay 3, 2024data.cms.gov
May 2, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedMay 3, 2024data.cms.gov
May 2, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 3, 2024data.cms.gov
December 14, 2023F908Keep all essential equipment working safely.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2024data.cms.gov
December 14, 2023F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 21, 2023data.cms.gov
December 14, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 14, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov
December 14, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2024data.cms.gov
December 14, 2023F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 11, 2024data.cms.gov
December 14, 2023F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
November 20, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 27, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (4 managers, 3 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Guadalupe County Hospital BoardDirect owner100%December 1, 2020data.cms.gov
Willow Springs Creek Healthcare, Inc.Operational or managerial controlNot listedDecember 1, 2020data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedOctober 13, 2020data.cms.gov
San Marcos TX PROPCO LLCAdditional disclosable partyNot listedDecember 1, 2020data.cms.gov
Willow Springs Creek Healthcare, Inc.Additional disclosable partyNot listedNovember 25, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.