Data / Nursing homes / Texas / San Marcos Rehabilitation and Healthcare Center
San Marcos Rehabilitation and Healthcare Center, San Marcos, TX: 3 star rating, fined $33,891 across 1 fine
San Marcos Rehabilitation and Healthcare Center in San Marcos, TX is owned by Guadalupe County Hospital Board, is rated 3 of 5 stars by Medicare, and was fined $33,891 across 1 fine in the three years to October 1, 2026. CMS lists 15 health citations from inspections in that time, the latest survey on December 30, 2025, and 3 of them found actual harm or immediate jeopardy.
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- Address
- 1600 N I H 35, 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
- 129
- Residents per day
- 103 on average
- Ownership type
- For profit, corporation
- Legal business name
- Guadalupe County Hospital Board
- Chain
- The Ensign Group, 347 facilities
- Fines
- $33,891 across 1 fine, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 15, of which 3 with actual harm or immediate jeopardy
- Latest survey
- December 30, 2025
- CMS Certification Number
- 675651
- 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.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| August 1, 2025 | Fine | $33,891 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| December 30, 2025 | F732 | Post nurse staffing information every day. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | January 1, 2026 | data.cms.gov |
| August 1, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | K: pattern, immediate jeopardy | Corrected | August 2, 2025 | data.cms.gov |
| August 1, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K: pattern, immediate jeopardy | Corrected | August 2, 2025 | data.cms.gov |
| November 4, 2024 | F760 | Ensure that residents are free from significant medication errors. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 4, 2024 | data.cms.gov |
| November 4, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 4, 2024 | data.cms.gov |
| November 4, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 4, 2024 | data.cms.gov |
| August 15, 2024 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | September 14, 2024 | data.cms.gov |
| August 15, 2024 | F812 | Procure 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 harm | Corrected | September 14, 2024 | data.cms.gov |
| August 15, 2024 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 14, 2024 | data.cms.gov |
| August 15, 2024 | F679 | Provide activities to meet all resident's needs. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | September 14, 2024 | data.cms.gov |
| August 15, 2024 | F677 | Provide 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 harm | Corrected | September 14, 2024 | data.cms.gov |
| August 15, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | September 14, 2024 | data.cms.gov |
| August 15, 2024 | F584 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | September 14, 2024 | data.cms.gov |
| August 15, 2024 | F583 | Keep residents' personal and medical records private and confidential. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | September 14, 2024 | data.cms.gov |
| April 15, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Corrected | May 3, 2024 | data.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.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Guadalupe County Hospital Board | Direct owner | 100% | April 1, 2017 | data.cms.gov |
| Wood Bayou Healthcare, Inc. | Operational or managerial control | Not listed | April 1, 2017 | data.cms.gov |
| Caretrust GP LLC | Additional disclosable party | Not listed | April 1, 2017 | data.cms.gov |
| Caretrust REIT Inc | Additional disclosable party | Not listed | April 1, 2017 | data.cms.gov |
| CTR Partnership LP | Additional disclosable party | Not listed | April 1, 2017 | data.cms.gov |
| Ensign Services Inc | Additional disclosable party | Not listed | February 5, 2010 | data.cms.gov |
| Ives Health Holdings LLC | Additional disclosable party | Not listed | April 1, 2017 | data.cms.gov |
| Wood Bayou Healthcare, Inc. | Additional disclosable party | Not listed | September 30, 2025 | data.cms.gov |
Also on SpecStream
- All nursing homes in Texas
- Every nursing home Guadalupe County Hospital Board owns or manages
- Every nursing home Ensign Services Inc owns or manages
- This facility on Medicare Care Compare
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.