CareSentinel

Federal Nursing-Home Survey Record

San Marcos Rehabilitation and Healthcare Center

CCN 675651 · 1600 N I H 35, San Marcos, TX, 78666 · Operated within the THE ENSIGN GROUP chain

Does San Marcos Rehabilitation and Healthcare Center have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), San Marcos Rehabilitation and Healthcare Center (CCN 675651), in San Marcos, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 3 deficiencies; the most serious carries scope/severity K on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. The most recent federal survey on file is dated 2025-10-01. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $33,891 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$33,891

CMS has $33,891 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-12-30
CURRENT CYCLE
F732S/S F

Post nurse staffing information every day.

2025-08-01
CURRENT CYCLE
F684S/S K

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-08-01
CURRENT CYCLE
F697S/S K

Provide safe, appropriate pain management for a resident who requires such services.

2024-11-04
HISTORICAL
F760S/S E

Ensure that residents are free from significant medication errors.

2024-11-04
HISTORICAL
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2024-11-04
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-08-15
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-08-15
HISTORICAL
F583S/S E

Keep residents' personal and medical records private and confidential.

2024-08-15
HISTORICAL
F584S/S E

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.

2024-08-15
HISTORICAL
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-08-15
HISTORICAL
F677S/S E

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-08-15
HISTORICAL
F679S/S E

Provide activities to meet all resident's needs.

2024-08-15
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-08-15
HISTORICAL
F790S/S D

Provide routine and 24-hour emergency dental care for each resident.

2024-04-15
HISTORICAL
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-06-16
HISTORICAL
F679S/S D

Provide activities to meet all resident's needs.

2023-06-16
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at San Marcos Rehabilitation and Healthcare Center?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…