Hays Nursing and Rehabilitation Center

CCN 455960 · GUADALUPE COUNTY HOSPITAL BOARD · For profit - Corporation · THE ENSIGN GROUP chain · 116 certified beds · Hays · TX


Hays Nursing and Rehabilitation Center is a 116-bed nursing home in SAN MARCOS, Texas. CMS has certified it for Medicare and Medicaid since 1991-10-01. It averages 92.5 residents a day.

What harm was found in the violations cited at Hays Nursing and Rehabilitation Center?

CMS lists 26 health-inspection deficiencies for Hays Nursing and Rehabilitation Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-05.

Survey dateTagDeficiencySeverity
2026-03-05F0558, F0584, F0677, F0812, F0880Reasonably accommodate the needs and preferences of each resident. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2026-03-05F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D
2025-01-16F0550, F0679, F0756, F0761Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide activities to meet all resident's needs. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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.E
2025-01-16F0584, F0812Honor 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2024-07-09F0880Provide and implement an infection prevention and control program.E
2024-07-09F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-05-02F0600, F0607Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft.J
2024-05-02F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-12-14F0908Keep all essential equipment working safely.F
2023-12-14F0584, F0689Honor 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2023-12-14F0679, F0684, F0690, F0692Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health.D
2023-11-20F0677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2023-09-23F0761Ensure 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.D

Why was Hays Nursing and Rehabilitation Center fined?

DateTypeAmount
2024-05-02Fine$8,226

How is Hays Nursing and Rehabilitation Center staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.270313.38539
Total nursing staff turnover (%)37.955.3
Average number of residents per day92.575.8

Who owns Hays Nursing and Rehabilitation Center, and what chain is it in?

Hays Nursing and Rehabilitation Center is registered with CMS as For profit - Corporation, operates under the legal business name GUADALUPE COUNTY HOSPITAL BOARD and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTGUADALUPE COUNTY HOSPITAL BOARDsince 12/01/2020
MANAGING CONTROL - GOVERNING BODYCHUDLEIGH, JAMES, PHELPS, NELSONsince 02/01/2024
CORPORATE OFFICERBURNAM, SOON, GANN, KODY, KEETCH, CHADsince 03/01/2011
OPERATIONAL/MANAGERIAL CONTROLWILLOW SPRINGS CREEK HEALTHCARE, INC., CHUDLEIGH, JAMES, PHELPS, NELSONsince 02/01/2024
ADP OF THE SNFENSIGN SERVICES INC, SAN MARCOS TX PROPCO LLC, WILLOW SPRINGS CREEK HEALTHCARE, INC., CHUDLEIGH, JAMES, PHELPS, NELSONsince 02/01/2024

Were you or a family member harmed at Hays Nursing and Rehabilitation Center?