San Marcos Rehabilitation and Healthcare Center
San Marcos Rehabilitation and Healthcare Center is a 129-bed nursing home in San Marcos, Texas. CMS has certified it for Medicare and Medicaid since 1997-02-01. It averages 104.8 residents a day.
What harm was found in the violations cited at San Marcos Rehabilitation and Healthcare Center?
CMS lists 17 health-inspection deficiencies for San Marcos Rehabilitation and Healthcare Center since 2023-06-16, 15 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-12-30.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-30 | F0732 | Post nurse staffing information every day. | F |
| 2025-08-01 | F0684, F0697 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services. | K |
| 2024-11-04 | F0755, F0760 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. | E |
| 2024-11-04 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2024-08-15 | F0583, F0584, F0656, F0677, F0679, F0812, F0880 | Keep residents' personal and medical records private and confidential. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / 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 |
| 2024-08-15 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D |
| 2024-04-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-06-16 | F0558, F0679 | Reasonably accommodate the needs and preferences of each resident. / Provide activities to meet all resident's needs. | D |
Why was San Marcos Rehabilitation and Healthcare Center fined?
| Date | Type | Amount |
|---|---|---|
| 2025-08-01 | Fine | $33,891 |
How is San Marcos Rehabilitation and Healthcare Center staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.98379 | 3.38539 |
| Total nursing staff turnover (%) | 48.8 | 55.3 |
| Average number of residents per day | 104.8 | 75.8 |
Who owns San Marcos Rehabilitation and Healthcare Center, and what chain is it in?
San Marcos Rehabilitation and Healthcare 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.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GUADALUPE COUNTY HOSPITAL BOARD | since 04/01/2017 |
| MANAGING CONTROL - GOVERNING BODY | CASTRO POU, GRACIELA, TOCHTERMAN, JERRY | since 08/21/2017 |
| CORPORATE OFFICER | BURNAM, SOON, GANN, KODY, KEETCH, CHAD | since 03/01/2011 |
| OPERATIONAL/MANAGERIAL CONTROL | WOOD BAYOU HEALTHCARE, INC., CASTRO POU, GRACIELA, TOCHTERMAN, JERRY | since 04/01/2017 |
| ADP OF THE SNF | CARETRUST GP LLC, CARETRUST REIT INC, CTR PARTNERSHIP LP, ENSIGN SERVICES INC, IVES HEALTH HOLDINGS LLC, WOOD BAYOU HEALTHCARE, INC., CASTRO POU, GRACIELA, TOCHTERMAN, JERRY | since 02/05/2010 |
Were you or a family member harmed at San Marcos Rehabilitation and Healthcare Center?