San Marcos Rehabilitation and Healthcare Center
Nursing home in San Marcos, Texas, CMS certification number 675651
1600 N I H 35, San Marcos, TX 78666 · Hays County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 129
- Certified for
- Medicare and Medicaid
- Last standard inspection
- October 1, 2025
- Deficiencies at that inspection
- 1
- Fines in 3 years
- $33,891 (1)
Does San Marcos Rehabilitation and Healthcare Center take Medicare and Medicaid?
Yes to both. San Marcos Rehabilitation and Healthcare Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours San Marcos Rehabilitation and Healthcare Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.90
- Registered nurse hours
- 0.64
- Licensed practical nurse hours
- 0.45
- Nurse aide hours
- 1.81
- Weekend total hours
- 2.50
- Nursing staff turnover
- 46.1%
- Registered nurse turnover
- 43.8%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on October 1, 2025 and cited 1 deficiency, plus 1 from complaint visits.
The visit before, on August 15, 2024, found 8.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined San Marcos Rehabilitation and Healthcare Center 1 time in the past 3 years, for $33,891 in total.
Beds and residents
On an average day 103.2 residents live here, about 80% of its 129 certified beds.
- Certified beds
- 129
- Average residents per day
- 103.2
- Certified since
- February 1, 1997
- Resident or family council
- Resident
Who owns San Marcos Rehabilitation and Healthcare Center
- Legal business name
- Guadalupe County Hospital Board
- Ownership type
- For profit - Corporation
- Chain
- 347 homes nationally under The Ensign Group, 3.3-star chain average
Other nursing homes near San Marcos Rehabilitation and Healthcare Center
- Hays Nursing and Rehabilitation Center1900 Medical Parkway, San Marcos 78666
- Cypress Healthcare and Rehabilitation Center1351 Sadler, San Marcos 78666
- Legend Oaks Healthcare and Rehabilitation-Kyle1640 Fairway, Kyle 78640
- Deer Creek Nursing and Rehabilitation555 Ranch Rd 3237, Wimberley 78676
- Legend Oaks Healthcare and Rehabilitation - New Br2468 FM 1101, New Braunfels 78130
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run San Marcos Rehabilitation and Healthcare Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about San Marcos Rehabilitation and Healthcare Center
What is the CMS star rating of San Marcos Rehabilitation and Healthcare Center?
3 out of 5 stars overall.
Does San Marcos Rehabilitation and Healthcare Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at San Marcos Rehabilitation and Healthcare Center?
1 cited at the last standard visit.
Who owns San Marcos Rehabilitation and Healthcare Center?
Guadalupe County Hospital Board, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.