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San Marcos Rehabilitation And Healthcare Center

San Marcos, TX · Medicare and Medicaid-certified nursing home (CCN 675651) · 129 certified beds

CMS overall rating: 1★ (state average 2.65★ — below state average)
Health inspection: 1 · Quality measures: 4 · Staffing: 2
Federal fines: 1 totaling $33,891
Phone: (512) 353-5026 · Verify on Medicare Care Compare ↗

San Marcos Rehabilitation And Healthcare Center has a CMS overall star rating of 1 out of 5, which is below the Texas state average of 2.65. Its health inspection rating is 1 star and its staffing rating is 2 stars.

San Marcos Rehabilitation And Healthcare Center reports total nurse hours of 2.98 per resident per day, including 0.64 RN hours per resident per day, with a nursing staff turnover rate of 48.8%. Its CMS staffing star rating is 2 out of 5.

CMS records show San Marcos Rehabilitation And Healthcare Center has 1 federal fine on record totaling $33,891.00, with 0 payment denials. There is no abuse icon or Special Focus designation noted for this facility in the provided data.

Overall rating vs. benchmarks
San Marcos Rehabilita… San Marcos Rehabilita…: 1★ 1★ TX average TX average: 2.65★ 2.65★ The Ensign Group chain avg The Ensign Group chain avg: 3.2★ 3.2★

About this facility

San Marcos Rehabilitation And Healthcare Center is a for-profit corporation nursing home located in San Marcos, Hays County, Texas. It has been Medicare and Medicaid certified since February 1997, offering 129 certified beds with an average daily census of 104.8 residents.

According to CMS Care Compare, the facility holds an overall star rating of 1 out of 5, which is below the Texas state average of 2.65. Its four component ratings are: health inspection rating of 1 star, quality measure (QM) rating of 4 stars, and staffing rating of 2 stars.

Nurse staffing data show total nurse hours per resident per day of 2.98, including 0.64 RN hours per resident per day. Nursing staff turnover is reported at 48.8%.

On penalties, CMS records show 1 federal fine totaling $33,891.00 assessed against this facility, with 0 payment denials on record.

This facility is part of The Ensign Group chain, which operates 342 facilities nationally with a chain average rating of 3.2 stars. Ownership has not changed in the past 12 months.

This profile is based on data from CMS Medicare Care Compare.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

The facility has a CMS overall rating of 1 out of 5 stars, below the Texas state average of 2.65.

Does this facility accept Medicare, Medicaid, or both?

Yes, it is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse hours are 2.98 per resident per day, including 0.64 RN hours, with a staffing star rating of 2 and nursing turnover of 48.8%.

Does this facility have federal fines or penalties on record?

Yes, CMS records 1 fine totaling $33,891.00 and 0 payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

The data provided does not indicate an abuse icon or Special Focus status for this facility.

How large is this facility and how many residents live there?

It has 129 certified beds with an average of 104.8 residents.

Who owns this facility — and is it part of a chain?

It is owned by a for-profit corporation and is part of The Ensign Group, which operates 342 facilities nationally with an average chain rating of 3.2 stars.

How long has this facility been Medicare/Medicaid certified?

It has been certified since February 1, 1997.

What do the four different CMS star ratings mean?

CMS rates facilities on overall (1 star), health inspections (1 star), quality measures (4 stars), and staffing (2 stars).

Does this facility offer short-term rehabilitation as well as long-term care?

The data provided does not specify service types; contact the facility at 5123535026 and verify on Medicare Care Compare.

What should I look for when touring this facility?

The data provided does not cover tour details; contact the facility at 5123535026 and verify on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

You can review current details at https://www.medicare.gov/care-compare/details/nursing-home/675651?state=TX.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.