San Marcos Rehabilitation and Healthcare Center – San Marcos, TX

CMS Verified | 2026-03-01

San Marcos Rehabilitation And Healthcare Center

1600 N I H 35, San Marcos, TX 78666
(512) 353-5026
129 beds
All San Marcos facilities
1.0*
Overall
1.0*
Health Inspection
4.0*
Quality Care
1.0*
Staffing
73.99
Score /100
#6413
National Rank

#6413
of 14703 facilities
National
56.4% position
#412
of 1177 in TX
State Rank
#2
of 6 in Hays
County Rank
#1
of 3 in San Marcos
City Rank
#1
of 3 in ZIP 78666
ZIP Rank






About San Marcos Rehabilitation And Healthcare CenterSan Marcos Rehabilitation And Healthcare Center is located at 1600 N I H 35, San Marcos, TX, reachable at (512) 353-5026. This For profit – Corporation facility operates 129.0 certified beds and serves an average of 103 residents per day. It is part of the The Ensign Group network (329 facilities nationwide). Medicare and Medicaid services have been provided since 1997-02-01. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

San Marcos Rehabilitation And Healthcare Center

Address

1600 N I H 35, San Marcos, TX 78666

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 129 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: THE ENSIGN GROUP

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
⚠️ 1 fine(s) over 5 years
5-Year Trend
Declining over 5 years
73.99
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#6413 of 14703 nationally – #412 of 1177 in Texas

Who Is This Facility Best For?

San Marcos Rehabilitation And Healthcare Center may be considered for families with limited options in San Marcos, TX, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightSan Marcos Rehabilitation And Healthcare Center currently provides N/A of total nurse staffing per resident per day, including N/A of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover stands at 50.0% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing
Nurse Aide Hours
Licensed Practical Nurse (LPN) Hours
Registered Nurse (RN) Hours
Physical Therapist Hours

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours
Weekend Registered Nurse (RN) Hours

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $52,140. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $52140.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 225.5 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#6,413
of 14,703
National
Top 44%
#412
TX State
Top 35% in TX
#2
of 6
️ Hays County
#2 of 6
#1
of 3
️ San Marcos
Best in city
#1
of 3
ZIP 78666
Best in ZIP

Nationally, San Marcos Rehabilitation And Healthcare Center ranks 6413th out of 14,703 facilities (composite score: 74.0/100), placing it in the above average nationwide. Within TX, it ranks 412th out of 1,177 nursing homes. In San Marcos, it ranks 1st out of 3 facilities. Among facilities sharing its ZIP code, it ranks 1st of 3. For 2025 staffing: total nurse hours rank #13,758 nationally and RN hours rank #9,392 nationally (#317 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.72 #13,043 / 14,703 #981 / 1,177 ⚠️ Bottom 25%
2023 2.51 #13,633 / 14,703 #1,056 / 1,177 ⚠️ Bottom 10%
2024 2.69 #13,600 / 14,703 #998 / 1,177 ⚠️ Bottom 10%
2025 2.74 #13,758 / 14,703 #1,058 / 1,177 ⚠️ Bottom 10%
2026 #14,175 / 14,703 #1,121 / 1,177 ⚠️ Bottom 5%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.55 #7,783 / 14,703 #194 / 1,177 Below average
2023 0.51 #7,910 / 14,703 #168 / 1,177 Below average
2024 0.41 #10,180 / 14,703 #344 / 1,177 Below average
2025 0.46 #9,392 / 14,703 #317 / 1,177 Below average
2026 #14,175 / 14,703 #1,121 / 1,177 ⚠️ Bottom 5%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

San Marcos Rehabilitation And Healthcare Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1997-02-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (512) 353-5026 or your local Medicaid office to verify current eligibility.

San Marcos Rehabilitation And Healthcare Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 74.0/100, placing it #6413 of 14703 facilities nationally and #412 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at San Marcos Rehabilitation And Healthcare Center receives a reported average of N/A of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — N/A; Licensed Practical Nurse (LPN) — N/A; Nurse Aide — N/A. On weekends, total nurse staffing is N/A per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 50.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $52,140. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $52,140, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 225.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, San Marcos Rehabilitation And Healthcare Center ranks 6413th out of 14,703 facilities (composite score: 74.0/100), placing it in the above average nationwide. Within TX, it ranks 412th out of 1,177 nursing homes. In San Marcos, it ranks 1st out of 3 facilities. Among facilities sharing its ZIP code, it ranks 1st of 3. For 2025 staffing: total nurse hours rank #13,758 nationally and RN hours rank #9,392 nationally (#317 in TX). Our composite quality score of 74.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in San Marcos, visit: https://nursinghomesnearme.org/texas/san-marcos/

Contact and Location

ADR
Address

1600 N I H 35, San Marcos, TX 78666
Get directions on Google Maps

TEL
LLC
Legal Name

GUADALUPE COUNTY HOSPITAL BOARD

MAP
Browse by Location

All Texas ·
Hays County ·
San Marcos ·
ZIP 78666

Facility Details

Number of Certified Beds 129
Average Residents / Day 103 (80% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Hays County, TX
City San Marcos, TX
ZIP Code 78666
Approved Since February 1, 1997
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675651
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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