HAYS NURSING AND REHABILITATION CENTER

1900 MEDICAL PKWY, SAN MARCOS, TX 78666 · CCN 455960 · 116 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections3 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2024-05-02 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-05-02 IMMEDIATE JEOPARDY (tag F0607, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Staffing, from payroll records

Nursing hours / resident / day

2.66

state median 2.67

Weekend staffing gap

−13%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.40

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

38%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $8,226 in fines.

DateTypeAmount
2024-05-02Fine$8,226

Ownership

Ownership type: For profit - Corporation. Part of the THE ENSIGN GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Potential for more than minimal harm: 24 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2026-03-05F0558Resident Rights DeficienciesEnot recorded
2026-03-05F0584Resident Rights DeficienciesEnot recorded
2026-03-05F0677Quality of Life and Care DeficienciesEnot recorded
2026-03-05F0810Nutrition and Dietary DeficienciesDnot recorded
2026-03-05F0812Nutrition and Dietary DeficienciesEnot recorded
2026-03-05F0880Infection Control DeficienciesEnot recorded
2025-01-16F0550Resident Rights DeficienciesEnot recorded
2025-01-16F0584Resident Rights DeficienciesDnot recorded
2025-01-16F0679Quality of Life and Care DeficienciesEnot recorded
2025-01-16F0756Pharmacy Service DeficienciesEnot recorded
2025-01-16F0761Pharmacy Service DeficienciesEnot recorded
2025-01-16F0812Nutrition and Dietary DeficienciesDnot recorded
2024-07-09F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-09F0880Infection Control DeficienciesEnot recorded
2024-05-02F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2024-05-02F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2024-05-02F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-12-14F0584Resident Rights DeficienciesEnot recorded
2023-12-14F0679Quality of Life and Care DeficienciesDnot recorded
2023-12-14F0684Quality of Life and Care DeficienciesDnot recorded
2023-12-14F0689Quality of Life and Care DeficienciesEnot recorded
2023-12-14F0690Quality of Life and Care DeficienciesDnot recorded
2023-12-14F0692Quality of Life and Care DeficienciesDnot recorded
2023-12-14F0908Environmental DeficienciesFnot recorded
2023-11-20F0677Quality of Life and Care DeficienciesEnot recorded
2023-09-23F0761Pharmacy Service DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “HAYS NURSING AND REHABILITATION CENTER, SAN MARCOS” at medicare.gov/care-compare.