San Marcos Rehabilitation and Healthcare Center

1600 N I H 35, San Marcos, TX 78666 · CCN 675651 · 129 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 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

2025-08-01 IMMEDIATE JEOPARDY (tag F0697, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2025-08-01 IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-04-15 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.39

state median 2.67

Weekend staffing gap

−10%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.52

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

49%

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 $33,891 in fines.

DateTypeAmount
2025-08-01Fine$33,891

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: Actual harm: 1 · Potential for more than minimal harm: 14 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2025-12-30F0732Nursing and Physician Services DeficienciesFnot recorded
2025-08-01F0684Quality of Life and Care DeficienciesKnot recorded
2025-08-01F0697Quality of Life and Care DeficienciesKnot recorded
2024-11-04F0580Resident Rights DeficienciesDnot recorded
2024-11-04F0755Pharmacy Service DeficienciesEnot recorded
2024-11-04F0760Pharmacy Service DeficienciesEnot recorded
2024-08-15F0583Resident Rights DeficienciesEnot recorded
2024-08-15F0584Resident Rights DeficienciesEnot recorded
2024-08-15F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2024-08-15F0677Quality of Life and Care DeficienciesEnot recorded
2024-08-15F0679Quality of Life and Care DeficienciesEnot recorded
2024-08-15F0790Quality of Life and Care DeficienciesDnot recorded
2024-08-15F0812Nutrition and Dietary DeficienciesEnot recorded
2024-08-15F0880Infection Control DeficienciesEnot recorded
2024-04-15F0689Quality of Life and Care DeficienciesGnot recorded
2023-06-16F0558Resident Rights DeficienciesDnot recorded
2023-06-16F0679Quality of Life and Care 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 “San Marcos Rehabilitation and Healthcare Center, San Marcos” at medicare.gov/care-compare.