Cypress Healthcare and Rehabilitation Center

1351 Sadler, San Marcos, TX 78666 · CCN 676226 · 174 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 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2024-08-02 IMMEDIATE JEOPARDY (tag F0600, severity K)
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.
2024-08-02 IMMEDIATE JEOPARDY (tag F0610, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2024-08-02 IMMEDIATE JEOPARDY (tag F0607, severity K)
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.
2024-08-02 IMMEDIATE JEOPARDY (tag F0609, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-01-23 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.
2023-09-29 IMMEDIATE JEOPARDY (tag F0726, severity J)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
2023-09-29 IMMEDIATE JEOPARDY (tag F0689, severity J)
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.
2023-09-29 IMMEDIATE JEOPARDY (tag F0580, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Staffing, from payroll records

Nursing hours / resident / day

2.92

state median 2.67

Weekend staffing gap

−6%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.24

registered nurses only

Contract (agency) staff

8%

share of all nursing hours

Nursing staff turnover

45%

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

4 enforcement action(s), totaling $236,732 in fines.

DateTypeAmount
2024-08-02Fine$179,563
2024-01-23Fine$12,048
2023-09-29Fine$29,528
2023-08-10Fine$15,593

Ownership

Ownership type: For profit - Individual.

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 32 · Immediate jeopardy: 8

Survey dateTagCategorySeverityCorrected
2025-12-06F0583Resident Rights DeficienciesDnot recorded
2025-11-25F0550Resident Rights DeficienciesDnot recorded
2025-06-19F0580Resident Rights DeficienciesEnot recorded
2025-04-17F0550Resident Rights DeficienciesEnot recorded
2025-04-17F0565Resident Rights DeficienciesEnot recorded
2025-04-17F0583Resident Rights DeficienciesEnot recorded
2025-04-17F0584Resident Rights DeficienciesEnot recorded
2025-04-17F0677Quality of Life and Care DeficienciesDnot recorded
2025-04-17F0755Pharmacy Service DeficienciesEnot recorded
2025-04-17F0761Pharmacy Service DeficienciesEnot recorded
2025-04-17F0803Nutrition and Dietary DeficienciesEnot recorded
2025-04-17F0804Nutrition and Dietary DeficienciesEnot recorded
2025-04-17F0805Nutrition and Dietary DeficienciesDnot recorded
2025-04-17F0812Nutrition and Dietary DeficienciesFnot recorded
2024-10-22F0551Resident Rights DeficienciesDnot recorded
2024-10-22F0584Resident Rights DeficienciesEnot recorded
2024-09-20F0755Pharmacy Service DeficienciesDnot recorded
2024-09-20F0761Pharmacy Service DeficienciesEnot recorded
2024-08-02F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-08-02F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-08-02F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-08-02F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-03-22F0558Resident Rights DeficienciesDnot recorded
2024-03-22F0583Resident Rights DeficienciesDnot recorded
2024-03-22F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-03-22F0677Quality of Life and Care DeficienciesDnot recorded
2024-03-22F0680Quality of Life and Care DeficienciesEnot recorded
2024-03-22F0695Quality of Life and Care DeficienciesEnot recorded
2024-03-22F0803Nutrition and Dietary DeficienciesDnot recorded
2024-03-22F0805Nutrition and Dietary DeficienciesEnot recorded
2024-03-22F0808Nutrition and Dietary DeficienciesDnot recorded
2024-03-22F0812Nutrition and Dietary DeficienciesEnot recorded
2024-03-22F0813Nutrition and Dietary DeficienciesEnot recorded
2024-03-22F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-03-22F0921Environmental DeficienciesEnot recorded
2024-01-23F0689Quality of Life and Care DeficienciesGnot recorded
2024-01-23F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2023-09-29F0580Resident Rights DeficienciesJnot recorded
2023-09-29F0689Quality of Life and Care DeficienciesJnot recorded
2023-09-29F0726Nursing and Physician Services DeficienciesJnot recorded
2023-08-10F0689Quality of Life and Care DeficienciesJnot 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 “Cypress Healthcare and Rehabilitation Center, San Marcos” at medicare.gov/care-compare.