Nursing home / skilled nursing
San Marcos Rehabilitation And Healthcare Center
Nursing home / skilled nursing in San Marcos, Texas
| Provider details | |
|---|---|
| Address | 1600 N I H 35 |
| City | San Marcos |
| State | Texas |
| ZIP code | 78666 |
| County | Hays |
| Phone | 512-353-5026 |
| Website | http://www.sanmarcoscare.com/ |
| CMS certification number (CCN) | 675651 |
| Ownership | For profit - Corporation |
| Certified beds | 129 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | February 1, 1997 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services, in-house therapy, outpatient therapy, activities program |
San Marcos Rehabilitation And Healthcare Center is in 1600 N I H 35, San Marcos, TX 78666. Phone: 512-353-5026. Ownership: For profit - Corporation. CMS rates it 3 out of 5 stars overall (health inspection 2, staffing 3, quality measures 5).
San Marcos Rehabilitation & Health Care in San Marcos offers 24-hour nursing care directed by in-house physicians. Its in-house therapy team provides short-term and long-term rehabilitation tailored to each person, with skilled nursing support throughout a stay. The facility runs a full activities program with a monthly calendar, group outings, and scheduled transportation to local churches on Sundays. Families can call (512) 353-5026 to schedule a tour. CMS inspection and staffing detail: total weighted health survey score 99.500; 1 federal fines totaling $33891.00; total nursing staff turnover 46.1%.
More about this provider
| San Marcos Rehabilitation & Health Care in San Marcos, TX provides 24-hour nursing care, skilled nursing, and in-house short-term and long-term rehabilitation, along with a full activities program. | |
| Services and programs | Services stated: 24-hour nursing care under the direction of in-house physicians, skilled nursing, and in-house therapy offering both short-term and long-term rehabilitation tailored to each person. The skilled nursing pages describe admission and initial meetings with families, a Total Care Plan, a discharge plan, and an outpatient care plan for patients who return home but still visit for therapy. The site also states a wide activities program with a monthly calendar packed from morning to night, group outings, and scheduled transportation to local churches on Sundays. |
| Who it serves | Residents and guests needing 24-hour skilled nursing care or short-term and long-term rehabilitation, including patients who are able to return home but still need periodic therapy or other outpatient care. |
| Visiting and contact details | Call (512) 353-5026 today to schedule a tour. |
| Website | http://www.sanmarcoscare.com/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 3 of 5 |
| Health inspection rating | 2 of 5 |
| Staffing rating | 3 of 5 |
| Quality measure rating | 5 of 5 |
| Long-stay quality rating | 5 of 5 |
| Short-stay quality rating | 3 of 5 |
| RN staffing hours per resident per day | 0.64 |
| Total nurse staffing hours per resident per day | 2.90 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 16 |
| Total Weighted Health Survey Score | 99.500 |
| Rating Cycle 2/3 Total Health Score | 350 |
| Rating Cycle 1 Health Deficiency Score | 16 |
| Rating Cycle 2/3 Health Deficiency Score | 350 |
| Rating Cycle 1 Standard Survey Health Date | 2025-10-01 |
| Rating Cycle 1 Total Number of Health Deficiencies | 1 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 14 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 0 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 1 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 6 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 1.27708 |
| Registered Nurse turnover | 43.8 |
| Nursing Case-Mix Index Ratio | 0.90557 |
| Total nursing staff turnover | 46.1 |
| Reported LPN Staffing Hours per Resident per Day | 0.44582 |
| Reported Licensed Staffing Hours per Resident per Day | 1.08520 |
| Number of administrators who have left the nursing home | 0 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.81248 |
| Registered Nurse hours per resident per day on the weekend | 0.59479 |
| Total number of nurse staff hours per resident per day on the weekend | 2.50223 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 1 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Total Amount of Fines in Dollars | 33891.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Chain ID | 507 |
| Chain Name | THE ENSIGN GROUP |
| Legal Business Name | GUADALUPE COUNTY HOSPITAL BOARD |
| Chain Average QM Rating | 4.4 |
| Chain Average Staffing Rating | 2.8 |
| Number of Facilities in Chain | 347 |
| Chain Average Overall 5-star Rating | 3.3 |
| Chain Average Health Inspection Rating | 2.8 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 103.2 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Hays County
- Cypress Healthcare And Rehabilitation Center — San Marcos
- Hays Nursing And Rehabilitation Center — San Marcos
- Avir At Dripping Springs — Dripping Springs
Common questions about San Marcos Rehabilitation And Healthcare Center
Where is San Marcos Rehabilitation And Healthcare Center located?
San Marcos Rehabilitation And Healthcare Center is at 1600 N I H 35, San Marcos, Texas 78666.
What care and services does San Marcos Rehabilitation And Healthcare Center offer?
San Marcos Rehabilitation And Healthcare Center offers skilled nursing, rehab services, skilled nursing care, rehabilitation services, in-house therapy, outpatient therapy, activities program.
Is San Marcos Rehabilitation And Healthcare Center Medicare-certified?
Yes. San Marcos Rehabilitation And Healthcare Center is certified for both Medicare and Medicaid.
What is San Marcos Rehabilitation And Healthcare Center's quality rating?
CMS gives San Marcos Rehabilitation And Healthcare Center an overall star rating of 3 out of 5.
How do I contact San Marcos Rehabilitation And Healthcare Center?
Call San Marcos Rehabilitation And Healthcare Center at 512-353-5026.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.