Home›Browse›Texas›San Marcos›Cypress Healthcare and Rehabilitation Center

Nursing homeFAID #14596

Cypress Healthcare and Rehabilitation Center

1351 SADLER, SAN MARCOS, TX, 78666

(512) 805-5000

174 licensed beds

CMS rates Cypress Healthcare and Rehabilitation Center 1 out of 5 overall. Federal inspectors issued 47 citations across 14 inspections in the last three years, with $191,611 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of CYPRESS HEALTHCARE AND REHABILITATION CENTER

Photo via Google · Cypress Healthcare and Rehabilitation

Address

1351 Sadler

San Marcos, TX 78666

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Public record summary

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Bed capacity

174

CMS facility ID

676226

Care type

Nursing home

County

Hays

Facility name

Cypress Healthcare and Rehabilitation Center

Street address

1351 SADLER

City / state / ZIP

San Marcos, TX 78666

Phone

(512) 805-5000

Website

rightcarehs.com/cypress

About this facility — Cypress Healthcare and Rehabilitation Center

Cypress Healthcare and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in San Marcos, Texas. It is licensed for 174 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 13 senior care facilities in San Marcos and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Cypress Healthcare and Rehabilitation Center 47 times across 14 inspections in the last three years, including 10 food-safety citations, and CMS has imposed $191,611 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Corporation

Registered owners & officers

1351 Sadler Drive Tx Llc

Additional disclosable party — since 2026

Cypress Healthcare and Rehabilitation Center Llc

Operational control — since 2026

Davidovich, Niv

Owner of a disclosable party — since 2026

Garetz, David

Operational control — since 2026

Sternshein, Jennifer

Owner of a disclosable party — since 2026

Thompson, Johnny

Officer — since 2026

Regulatory standing

Licensed / certified since

2009-08-03

CMS overall rating

1 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

$191,611 total

Last standard inspection

2026-06-25

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$191 per day (≈ $5,810/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

7% Medicaid · 6% Medicare · 87% private/other

Occupancy

55% (fiscal year 2023)

Vs. state median

31% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

174

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 10 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-25Health inspection7 citations

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2026-06-26

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2026-07-18

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-06-26

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-06-26

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2026-06-26

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-06-26

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-06-26

2025-12-06Health inspectionComplaint-triggered1 citation

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2025-12-26

10 earlier / fire-safety inspections (39 citations)

2025-11-25Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-12-18

2025-06-19Health inspectionComplaint-triggered1 citation

F-0580

E · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-06-20

2025-04-17Health inspectionComplaint-triggered11 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-18

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-04-18

F-0583

E · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2025-04-18

F-0584

E · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-05-07

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-18

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-23

F-0761

E · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-04-23

F-0803

E · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-04-18

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-04-18

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-04-18

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-18

2024-10-22Health inspectionComplaint-triggered2 citations

F-0551

D · No harm foundFrom a complaint

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2024-11-15

F-0584

E · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-12-06

2024-09-20Health inspectionComplaint-triggered2 citations

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-11-04

F-0761

E · No harm foundFrom a complaint

Corrected 2024-11-04

2024-08-02Health inspectionComplaint-triggered4 citations

F-0600

K · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-06

F-0607

K · Immediate jeopardyFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-08-06

F-0609

K · Immediate jeopardyFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-08-06

F-0610

K · Immediate jeopardyFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-08-06

2024-03-22Health inspection13 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-04-21

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2024-04-21

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-21

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-21

F-0680

E · No harm found

Ensure the activities program is directed by a qualified professional.

Corrected 2024-04-21

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-21

F-0803

D · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-04-21

F-0805

E · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-04-21

F-0808

D · No harm foundFood safety

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2024-04-21

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-21

F-0813

E · No harm foundFood safety

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2024-04-21

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-04-21

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-04-21

2024-01-23Health inspectionComplaint-triggered2 citations

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-01-11

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-02-22

2025-04-17Fire-safety inspection2 citations

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-05-14

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-05-14

2024-03-22Fire-safety inspection1 citation

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-04-21

Federal penalties

2024-08-02Fine$179,563

2024-01-23Fine$12,048

Total fines$191,611

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676226.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 76% of nursing homes in the state

State median: 33

Federal fines, 3 years

$191,611

More than 95% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.3

Higher than 56% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

52%

Higher than 55% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 12 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	20.1%	15.8%	13.5%	Worse than state
Lose too much weight	1.2%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.6%	0.3%	0.7%	Worse than state
With a urinary tract infection	1.6%	0.8%	1.5%	Worse than state
Have depressive symptoms	1.9%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	0.3%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	18.1%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	13.3%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	2.3%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	14.6%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	0.9%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.62	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	2.70	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.9%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.6%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	78.3%	85.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	18.4%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	6.3%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0584 3 inspections. Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-0677 3 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0583 3 inspections. Keep residents' personal and medical records private and confidential.
F-0565 2 inspections. Honor the resident's right to organize and participate in resident/family groups in the facility.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Christus Santa Rosa Hospital-san Marcos, about 0.4 miles. CMS rating 4 of 5.
Resolute Health Hospital, about 11 miles. CMS rating 4 of 5.
Ascension Seton Hays, about 13 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Hays Nursing and Rehabilitation Center, San Marcos, about 0.6 miles. CMS rating 3 of 5.
San Marcos Rehabilitation and Healthcare Center, San Marcos, about 2.4 miles. CMS rating 3 of 5.
Legend Oaks Healthcare and Rehabilitation - New Braunfels, New Braunfels, about 11 miles. CMS rating 3 of 5.
Sundance Inn Health Center, New Braunfels, about 12 miles. CMS rating 4 of 5.
Avir At New Braunfels, New Braunfels, about 12 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

4.243 ratings on Google

★★★★★Jennifer Simpson · 2026-06-16 · via Google
“Amazing team of compassionate caregivers! My father has been at Cypress for the last 3 months with dementia and mobility issues. We were extremely nervous having Dad in a skilled nursing facility. I walked into Cypress and from our first meeting, my fears were at ease. The administration was caring and transparent. When Dad arrived the staff was immediately available and caring. Over the last 3 mo…”

★★★★J.L. Francois · 2026-07-06 · via Google
“I was here for post stroke rehab. Mitzi and all rehab staff do incredible work! I can't thank them enough. No one was able to find a way to make me comfortable with my cold hands and feet from reynaud syndrome. I noticed everyone stays calm and professional even when being verbally abused by patients.”

★★★★★Jesus T · 2026-03-31 · via Google
“No work is insignificant. All labor that uplifts humanity has dignity and importance and should be undertaken with painstaking excellence. This is a excellent reflection of the of the kind of care the staff provid for all residents of Cypress. God bless you all...”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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Ownership & corporate history

Primary tier

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Owners' other facilities

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Inspection citations — last 5 years

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The 47 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

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Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

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Secretary of State filings

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pacer.uscourts.gov

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