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Nursing homeFAID #12256

Hays Nursing and Rehabilitation Center

1900 Medical Parkway, SAN MARCOS, TX, 78666
(512) 396-1888
ensignservices.net
116 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of HAYS NURSING AND REHABILITATION CENTER
Photo via Google · Hays Nursing and Rehabilitation Center

Public record summary

What we can show you for free.
Bed capacity
116
CMS facility ID
455960
Care type
Nursing home
County
Hays
Facility name
Hays Nursing and Rehabilitation Center
Street address
1900 Medical Parkway
City / state / ZIP
San Marcos, TX 78666
Phone
(512) 396-1888
Website
ensignservices.net

About this facility — Hays Nursing and Rehabilitation Center

Hays Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in San Marcos, Texas. It is licensed for 116 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 13 senior care facilities in San Marcos and 1,178 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 Hays Nursing and Rehabilitation Center 32 times across 11 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $8,226 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 August 31, 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

Parent company
The Ensign Group
Ownership type
For profit - Corporation

Registered owners & officers

Guadalupe County Hospital Board
Direct owner — 100% stake — since 2020
Burnam, Soon
Officer — since 2020
Chudleigh, James
Governing body · Operational control · Additional disclosable party — since 2024
Ensign Services Inc
Additional disclosable party — since 2020
Gann, Kody
Officer — since 2021
Keetch, Chad
Officer — since 2011
Phelps, Nelson
Governing body · Operational control · Additional disclosable party — since 2020
San Marcos Tx Propco Llc
Additional disclosable party — since 2020
Willow Springs Creek Healthcare, Inc.
Operational control · Additional disclosable party — since 2020

Regulatory standing

Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1991-10-01
CMS overall rating
3 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
$8,226 total
Last standard inspection
2026-03-05
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$365 per day (≈ $11,100/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
69% Medicaid · 5% Medicare · 26% private/other
Occupancy
70% (fiscal year 2023)
Vs. state median
32% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
116
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 2026-08-31. 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 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-05Health inspection6 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-03-28
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 2026-03-20
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-03-22
F-0810
D · No harm foundFood safety
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2026-03-28
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 2026-03-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-03-27
2025-01-16Health inspection6 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 2025-01-23
F-0584
D · 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 2025-01-31
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-01-23
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-01-17
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 2025-01-31
F-0812
D · 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 2025-01-17
7 earlier / fire-safety inspections (20 citations)
2024-07-09Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-16
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-07-16
2024-05-02Health inspectionComplaint-triggered3 citations
F-0600
J · 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 2024-05-03
F-0607
J · Immediate jeopardyFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-05-03
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-03
2023-12-14Health inspection7 citations
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 2024-01-05
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-01-11
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-18
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-15
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-01-18
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-12-21
F-0908
F · No harm found
Keep all essential equipment working safely.
Corrected 2024-01-19
2023-11-20Health inspectionComplaint-triggered1 citation
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-27
2023-09-23Health inspectionComplaint-triggered1 citation
F-0761
D · No harm foundFrom a complaint
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 2023-10-12
2026-03-05Fire-safety inspection4 citations
K-0321
D · 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 2026-05-31
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2026-04-10
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-03-18
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-04-03
2023-12-14Fire-safety inspection2 citations
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-02-11
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-01-19

Federal penalties

2024-05-02Fine$8,226
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 455960.

Visitor reviews

What people say on Google.
4.7119 ratings on Google
★★★★★Heather Stubbs · 2026-06-09 · via Google

“Absolutely love the vibe here! The staff are caring, attentive, and treat patients with genuine compassion and respect. The facility is always clean, welcoming, and feels like a true community. You can tell everyone goes above and beyond to provide exceptional care. While we hope we won't need skilled nursing care again, but if we ever do, this will be our first choice.”

★★★★★Christina S · 2026-01-28 · via Google

“Hays Nursing and Rehabilitation Center truly stands out for the compassion and professionalism of its staff. From the nursing team to the support staff, everyone is attentive, kind, and genuinely invested in the well-being of residents. The facility is clean, welcoming, and well-maintained, which brings a lot of peace of my to our family. The nurses and caregivers took the time to listen, communi…”

★★★★★Anna Jaso · 2026-06-11 · via Google

“The staff did an exceptional job in caring for my loved one. Celeste, Crystal and Minerva are a few names to mention. They were a ray of sunshine. The physical therapist were just amazing as well. There are too many names to list. Thank you for your care everyone!”

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

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 32 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.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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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 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered