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Nursing homeFAID #14203

San Marcos Rehabilitation and Healthcare Center

1600 N I H 35, SAN MARCOS, TX, 78666
(512) 353-5026
ensignservices.net
129 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of SAN MARCOS REHABILITATION AND HEALTHCARE CENTER
Photo via Google · San Marcos Rehabilitation & Health Care

Public record summary

What we can show you for free.
Bed capacity
129
CMS facility ID
675651
Care type
Nursing home
County
Hays
Facility name
San Marcos Rehabilitation and Healthcare Center
Street address
1600 N I H 35
City / state / ZIP
San Marcos, TX 78666
Phone
(512) 353-5026
Website
ensignservices.net

About this facility — San Marcos Rehabilitation and Healthcare Center

San Marcos Rehabilitation and Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in San Marcos, Texas. It is licensed for 129 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 San Marcos Rehabilitation and Healthcare Center 25 times across 11 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $33,891 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 2017
Burnam, Soon
Officer — since 2017
Caretrust Gp Llc
Additional disclosable party — since 2017
Caretrust Reit Inc
Additional disclosable party — since 2017
Castro Pou, Graciela
Governing body · Operational control · Additional disclosable party — since 2024
Ctr Partnership Lp
Additional disclosable party — since 2017
Ensign Services Inc
Additional disclosable party — since 2010
Gann, Kody
Officer — since 2017
Ives Health Holdings Llc
Additional disclosable party — since 2017
Keetch, Chad
Officer — since 2011
Tochterman, Jerry
Governing body · Operational control · Additional disclosable party — since 2017
Wood Bayou Healthcare, Inc.
Operational control · Additional disclosable party — since 2017

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
1997-02-01
CMS overall rating
1 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
$33,891 total
Last standard inspection
2025-10-01
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$376 per day (≈ $11,430/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
72% Medicaid · 5% Medicare · 23% private/other
Occupancy
78% (fiscal year 2023)
Vs. state median
36% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
129
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
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 1 food-safety citation on its three-year record — flagged below among the inspections.
2025-12-30Health inspectionComplaint-triggered1 citation
F-0732
F · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2026-01-01
2025-08-01Health inspectionComplaint-triggered2 citations
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-02
F-0697
K · Immediate jeopardyFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-08-02
7 earlier / fire-safety inspections (22 citations)
2024-11-04Health inspectionComplaint-triggered3 citations
F-0580
D · 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 2024-12-04
F-0755
E · 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 2024-12-04
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-12-04
2024-08-15Health inspection8 citations
F-0583
E · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-09-14
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 2024-09-14
F-0656
E · 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 2024-09-14
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-14
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-09-14
F-0790
D · No harm found
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-09-14
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 2024-09-14
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-09-14
2024-04-15Health inspectionComplaint-triggered1 citation
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 2024-05-03
2023-06-16Health inspection2 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-07-07
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2023-07-07
2025-10-01Fire-safety inspection2 citations
E-0007
F · No harm found
Address patient/client population and determine types of services needed.
Corrected 2026-06-26
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2024-08-15Fire-safety inspection2 citations
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 2025-03-21
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-03-21
2023-06-16Fire-safety inspection4 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 2023-11-25
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 2023-11-25
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-25
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-26

Federal penalties

2025-08-01Fine$33,891
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 675651.

Visitor reviews

What people say on Google.
4.2104 ratings on Google
★★★★Shannon · 2026-06-03 · via Google

“The staff is always welcoming and they do everything they can to accommodate their residents. Faith at the front desk always has a smile on her face.”

★Ricky Buffalino · 2026-04-26 · via Google

“The nurse working Saturday night refused to give me my muscle relaxant (an on-demand medication). He swore I didn't have a prescription for it, accused me of just looking for pills, and called me a blatant liar. Later, I rang the call bell because I needed my blankets adjusted; the same rotund short Hispanic woman came to my room and said in a mocking tone, "Wow, you call for just about anything!"…”

★★★★Domingo Zapata Jr · 2026-02-18 · via Google

“The facility didn't smell it does at similar places, there was a pleasant smell and the staff were attentive to our request and needs for our blind dad. Lillian and Zoe were very helpful and courteous on my first visit. Thank you very much.”

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 25 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
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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