Hays Nursing and Rehabilitation Center
1900 Medical Pkwy · San Marcos, TX · 78666 · 5123961888
116 certified beds For profit - Corporation Chain: The Ensign Group
- Inspection results have improved across recent cycles.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 2.75 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 1 · $8,226 |
Inspection citations (24 in the current record)
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Potential for harm · E January 16, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 23, 2025 · Resident Rights
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Potential for harm · D January 16, 2025
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 January 31, 2025 · Resident Rights
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Potential for harm · E January 16, 2025
Provide activities to meet all resident's needs.
Corrected January 23, 2025 · Quality of Life and Care
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Potential for harm · E January 16, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 17, 2025 · Pharmacy Service
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Potential for harm · E January 16, 2025
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 January 31, 2025 · Pharmacy Service
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Potential for harm · D January 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 17, 2025 · Nutrition and Dietary
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Potential for harm · D July 9, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 9, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 16, 2024 · Infection Control
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Immediate jeopardy · J May 2, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 3, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J May 2, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 3, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 2, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 3, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 14, 2023
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 January 5, 2024 · Resident Rights
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Potential for harm · D December 14, 2023
Provide activities to meet all resident's needs.
Corrected January 11, 2024 · Quality of Life and Care
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Potential for harm · D December 14, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 18, 2024 · Quality of Life and Care
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Potential for harm · E December 14, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 15, 2023 · Quality of Life and Care
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Potential for harm · D December 14, 2023
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 January 18, 2024 · Quality of Life and Care
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Potential for harm · D December 14, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected December 21, 2023 · Quality of Life and Care
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Potential for harm · F December 14, 2023
Keep all essential equipment working safely.
Corrected January 19, 2024 · Environmental
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Potential for harm · E November 20, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 27, 2023 · Quality of Life and Care
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Potential for harm · D September 23, 2023 · found via 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 October 12, 2023 · Pharmacy Service
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Potential for harm · D October 14, 2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected November 13, 2022 · Resident Rights
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Potential for harm · D October 14, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 13, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 14, 2022
Provide or obtain dental services for each resident.
Corrected November 13, 2022 · Quality of Life and Care
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Potential for harm · D October 14, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 13, 2022 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 2, 2024 | Fine | $8,226 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455960 · certified since October 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.