San Marcos Rehabilitation and Healthcare Center
1600 N I H 35 · San Marcos, TX · 78666 · 5123535026
129 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.66 | 0.55–0.75 |
| Weekend hours / resident-day | 2.63 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 1 · $33,891 |
Inspection citations (17 in the current record)
-
Potential for harm · F December 30, 2025 · found via complaint
Post nurse staffing information every day.
Corrected January 1, 2026 · Nursing and Physician Services
-
Immediate jeopardy · K August 1, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 2, 2025 · Quality of Life and Care
-
Immediate jeopardy · K August 1, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 2, 2025 · Quality of Life and Care
-
Potential for harm · D November 4, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 4, 2024 · Resident Rights
-
Potential for harm · E November 4, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 4, 2024 · Pharmacy Service
-
Potential for harm · E November 4, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 4, 2024 · Pharmacy Service
-
Potential for harm · E August 15, 2024
Keep residents' personal and medical records private and confidential.
Corrected September 14, 2024 · Resident Rights
-
Potential for harm · E August 15, 2024
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 September 14, 2024 · Resident Rights
-
Potential for harm · E August 15, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 14, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E August 15, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 14, 2024 · Quality of Life and Care
-
Potential for harm · E August 15, 2024
Provide activities to meet all resident's needs.
Corrected September 14, 2024 · Quality of Life and Care
-
Potential for harm · D August 15, 2024
Provide routine and 24-hour emergency dental care for each resident.
Corrected September 14, 2024 · Quality of Life and Care
-
Potential for harm · E August 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 14, 2024 · Nutrition and Dietary
-
Potential for harm · E August 15, 2024
Provide and implement an infection prevention and control program.
Corrected September 14, 2024 · Infection Control
-
Actual harm · G April 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 3, 2024 · Quality of Life and Care
-
Potential for harm · D June 16, 2023
Provide activities to meet all resident's needs.
Corrected July 7, 2023 · Quality of Life and Care
-
Potential for harm · D June 16, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected July 7, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 1, 2025 | Fine | $33,891 |
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 675651 · certified since February 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.