The nursing home failed to protect residents from abuse and neglect by others. Cited August 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Cypress Healthcare and Rehabilitation Center
San Marcos, TX · Medicare-certified · 174 beds
Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall
Cypress Healthcare and Rehabilitation Center in San Marcos, TX has an overall rating of 1 out of 5 stars, with 1-star health inspections and 2-star staffing, despite 4-star quality measures. It also has a recent federal penalty with $179,563 in fines, and reported nurse staffing of 3.26 hours per resident per day is below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.2602 hrs/resident/day
Quality measures
Last inspection: December 6, 2025Penalties, last 24 months: $179,563recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2602.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 0.83
- Nurse aides
- 2.06
- Weekend nursing
- 2.94
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 56%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%0%No change
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
2%4.2%Worsening
Residents with a urinary tract infection
0%2.5%Worsening
Residents who lost too much weight
1.4%1.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.8%26.6%Worsening
Residents whose ability to walk got worse
19.4%26.1%Worsening
Long-stay residents on antianxiety or sleep medication
15.5%13.6%Improving
Short-stay residents newly given an antipsychotic
0%3%Worsening
Residents with a long-term catheter
0.9%0.7%No change
Residents with new or worsening incontinence
9.2%13%Worsening
Residents with depressive symptoms
1.3%1.3%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.7%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—73.1%—
Short-stay residents given the pneumonia vaccine
94%98.6%Improving
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited August 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: K
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: K
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited August 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: K
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited September 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $179,563 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $236,732 in total fines.
- $179,563
Federal fine
Aug 2, 2024
- $12,048
Federal fine
Jan 23, 2024
- $29,528
Federal fine
Sep 29, 2023
- $15,593
Federal fine
Aug 10, 2023
Operator & ownership
Recent ownership change · May 1, 2019
Now operated by Cypress Healthcare and Rehabilitation Center, previously Regent Care Center of San Marcos.
- Ownership
- For profit - Individual
- Occupancy
- 94.5 residents on an average day (54% of 174 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 17 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.