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
1 of 5 overall
Cypress Healthcare and Rehabilitation Center in San Marcos, TX has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and a 2-star staffing rating; reported nurse staffing is 3.28 hours per resident per day versus the 4.1-hour federal benchmark. It also has $179,563 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.277 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 3.277.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 0.84
- Nurse aides
- 2.04
- Weekend nursing
- 2.98
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 42%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
0.4%Worsening
Residents with a fall causing major injury
0.6%Improving
Residents with pressure ulcers (bedsores)
1.7%Steady
Residents with a urinary tract infection
0.9%Worsening
Residents who lost too much weight
1.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.5%Worsening
Residents whose ability to walk got worse
19%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
12.9%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.8%Improving
Residents with new or worsening incontinence
12.9%Worsening
Residents with depressive symptoms
2.9%Improving
Long-stay residents given the seasonal flu vaccine
95.7%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
73.1%Steady
Short-stay residents given the pneumonia vaccine
96%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
- Ownership
- For profit - Individual
- Occupancy
- 91.1 residents on an average day (52% of 174 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 16 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.