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Nursing home report

Cypress Healthcare and Rehabilitation Center

San Marcos, TX · Medicare-certified · 174 beds

Needs attention
For-profit
Data as of September 1, 2026
1 of 5 overall

Cypress Healthcare and Rehabilitation Center has a 1 out of 5 overall star rating, with a 1-star health inspection rating and 2-star staffing rating, though quality measures are 4 stars. It is flagged with the lowest overall rating, had no fines in the last 24 months, and reported nurse staffing of 3.26 hours per resident per day versus the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.2602 hrs/resident/day

Quality measures

Last inspection: June 25, 2026Penalties, last 24 months: $0lowest overall rating

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 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

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 nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. PENALTY

    A federal fine of $179,563 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $221,139 in total fines.

  • Federal fine

    Aug 2, 2024

    $179,563
  • Federal fine

    Jan 23, 2024

    $12,048
  • Federal fine

    Sep 29, 2023

    $29,528

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 - Corporation
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.