The nursing home failed to protect residents from abuse and neglect by others. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Hays Nursing and Rehabilitation Center
SAN MARCOS, TX · Medicare-certified · 116 beds
In good standing
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
Hays Nursing and Rehabilitation Center in San Marcos, TX has a 3 out of 5 overall rating, with 3-star health inspection and staffing ratings and a 4-star quality rating. Reported nurse staffing is 3.27 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2703 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2703.
Staffing detail
- Registered nurses
- 0.46
- Licensed practical nurses
- 0.96
- Nurse aides
- 1.85
- Weekend nursing
- 2.72
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 22%
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
8.2%1.9%Improving
Residents with a fall causing major injury
4.4%2.4%Improving
Residents with pressure ulcers (bedsores)
3%0.8%Improving
Residents with a urinary tract infection
1.1%1.3%No change
Residents who lost too much weight
5.7%3.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.6%21.5%Worsening
Residents whose ability to walk got worse
16.1%14.4%Improving
Long-stay residents on antianxiety or sleep medication
20.8%22.4%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
7.1%18.2%Worsening
Residents with depressive symptoms
2.7%3.3%Worsening
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
—100%—
Long-stay residents given the pneumonia vaccine
72.2%90.2%Improving
Short-stay residents given the seasonal flu vaccine
—78.8%—
Short-stay residents given the pneumonia vaccine
78.5%73.6%Worsening
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
The nursing home failed to keep essential equipment working safely. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,226 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,226 in total fines.
- $8,226
Federal fine
May 2, 2024
Operator & ownership
Recent ownership change · Dec 1, 2020
Now operated by Hays Nursing and Rehabilitation Center, previously Adventhealth Care Center San Marcos.
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 344 homes · 3.2 stars avg
- Occupancy
- 92.5 residents on an average day (80% of 116 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.