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
Needs attention
For-profitChain member
3 of 5 overall
Hays Nursing and Rehabilitation Center in San Marcos has a 3-star overall rating, with 3-star health inspection and staffing ratings and 4-star quality measures. It reports 3.21 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $8,226 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2084 hrs/resident/day
Quality measures
Last inspection: January 16, 2025Penalties, last 24 months: $8,226recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2084.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 1.00
- Nurse aides
- 1.81
- Weekend nursing
- 2.75
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
4.4%3.9%Improving
Residents with a fall causing major injury
2.4%4.5%Worsening
Residents with pressure ulcers (bedsores)
5.3%0.7%Improving
Residents with a urinary tract infection
0%1.1%Worsening
Residents who lost too much weight
4.5%4.2%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.6%12.9%Worsening
Residents whose ability to walk got worse
11.9%15.1%Worsening
Long-stay residents on antianxiety or sleep medication
18.8%18.1%Improving
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
17.8%12.8%Improving
Residents with depressive symptoms
7.5%3.1%Improving
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
60%64.8%Improving
Short-stay residents given the seasonal flu vaccine
—78.8%—
Short-stay residents given the pneumonia vaccine
81.8%51.2%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 home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to provide activities that met all residents’ needs. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 679 — 42 CFR §483.24 — 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
- 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
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 91.3 residents on an average day (79% of 116 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.