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 July 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 scores and a 4-star quality measures score. It reports nurse staffing of 3.27 hours per resident day, below the federal benchmark of 4.1, had $0 in fines in the last 24 months, and recent citations included abuse/neglect prevention and equipment safety issues.
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 · 346 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 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.