Nursing home report
San Marcos, TX · Medicare-certified · 129 beds
San Marcos Rehabilitation and Healthcare Center has a 2-star overall rating. Its health inspection and staffing ratings are both 1 star, while quality measures are 5 stars; it also has $33,891 in fines in the last 24 months and a recent federal penalty.
Health inspections
Staffing
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: K
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited August 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 697 — 42 CFR §483.25(k) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited December 2025 — widespread issue, potential for harm.
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited November 2024 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
Health inspection found 1 health deficiency.
A federal fine of $33,891 was recorded.
Health inspection found 2 health deficiencies.
Health inspection found 3 health deficiencies.
On record with Medicare: 1 fine · $33,891 in total fines.
Federal fine
Aug 1, 2025
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.
