Nursing home report
Registered name: San Marcos Rehabilitation and Healthcare Center
San Marcos, TX · Medicare-certified · 129 beds
Care Inn of San Marcos, LLC has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing; its reported nurse staffing is 2.98 hours per resident per day versus the 4.1 federal benchmark. It also has $33,891 in fines in the last 24 months and a recent federal penalty, with recent inspection citations involving treatment/orders, pain management, and accident hazards/supervision.
Health inspections
Staffing
2.9838 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9838.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
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
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
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.
