Hays Nursing and Rehabilitation Center

1900 Medical Parkway, San Marcos, TX 78666

Phone: 5123961888

CMS ratings and facility information

Hays Nursing and Rehabilitation Center is a Medicare-certified nursing facility in San Marcos, Hays County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating3 of 5 stars
Health inspection rating3 of 5
Staffing rating3 of 5
Quality measures rating4 of 5
Certified beds116
OwnershipFor profit - Corporation
CMS certification number455960

Staffing

Total nurse hours per resident day3.27
RN hours per resident day0.46
Nurse aide hours per resident day1.85
Total nursing staff turnover percent37.9
RN turnover percent22.2

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations3.31events_per_1000_resident_days20250101-20251231
Emergency-department visits1.99events_per_1000_resident_days20250101-20251231
Falls with major injury3.97percent2025Q2-2026Q1
Pressure ulcers1.66percent2025Q2-2026Q1
Urinary tract infections1.15percent2025Q2-2026Q1
Antipsychotic medication use4.95percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2026-03-050558Reasonably accommodate the needs and preferences of each resident.E
2026-03-050584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E
2026-03-050677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2026-03-050812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-03-050880Provide and implement an infection prevention and control program.E
2026-03-050810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D
2025-01-160550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2025-01-160679Provide activities to meet all resident's needs.E
2025-01-160756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E
2025-01-160761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E
2025-01-160584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D
2025-01-160812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2023-12-140908Keep all essential equipment working safely.F
2023-12-140584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E
2023-12-140689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2023-12-140679Provide activities to meet all resident's needs.D
2023-12-140684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2023-12-140690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2023-12-140692Provide enough food/fluids to maintain a resident's health.D

Penalties

DateTypeAmount
2024-05-02Fine,226

Ownership records

NameTypeRole
GUADALUPE COUNTY HOSPITAL BOARDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
CHUDLEIGH, JAMESIndividualMANAGING CONTROL - GOVERNING BODY
PHELPS, NELSONIndividualMANAGING CONTROL - GOVERNING BODY
BURNAM, SOONIndividualCORPORATE OFFICER
GANN, KODYIndividualCORPORATE OFFICER
KEETCH, CHADIndividualCORPORATE OFFICER
WILLOW SPRINGS CREEK HEALTHCARE, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL
CHUDLEIGH, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROL
PHELPS, NELSONIndividualOPERATIONAL/MANAGERIAL CONTROL
ENSIGN SERVICES INCOrganizationADP OF THE SNF
SAN MARCOS TX PROPCO LLCOrganizationADP OF THE SNF
WILLOW SPRINGS CREEK HEALTHCARE, INC.OrganizationADP OF THE SNF
CHUDLEIGH, JAMESIndividualADP OF THE SNF
PHELPS, NELSONIndividualADP OF THE SNF

Compare nursing homes in Hays County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.