San Marcos Rehabilitation and Healthcare Center
1600 N I H 35, San Marcos, TX 78666
Phone: 5123535026
CMS ratings and facility information
San Marcos Rehabilitation and Healthcare 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 rating | 1 of 5 stars |
|---|---|
| Health inspection rating | 1 of 5 |
| Staffing rating | 2 of 5 |
| Quality measures rating | 4 of 5 |
| Certified beds | 129 |
| Ownership | For profit - Corporation |
| CMS certification number | 675651 |
Staffing
| Total nurse hours per resident day | 2.98 |
|---|---|
| RN hours per resident day | 0.64 |
| Nurse aide hours per resident day | 1.9 |
| Total nursing staff turnover percent | 48.8 |
| RN turnover percent | 53.3 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 1.13 | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | 0.96 | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 1.76 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 2.2 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 0.3 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 5.45 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2024-08-15 | 0583 | Keep residents' personal and medical records private and confidential. | E |
| 2024-08-15 | 0584 | Honor 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 |
| 2024-08-15 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2024-08-15 | 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2024-08-15 | 0679 | Provide activities to meet all resident's needs. | E |
| 2024-08-15 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-08-15 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2024-08-15 | 0790 | Provide routine and 24-hour emergency dental care for each resident. | D |
| 2023-06-16 | 0558 | Reasonably accommodate the needs and preferences of each resident. | D |
| 2023-06-16 | 0679 | Provide activities to meet all resident's needs. | D |
Penalties
| Date | Type | Amount |
|---|---|---|
| 2025-08-01 | Fine | ,891 |
Ownership records
| Name | Type | Role |
|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| CASTRO POU, GRACIELA | Individual | MANAGING CONTROL - GOVERNING BODY |
| TOCHTERMAN, JERRY | Individual | MANAGING CONTROL - GOVERNING BODY |
| BURNAM, SOON | Individual | CORPORATE OFFICER |
| GANN, KODY | Individual | CORPORATE OFFICER |
| KEETCH, CHAD | Individual | CORPORATE OFFICER |
| WOOD BAYOU HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| CASTRO POU, GRACIELA | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| TOCHTERMAN, JERRY | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| CARETRUST GP LLC | Organization | ADP OF THE SNF |
| CARETRUST REIT INC | Organization | ADP OF THE SNF |
| CTR PARTNERSHIP LP | Organization | ADP OF THE SNF |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF |
| IVES HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF |
| WOOD BAYOU HEALTHCARE, INC. | Organization | ADP OF THE SNF |
| CASTRO POU, GRACIELA | Individual | ADP OF THE SNF |
| TOCHTERMAN, JERRY | Individual | ADP 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.