Hays Nursing & Rehab Center
Nursing Home Facility
1900 Medical Pkwy, San Marcos, TX 78666
Hays Nursing & Rehab Center is a senior care community located in San Marcos, TX. It provides nursing home care and senior living for older adults in the San Marcos area. To learn more or schedule a tour, call (512) 396-1888.
Operated by The Ensign Group, which runs 419 communities in our directory.
With 116 beds, Hays Nursing & Rehab Center is one of the larger communities in the area, senior care communities in San Marcos average about 81 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 80% of its licensed beds.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in San Marcos average about 2.0 stars. Its most recent standard health inspection was in March 2026 and recorded 6 deficiencies.
Residents receive about 3.3 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 38%.
The community is located in Hays County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 26 problems at Hays Nursing & Rehab Center. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 7 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $8,226.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, a pattern
Resident Rights
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.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Hays Nursing & Rehab Center offers nursing home care and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 116
- Occupancy 80%
- Nursing hours per resident/day 3.3
- Annual staff turnover 38%
- Last health inspection March 2026
Resident & family reviews
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