San Marcos Rehabilitation And Healthcare Center
San Marcos, Hays County, Texas · CCN 675651 · For-profit (Corporation) · part of The Ensign Group (342 facilities, chain average 3.2 stars)
CMS rates San Marcos Rehabilitation And Healthcare Center 1 of 5 overall as of August 2026. 129 certified beds, 105 residents a day on average. 17 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $33,891.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 2.98379 hours per resident per day |
|---|---|
| Registered nurses | 0.64247 hours per resident per day |
| Weekend total | 2.54451 hours per resident per day |
| Nursing staff turnover | 48.8% (registered nurses 53.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-12-30 complaint survey |
Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-01-01 |
| 2025-08-01 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2025-08-02 |
| 2025-08-01 complaint survey |
Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2025-08-02 |
| 2024-11-04 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-04 |
| 2024-11-04 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-04 |
| 2024-11-04 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-04 |
| 2024-08-15 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-14 |
| 2024-08-15 | 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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-14 |
| 2024-08-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-14 |
| 2024-08-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-14 |
| 2024-08-15 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-14 |
| 2024-08-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-14 |
| 2024-08-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-14 |
| 2024-08-15 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · tag F0790 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-14 |
| 2024-04-15 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-05-03 |
| 2023-06-16 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-07 |
| 2023-06-16 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-07 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-01 | Fine | $33,891 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Guadalupe County Hospital Board Organization | 5% or greater direct ownership interest | 100% | 2017-04-01 |
| Caretrust Gp LLC Organization | adp of the snf | — | 2017-04-01 |
| Caretrust Reit Inc. Organization | adp of the snf | — | 2017-04-01 |
| Ctr Partnership Lp Organization | adp of the snf | — | 2017-04-01 |
| Ensign Services Inc. Organization | adp of the snf | — | 2010-02-05 |
| Ives Health Holdings LLC Organization | adp of the snf | — | 2017-04-01 |
| Wood Bayou Healthcare, Inc. Organization | adp of the snf | — | 2025-09-30 |
| Wood Bayou Healthcare, Inc. Organization | operational/managerial control | — | 2017-04-01 |
| Castro Pou, Graciela Individual | adp of the snf | — | 2024-12-27 |
| Tochterman, Jerry Individual | adp of the snf | — | 2017-08-21 |
| Burnam, Soon Individual | corporate officer | — | 2017-04-01 |
| Gann, Kody Individual | corporate officer | — | 2017-04-01 |
| Keetch, Chad Individual | corporate officer | — | 2011-03-01 |
| Castro Pou, Graciela Individual | managing control - governing body | — | 2024-12-27 |
| Tochterman, Jerry Individual | managing control - governing body | — | 2017-08-21 |
| Castro Pou, Graciela Individual | operational/managerial control | — | 2024-12-27 |
| Tochterman, Jerry Individual | operational/managerial control | — | 2017-08-21 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for San Marcos Rehabilitation And Healthcare Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Hays County.