Cypress Healthcare And Rehabilitation Center
1351 SADLER DRIVE, San Marcos, TX, 78666
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual
- Certified beds
- 174 · avg 88 residents/day
- Total nursing staff turnover
- 55.3% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $236,732 total
State licensing & capacity
- License number
- 307274
- Service type
- Medicare/medicaid
- Licensed capacity
- 174 beds
- Bed type breakdown
- 55 Medicare-only · 119 Medicaid/Medicare
- Current license effective
- May 1, 2025
- Current license expires
- May 1, 2028
- Initial license date
- August 3, 2009
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- San Marcos Healthcare Llc
- Administrator
- Leslie Grimsley
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (45 on record)
- Calvin h Jones Estate
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
+ 39 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 41)
- D0583·Dec 6, 2025Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0550·Nov 25, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0580·Jun 19, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F0812·Apr 17, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0805·Apr 17, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E0804·Apr 17, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0803·Apr 17, 2025
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E0761·Apr 17, 2025
Pharmacy Service Deficiencies
Ensure 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.
Federal penalties
By year
- 20242 fines · $192K
- 20232 fines · $45K
Most recent events
- Aug 2, 2024Fine · $180K
- Jan 23, 2024Fine · $12K
- Sep 29, 2023Fine · $30K
- Aug 10, 2023Fine · $16K
Largest single fine on record: $180K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Apr 17, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Cypress Healthcare and Rehabilitation Center is a 174-bed nursing home in San Marcos, TX, certified for both Medicare and Medicaid. CMS rates it 1 star overall, 1 star on health inspections, and 1 star on staffing. Four federal fines since the last inspection total $236,732 — more than eleven times the Texas median of $20,699. About half the licensed beds are occupied on an average day. The facility is managed by San Marcos Healthcare LLC and licensed to West Wharton County Hospital District.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 194 minutes of nursing care per day, about 47 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — more dependent or medically complex on average — so those 194 minutes stretch thinner than they would elsewhere.
Two or more administrators have turned over in the past year. That level of leadership instability reaches residents through shifting care priorities, staff uncertainty, and breaks in institutional memory.
Four CMS fines total $236,732 — more than eleven times the Texas median fine amount of $20,699. Roughly 30% of Texas nursing homes received no fines at all in this period.
The facility is running at about 50% of its 174 licensed beds, with an average of 87 residents on any given day. Paired with the staffing, inspection, and fine record above, that occupancy level reflects conditions worth examining closely.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator and tenure
Two administrators left in the past year — ask who is currently in the role, when they started, and what changes they have made since arriving.
What the four fines covered
Four federal fines totaling $236,732 were assessed — ask what each citation involved and what specific steps were taken to correct those deficiencies.
Staffing levels on evenings and weekends
CMS rates staffing at 1 star and weekend hours log below the weekly average — ask how many nursing staff are on the floor on a typical Saturday night shift.
Why half the beds are empty
The facility averages about 87 residents against 174 licensed beds — ask what is driving the low census and whether any units or wings are currently closed.
Resident Council meeting frequency
A Resident Council is listed but no Family Council — ask how often the Resident Council meets and how concerns raised there are formally tracked and answered.
Management company role in daily care
The licensed owner is a hospital district, but day-to-day operations run through San Marcos Healthcare LLC — ask which entity sets staffing levels and handles complaint response.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.