Hays Nursing And Rehabilitation Center
1900 MEDICAL PARKWAY, San Marcos, TX, 78666-7520
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 - Corporation · Chain: The Ensign Group
- Certified beds
- 116 · avg 95 residents/day
- Total nursing staff turnover
- 48.2% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 57.1% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,226 total
State licensing & capacity
- License number
- 308040
- Service type
- Medicare/medicaid
- Licensed capacity
- 116 beds
- Bed type breakdown
- 116 Medicaid/Medicare
- Current license effective
- December 1, 2023
- Current license expires
- December 1, 2026
- Initial license date
- August 31, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Guadalupe County Hospital Board (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Willow Springs Creek Healthcare, Inc
- Administrator
- Nelson Phelps
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (9 on record)
- Willow Springs Creek Healthcare, Inc.
Adp of The Snf · since 2025
- James Chudleigh
Operational/managerial Control · since 2024
- Kody Gann
Corporate Officer · since 2021
- Guadalupe County Hospital Board
5% or Greater Direct Ownership Interest · 100% · since 2020
- Nelson Phelps
Operational/managerial Control · since 2020
- San Marcos tx Propco Llc
Adp of The Snf · since 2020
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 25)
- D0812·Jan 16, 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.
- E0761·Jan 16, 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.
- E0756·Jan 16, 2025
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E0679·Jan 16, 2025
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- D0584·Jan 16, 2025
Resident Rights Deficiencies
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.
- E0550·Jan 16, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0880·Jul 9, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0656·Jul 9, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal penalties
By year
- 20241 fine · $8,226
Most recent events
- May 2, 2024Fine · $8,226
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Dec 14, 2023. 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
Hays Nursing and Rehabilitation Center is a 116-bed Medicare/Medicaid nursing home in San Marcos, Texas, managed by Willow Springs Creek Healthcare under a hospital district license. CMS rates it 3 stars overall — health inspection, staffing, and quality measures each at 3 stars, with long-stay quality measures reaching 4 stars. The facility runs at roughly 82% of licensed capacity. One CMS fine of $8,226 is on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — a level shared by about 19% of Texas nursing homes. Each resident receives roughly 206 minutes of nursing care per day, about 35 minutes less than at a 4-star-staffing facility in Texas. Of those 206 minutes, only 26 are with a registered nurse; 4-star facilities in Texas average 37 RN minutes per resident per day.
One CMS fine of $8,226 is on record. That figure is below the Texas median fine of $20,699 among facilities that have been fined, and about 30% of Texas nursing homes have received no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Weekend nursing hours here average 2.9 hours per resident per day, compared to 3.4 on weekdays — ask how many nurses and aides are on the floor during nights and weekends specifically.
RN coverage each day
Reported registered-nurse time runs 26 minutes per resident per day; ask how many hours a registered nurse is physically present in the building on a typical day.
Management company's role
Day-to-day operations are run by Willow Springs Creek Healthcare under a hospital district license — ask how decisions about staffing and care are divided between the management company and the board.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how families can raise concerns if they can't attend.
Context for the 2023 fine
One CMS fine of $8,226 was issued — ask what the citation was for and what changes were made in 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.