San Marcos Rehabilitation And Healthcare Center
1600 N I H 35, 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 - Corporation · Chain: The Ensign Group
- Certified beds
- 129 · avg 103 residents/day
- Total nursing staff turnover
- 50% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 46.2% — near the Texas averageTexas 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 · $52,140 total
State licensing & capacity
- License number
- 149118
- Service type
- Medicare/medicaid
- Licensed capacity
- 129 beds
- Bed type breakdown
- 2 Medicare-only · 127 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- March 8, 1974
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Guadalupe County Hospital Board (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Wood Bayou Healthcare, Inc
- Administrator
- Jerry J Tochterman
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 (12 on record)
- Wood Bayou Healthcare, Inc.
Adp of The Snf · since 2025
- Graciela v Castro Pou
Operational/managerial Control · since 2024
- Jerry Tochterman
Operational/managerial Control · since 2017
- Caretrust gp Llc
Adp of The Snf · since 2017
- Caretrust Reit Inc
Adp of The Snf · since 2017
- Ctr Partnership lp
Adp of The Snf · since 2017
+ 6 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 17)
- F0732·Dec 30, 2025Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- K0697·Aug 1, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- K0684·Aug 1, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E0760·Nov 4, 2024Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0755·Nov 4, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0580·Nov 4, 2024Complaint
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.
- E0880·Aug 15, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Aug 15, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal penalties
By year
- 20251 fine · $52K
Most recent events
- Aug 1, 2025Fine · $52K
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Aug 15, 2024. 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
San Marcos Rehabilitation And Healthcare Center is a 129-bed nursing home in San Marcos, TX, operated under a hospital district license and managed by Wood Bayou Healthcare, Inc. CMS rates it 1 star overall and 1 star on both health inspections and staffing — the bottom tier on both measures. One CMS fine of $52,140 has been issued. Quality-of-care outcome measures rate 4 stars, including a 5-star rating for long-stay residents.
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. About 37.8% of Texas nursing homes share that bottom rating. Staffing hours per resident are not reported in current CMS data, so a direct minute-by-minute comparison to peers isn't available — the 1-star rating reflects CMS's own assessment of those hours relative to the state.
One CMS fine totaling $52,140 has been issued. That figure is roughly 2.5 times the Texas median fine of $20,699. About 30% of Texas nursing homes have received no fines in the comparable period.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing hours per resident
CMS rates staffing at 1 star and current reported hours are missing from the record — ask how many total nursing hours each resident receives on a typical day.
The $52,140 fine
One CMS fine of $52,140 has been issued — ask what deficiency triggered it and what specific changes were made in response.
Hospital district and management roles
The license is held by Guadalupe County Hospital Board while Wood Bayou Healthcare manages day-to-day operations — ask how decisions about staffing and care are made between those two entities.
1-star health inspection explained
A 1-star health inspection rating reflects the number and severity of deficiencies found — ask to see the most recent inspection report and which deficiencies remain open.
How 4-star outcomes are achieved
Long-stay outcome measures rate 5 stars despite 1-star staffing — ask which care practices or protocols the staff credits for that result.
Resident Council access
The facility has a Resident Council but no Family Council — ask how families formally raise concerns or receive updates when residents cannot advocate for themselves.
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.