San Marcos Rehabilitation And Healthcare Center
1600 N I H 35, San Marcos, TX, 78666
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: The Ensign Group
- Certified beds
- 129 · avg 100 residents/day
- Total nursing staff turnover
- 53.4% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $33,891 total
Medicare certification
- CMS Certification Number
- 675651
- Certified beds
- 129 beds · avg 100 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Guadalupe County Hospital Board
- Chain affiliation
- The Ensign Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 338 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 May 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 · $34K
Most recent events
- Aug 1, 2025Fine · $34K
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about San Marcos Rehabilitation And Healthcare Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.