Senior Care in San Marcos, TX

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.

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.

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.

Mariella Senior Living of Sage Spring is a 106-bed Type B assisted-living community in San Marcos, Hays County, Texas, operated by Volante Senior Living LLC. It holds a dedicated 24-bed memory-care unit, state-certified through March 2027. The active license was issued March 15, 2024 and runs through March 2027. The licensee of record is Inspired Senior Living of San Marcos MT, LLC.

Brookdale San Marcos South is a 90-bed Type A assisted-living community in San Marcos, Hays County, Texas. It carries no memory-care certification. The facility operates under a limited partnership licensee (ESC III LP) with Deborah Fendley listed as administrator. The active state license runs through May 2029.

Brookdale San Marcos North is a Type A assisted-living community in San Marcos (Hays County) licensed for 65 residents. It does not offer memory care. The active license runs through April 2028, renewed this past April. The facility operates under Sh Thirtyfive Opcosan Marcos, LLC, managed by Psl Associates, LLC, with Candace Gutmann listed as administrator.

Brookdale San Marcos South is a Type B assisted-living facility in San Marcos (Hays County), TX, licensed for 60 residents. It carries no memory-care certification. The active license runs through April 2028, held by ESC III LP as a limited partnership. Administrator on record is Misty May.

Acclaimed Senior Living is a 16-bed Type B assisted living facility in San Marcos, Hays County, licensed as a nonprofit under administrator Lea Franks. The facility holds state-certified memory care for up to 16 residents, with certification running from February 2026 through February 2029. The license itself is newly issued, effective February 26, 2026.

Brookdale San Marcos North is a small Type B assisted-living facility in San Marcos, Texas, licensed for 12 residents — all 12 beds designated as memory care. The state has certified that memory-care program through April 2028. The license, issued April 30, 2025, is active. Healthpeak Properties, Inc. holds the license; day-to-day management is handled by Psl Associates, LLC under administrator Candace Gutmann.

Rehab Without Walls Neuro Rehabilitation is a small Type A assisted-living facility in San Marcos, Hays County, licensed for 8 residents and operated by Tangram Rehabilitation Network, Inc. It carries no memory-care certification. The active license runs through October 2028. With only 8 licensed beds, availability is likely limited.

Smith House is a small Type A assisted-living home in San Marcos, Hays County, licensed for 8 residents and operated by Therapeutic Communities, LLC. It does not offer memory care. The active license runs through May 2028 and was first issued in May 2010, giving the facility 15 years of operating history under state oversight.