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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.