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 HHS 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 HHS licensing registry · as of April 16, 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 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.