F

San Marcos Rehabilitation and Healthcare Center

1600 N I H 35, San Marcos, TX 78666
Score: 19 / 100

San Marcos Rehabilitation And Healthcare Center has received an F grade based on CMS data, with a score of 19/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this San Marcos facility should carefully review its inspection history and quality metrics.

Recent CMS inspections identified 17 deficiencies at San Marcos Rehabilitation And Healthcare Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: post nurse staffing information every day..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staffing hours data not available for this facility.

🔍 Inspection & Deficiency History

17
Total Deficiencies
Dec 29, 2025
Most Recent Inspection
🟠 15 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0732 Severity F
    Post nurse staffing information every day.
    Dec 29, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0684 Severity K
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jul 31, 2025 · Quality of Life and Care Deficiencies
  • Tag 0697 Severity K
    Provide safe, appropriate pain management for a resident who requires such services.
    Jul 31, 2025 · Quality of Life and Care Deficiencies
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Nov 3, 2024 · Pharmacy Service Deficiencies
  • Tag 0760 Severity E
    Ensure that residents are free from significant medication errors.
    Nov 3, 2024 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.1% 4.5% Better
Falls with major injury 2.1% 3.0% Better
On antipsychotic medication 6.8% 14.5% Better
Urinary tract infections 0.3% 2.5% Better
ADL decline (daily activities) 34.6% 14.0% Worse
Excessive weight loss 6.3% 7.5% Better
New/worsened incontinence 13.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $52,140

How This Grade Was Calculated

This facility's grade of F is based on a score of 19 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -5 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
129
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 30, 2025
Deficiencies (Cycle 1)
3