F

Cypress Healthcare and Rehabilitation Center

1351 Sadler, San Marcos, TX 78666
Score: 4 / 100

Cypress Healthcare And Rehabilitation Center has received an F grade based on CMS data, with a score of 4/100 — 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.

With 3.23 total nurse hours per resident per day, Cypress Healthcare And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 41 deficiencies at Cypress Healthcare And Rehabilitation Center, including 8 classified as serious — among the most concerning citation levels. The most notable finding involved: keep residents' personal and medical records private and confidential..

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

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.23 3.8 Below Average
Registered Nurses (RN) 0.32 0.7 Below Average
Licensed Practical Nurses (LPN) 0.81 0.7 Above Average
Certified Nursing Assistants (CNA) 2.10 2.4 Below Average
Weekend Total Nursing 2.99 3.8 Below Average
Weekend RN Hours 0.23 0.7 Below Average

🔍 Inspection & Deficiency History

41
Total Deficiencies
Dec 5, 2025
Most Recent Inspection
🟠 33 Moderate 🔴 8 Serious
View recent deficiencies (5 shown)
  • Tag 0583 Severity D
    Keep residents' personal and medical records private and confidential.
    Dec 5, 2025 · Resident Rights Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Nov 24, 2025 · Resident Rights Deficiencies
  • Tag 0580 Severity E
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Jun 18, 2025 · Resident Rights Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Apr 16, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Apr 16, 2025 · Resident Rights 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 2.0% 4.5% Better
Falls with major injury 1.5% 3.0% Better
On antipsychotic medication 0.4% 14.5% Better
Urinary tract infections 0.3% 2.5% Better
ADL decline (daily activities) 13.9% 14.0% Average
Excessive weight loss 1.8% 7.5% Better
New/worsened incontinence 12.7% 45.0% Better

⚠️ Penalties & Fines

4 penalties recorded by CMS

Total fines: $236,732

How This Grade Was Calculated

This facility's grade of F is based on a score of 4 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: -15 pts
  • Fine deductions: -10 pts

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

Facility Details

Ownership
For profit - Individual
Certified Beds
174
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 16, 2025
Deficiencies (Cycle 1)
14