San Marcos Rehabilitation and Healthcare Center
1600 N I H 35, San Marcos, TX 78666
San Marcos, Texas · CMS verdict
CMS rates San Marcos Rehabilitation and Healthcare Center at 1 of 5 stars overall - below-average on the federal scale, and below the Texas average of 2.8.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
San Marcos Rehabilitation and Healthcare Center in San Marcos, Texas holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 45 of 100 (grade F). The 129-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 45 is built
Each segment is a dimension's weighted points toward the score, summing to 45.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
San Marcos Rehabilitation and Healthcare Center holds a CMS overall quality rating of 1 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (1/5), staffing (3/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in San Marcos, Texas, this facility operates 129 certified beds with an average daily census of roughly 103 residents - an occupancy rate of about 80%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 80%, bed usage here sits in the range typical of a stabilized facility.
Same-ownership peers
Within Texas, San Marcos Rehabilitation and Healthcare Center is one of 413 for profit - corporation nursing homes CMS rates. Its 1-star overall rating sits below the for profit - corporation-segment average of 2.8 stars, ahead of roughly 0% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (17 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How San Marcos Rehabilitation and Healthcare Center compares to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where San Marcos Rehabilitation and Healthcare Center ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, San Marcos Rehabilitation and Healthcare Center’s 1-star overall rating is higher than 0% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
267 Texas homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 129 |
| Residents | 103 |
| Ownership | For profit - Corporation |
| County | Hays |
| Penalties | 1 |
| Deficiencies | 17 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for San Marcos Rehabilitation and Healthcare Center? ▾
1 out of 5 stars is San Marcos Rehabilitation and Healthcare Center's current CMS overall rating, built from a health inspection rating of 1/5, a staffing rating of 3/5, and a quality measures rating of 4/5.
How much does a nursing home cost per month in Texas? ▾
CareScout's 2025 survey puts Texas's median semi-private nursing home rate at $5,627 per month ($67,525 per year), with private rooms averaging $7,604 per month.
What services does San Marcos Rehabilitation and Healthcare Center offer? ▾
With 129 beds with approximately 103 current residents, San Marcos Rehabilitation and Healthcare Center is a skilled nursing facility. It operates under for profit - corporation ownership, and CMS's inspection record shows 17 deficiencies and 1 penalties.
Does San Marcos Rehabilitation and Healthcare Center have any deficiencies or penalties? ▾
San Marcos Rehabilitation and Healthcare Center has multiple deficiencies (17 total) and 1 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Texas elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 675651.
Read our methodology - how this data is sourced, computed, and verified.