San Marcos Rehabilitation and Healthcare Center

San Marcos, TX 78666

CMS Certification Number (CCN): 675651 · 129 beds

What this record shows

San Marcos Rehabilitation and Healthcare Center is a Medicare-certified nursing home in San Marcos, TX (CMS Certification Number 675651). CMS rates it 1 out of 5 stars overall (health inspection 1/5, staffing 2/5, quality measures 4/5). Federal inspection records list 17 health deficiencies, including 2 immediate jeopardy citations. The most recent survey date on record is December 30, 2025. Federal civil monetary penalties on record total $34K across 1 fine. Ownership / chain affiliation in CMS records: THE ENSIGN GROUP. This page summarizes public CMS inspection, staffing, penalty, and ownership data so families can research a nursing home before choosing care. It is not medical advice or a recommendation.

52.5
High Risk
Composite Score
★☆☆☆☆ 1/5
CMS Star Rating

CMS star ratings

Overall CMS rating ★☆☆☆☆ 1/5
Health inspection ★☆☆☆☆ 1/5
Staffing ★★☆☆☆ 2/5
Quality measures ★★★★☆ 4/5

Inspections & deficiencies

Total health deficiencies 17
Most recent inspection / survey date December 30, 2025
Serious deficiency flags 3
Harm citations 1
Immediate jeopardy citations 2

Federal fines & penalties

Total federal fines $34K
Fine count 1

Staffing summary

Staffing star rating ★★☆☆☆ 2/5
RN hours per resident day 0.64
Total nurse staffing hours per resident day 2.98
Days with zero RN hours 0.0%

Ownership & chain

Chain / affiliated entity: THE ENSIGN GROUP

Ownership type: Organization

This owner operates 321 facilities in the current extract.

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