HAYS NURSING AND REHABILITATION CENTER
1900 MEDICAL PKWY, SAN MARCOS, TX 78666 · CCN 455960
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 116
- Avg residents/day
- 94.9
- Phone
- 5123961888
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-16 | 6 | 9.1 | 9.5 | -3.1 better |
| 2 | 2023-12-14 | 12 | 9.4 | 9.8 | +2.6 worse |
| 3 | 2022-10-14 | 7 | 8.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.44 | 48.2% |
| RN staffing (reported) | 0.44 | 57.1% |
| Total nurse staffing (adjusted) | 3.83 | — |
Fines & penalties
- Total fines
- $8,226
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (25)2 immediate jeopardy
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-16 · Health · corrected 2025-01-23
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-01-16 · Health · corrected 2025-01-31
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2025-01-16 · Health · corrected 2025-01-23
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-01-16 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-09 · Health · corrected 2024-07-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-07-09 · Health · corrected 2024-07-16
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-02 · Health · corrected 2024-05-03
Immediate jeopardy
- JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-05-02 · Health · corrected 2024-05-03
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-02 · Health · corrected 2024-05-03
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-12-14 · Health · corrected 2024-01-05
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2023-12-14 · Health · corrected 2024-01-11
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-14 · Health · corrected 2024-01-18
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-14 · Health · corrected 2023-12-15
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-12-14 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-12-14 · Health · corrected 2023-12-21
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2023-12-14 · Health · corrected 2024-01-19
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-20 · Health · corrected 2023-11-27
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-09-23 · Health · corrected 2023-10-12
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-09 · Health · corrected 2023-04-09
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-10-14 · Health · corrected 2022-11-13
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-14 · Health · corrected 2022-11-13
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2022-10-14 · Health · corrected 2022-11-13
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-10-14 · Health · corrected 2022-11-13
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-12-01 |
| WILLOW SPRINGS CREEK HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-12-01 |
| CHUDLEIGH, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| PHELPS, NELSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-12-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2020-12-01 |
| GANN, KODY | Individual | CORPORATE OFFICER | — | 2021-04-03 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
Other facilities in SAN MARCOS
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.