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Nursing HomeMedicaid Investigative

Cypress Healthcare and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1351 Sadler Drive, San Marcos, TX 78666174 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 38 Google reviews

5
4
3
2
1

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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (14 vs median 8.0)
  • High staff turnover (55%)

Bottom 25% in Texas · Critically understaffed (RN) · $236,732 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for families prioritizing physical rehabilitation and high-quality dining, as the therapy and food services receive consistent praise. While there have been historical issues with service attitude, recent reviews show a strong upward trend in both care quality and facility cleanliness.

Google Reviews

Google Reviews

38 reviews on Google
Families considering Cypress Healthcare and Rehabilitation Center can expect highly praised rehabilitation services and a compassionate admissions process led by specific staff members. While many reviewers highlight the excellent physical therapy and attentive nursing, there are isolated reports of unprofessionalism and poor customer service.

Quality Themes

Tap a score for details
Food10.0Staff9.0Clean9.0Activities8.0MedsN/AMemoryN/AComms9.0ValueN/A

Strengths

  • Exceptional rehabilitation and physical therapy
  • Compassionate and knowledgeable admissions staff
  • Clean and pleasant-smelling facility
  • Attentive and caring nursing team

Concerns

  • Reports of unprofessionalism and negative attitudes (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02021(4)5.02022(2)1.02023(6)3.72024(6)4.72025(25)5.02026(25)

Distribution · 68 analyzed

5
55
4
1
3
0
2
0
1
12
22 reviews posted between Mar 31, 2026Apr 2, 2026 · 22 were 5-star

How They Respond to Reviews

7%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about the physical therapy team here; could you tell us more about how the rehabilitation program supports a resident's recovery?
  • 2The admissions staff has a great reputation for being very helpful; how do you personally assist families through the initial transition process?
  • 3Since we want to ensure consistent care, how does the nursing team manage communication and staffing levels during busy shifts?
  • 4What specific protocols are in place to handle medical emergencies or sudden changes in a resident's health during the night?
  • 5We noticed the facility is very well-maintained and pleasant; what kind of daily activities or social events are planned to keep residents engaged?
  • 6How does the leadership team address staff training to ensure that every interaction with residents is always professional and positive?

Personalized based on this facility's data


Key Review Excerpts

The therapists did an amazing job of working with her to accomplish her goals and she returned home last enough strength and mobility to return home.

Rehab patient's family · 2025★★★★★

Lorenzo, the dining manager, truly cares about the food he is preparing and providing to all the patients, ensuring their meals are edible and delicious.

Long-term resident's family · 2025★★★★★

After 4 months and 4 days of near demise to rehab from three hospitals, Cypress Healthcare and Rehab brought my 89 year old Mother to a safe state of health to return home.

Long-term resident's family · 2025★★★★★
Source: 38 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
52%
Registered nurses for medical care
Total Nursing
3.28hrs
80%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
42%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

1

measures

Mixed Results

6

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
15.4%
TX
9.4%
Hays
8.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Hays
89.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.9%
Mixed vs Avgs
Here
2.9%
US
12.1%
TX
2.5%
Hays
2.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility14.5%
Mixed vs Avgs
Here
14.5%
US
14.4%
TX
16.1%
Hays
23.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.9%
Better than Avg
Here
12.9%
US
19.5%
TX
18.4%
Hays
18.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.9%
Better than Avg
Here
12.9%
US
19.4%
TX
14.2%
Hays
13.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility73.1%
Worse than Avg
Here
73.1%
US
79.7%
TX
88.0%
Hays
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.0%
Better than Avg
Here
96.0%
US
81.8%
TX
89.2%
Hays
85.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Hays
0.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
4penalties
Above state avg (9.1)
18 complaint-triggered
$236,732 in fines

Families have repeatedly filed complaints that triggered 18 deficiency findings, with recent serious concerns about abuse protection policies in August 2024. The facility shows ongoing problems with resident rights (including privacy and dignified treatment), medication management, and food service quality across multiple surveys. While all violations have correction dates, the pattern of complaint-driven inspections and recurring issues in core care areas suggests persistent quality concerns that warrant careful evaluation during any visit.

Dec 6, 2025Complaint
1
0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Nov 25, 2025Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Jun 19, 2025Complaint
1
0580Potential for harm · PatternCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Apr 17, 2025Routine
12
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure 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.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Apr 17, 2025Complaint
1
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor 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.

Oct 22, 2024Complaint
2
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor 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.

0551Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give the resident's representative the ability to exercise the resident's rights.

Federal Penalties

Fine

Aug 2, 2024

$179,563

Fine

Jan 23, 2024

$12,048

Fine

Sep 29, 2023

$29,528

Fine

Aug 10, 2023

$15,593

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

SAN MARCOS HEALTHCARE LLC

Administrator

LESLIE GRIMSLEY

Ownership & Management

Key personnel

Broussard, KendallOfficer / DirectorCisneros, AlfredOfficer / DirectorCooper, StephenOfficer / DirectorKerzee, RichardOfficer / DirectorBroussard, KendallOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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