Nursing Home · San Marcos, TX
1351 Sadler Drive, San Marcos, TX 78666
Medicare overall rating
1 / 5 stars
Inspection records →About this listing
Catalog updated Sep 1, 2026. Current services and availability are unconfirmed.
Monthly cost
Ask for the full monthly cost, including care fees and one-time charges.
Availability
We don't have live openings. Ask about current availability, waiting lists, and move-in timing.
Reported capacity: 174 beds. This is not the number of openings.
Contact information →Care & support
Provides nursing care and help with daily activities. Some offer short-term rehabilitation.
This describes the care category. Confirm support for your family member's needs.
Understand care types →Payment options
Participation is reported in our source data. Confirm eligibility, covered services, and any private-pay costs.
Medicare participation does not mean all stays or services are covered.
Ask about these reported findings and check the latest official record.
Your next step
You don't need to know everything. Start with these questions.
Medicare rates this facility 1 out of 5 overall. Medicare reports an average of 0.37 registered-nurse hours per resident per day. Ask how coverage varies across shifts. The latest standard survey recorded 12 findings, above the TX average of 9.1. Review the inspection findings, ask which corrective actions are complete, and discuss the support your family member would receive.
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.
AI summaries of public opinions. These describe review sentiment, not verified care quality.
Numerous reviewers highlight the kindness, professionalism, and expertise of the nursing and therapy teams.
The admissions coordinator is frequently cited for being knowledgeable and helping families navigate the care process.
Multiple reviews mention the facility is clean and even smells like a five-star hotel.
The dining manager is specifically praised for providing delicious and edible meals.
Reviewers note that activities are fun, creative, and well-managed to keep residents engaged.
Scores range from 0 (negative) to 10 (positive). They are model interpretations of reviews and are not clinical, safety, or inspection ratings. Unmentioned topics are omitted.
Strengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 73 analyzed
This facility rarely responds to reviews.
Key Review Excerpts
“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.”
“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.”
“Mother-in-law was in this facility for hospice care. The place was amazing. Smells like a five star hotel, staff was amazing.”
Reported nursing hours are daily averages per resident. They do not describe a specific shift or guarantee one-to-one care.
Per resident, per day
Nurses and aides combined
Reported by Medicare
Registered nurses
Ask during your visit: Who will help my family member during the day and overnight? How do you plan staffing when residents need more support?
EveryPlace uses reference points of 0.75 registered-nurse hours and 4.1 total nursing hours per resident per day. These are comparison targets, not current federal minimum requirements or a determination that a facility meets a resident's needs.
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
3
measures
5
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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.
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.
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
West Wharton County Hospital District
for profit
SAN MARCOS HEALTHCARE LLC
LESLIE GRIMSLEY
Key personnel
Contact the provider directly when you feel ready. Have your questions handy and ask for answers in writing.
Confirm current status with Texas Health & Human Services Commission. A direct record link is not available in this catalog.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
41 reviews from families & visitors
Official Website
Visit rightcarehs.com
Medicare data downloads
Original nursing home datasets
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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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