See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid

Hays Nursing and Rehabilitation Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1900 Medical Parkway, San Marcos, TX 78666116 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 109 Google reviews

5
4
3
2
1

Watch Hays Nursing and Rehabilitation Center

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

What this means for your family

This facility is an excellent choice for those seeking high-quality rehabilitation and compassionate nursing care, particularly following a hospital stay. While the facility is clean and well-managed, families should be prepared for potential minor issues with food temperature and may want to verify the best way to contact the nurses' station during busy shifts.

Google Reviews

Google Reviews

109 reviews on Google
Hays Nursing and Rehabilitation Center is highly regarded for its compassionate, attentive nursing and therapy teams, with many families noting significant progress during rehab stays. While the facility is praised for its clean and renovated environment, some reviewers have noted issues with food temperature and difficulty reaching the nurses' station by phone.

Quality Themes

Tap a score for details
Food6.0Staff9.0Clean9.0Activities8.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective rehabilitation and therapy services
  • Clean and well-maintained facility
  • Friendly and professional administration

Concerns

  • Inconsistent food temperature (mentioned by 2 reviewers)
  • Difficulty reaching the nurses' station via phone (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'19(1)'21(5)'23(4)'25(52)'26(18)

Distribution · 110 analyzed

5
94
4
9
3
1
2
1
1
5

How They Respond to Reviews

27%response rate
Good

The owner provides highly personalized, warm, and conversational responses that often include specific details about residents or staff. While they occasionally use a defensive tone when faced with criticism, the majority of responses demonstrate deep community connection and empathy.

Questions for Your Tour

  • 1We've heard great things about the compassion of your nursing staff; how do you ensure that level of attentive care remains consistent across all shifts?
  • 2Since we noticed your administration is very involved in responding to feedback, how do you typically handle suggestions from families regarding meal temperatures or dining improvements?
  • 3What is the best way for us to get a quick update from the nursing station if we have a question during the evening or overnight hours?
  • 4Can you tell us more about the specific rehabilitation and therapy services available to help residents regain their strength?
  • 5What kind of daily activities or social outings are planned to keep the residents engaged and connected with one another?
  • 6In the event of a medical emergency after hours, what is the protocol for notifying the family and coordinating with outside doctors?

Personalized based on this facility's data


Key Review Excerpts

Rehab wing of Hays was just like a hospital. Staffing requirements were up to par for number of patients. Staff were all attentive, courteous, polite, and responsive to my husband’s needs.

Rehab patient's family · 2026★★★★★

The staff was very engaged with us and rhe residents. Somebody had a birthday and they wheeled her around and everybody said happy birthday. Happy environment.

Visitor · 2025★★★★★

The common areas are brightly lit and also have skylights for sunshine. The staff are all extremely attentive and friendly.

Long-term resident's family · 2024★★★★★
Source: 109 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
53%
Registered nurses for medical care
Total Nursing
3.21hrs
78%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
22%
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

8

measures

Worse Than Avg

4

measures

Mixed Results

5

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility64.9%
Worse than Avg
Here
64.9%
US
93.4%
TX
96.9%
Hays
96.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.1%
Better than Avg
Here
13.1%
US
15.3%
TX
14.9%
Hays
26.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility13.2%
Better than Avg
Here
13.2%
US
14.4%
TX
16.1%
Hays
23.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.4%
TX
9.4%
Hays
7.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.0%
Mixed vs Avgs
Here
4.0%
US
12.1%
TX
2.5%
Hays
2.0%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.9%
Mixed vs Avgs
Here
13.9%
US
19.4%
TX
14.2%
Hays
12.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility68.4%
Worse than Avg
Here
68.4%
US
81.8%
TX
89.2%
Hays
90.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility78.8%
Worse than Avg
Here
78.8%
US
79.7%
TX
88.0%
Hays
91.4%
💊

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

6deficiencies
1penalties
Near state avg (9.1)
7 complaint-triggered
$8,226 in fines

Families have filed multiple complaints triggering 8 deficiencies, including serious concerns about abuse protection and neglect reporting that required correction in 2024. The facility has recurring issues with resident care quality, medication management, and maintaining a safe environment across multiple surveys. While all deficiencies show correction dates, the pattern of repeated problems in core care areas suggests families should carefully evaluate current conditions during visits.

Jan 16, 2025Routine
6
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.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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.

0584Potential for harm · IsolatedCorrected

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Jul 9, 2024Complaint
2
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

May 2, 2024Complaint
3
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0607Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Dec 14, 2023Routine
9
0908Potential for harm · WidespreadCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

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.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Nov 20, 2023Complaint
1
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Sep 23, 2023Complaint
1
0761Potential for harm · IsolatedCorrected

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.

Federal Penalties

Fine

May 2, 2024

$8,226

Ownership & Operations

Who Operates This Facility

Owner / Operator

Guadalupe County Hospital Board

Organization Type

for profit

Management Company

WILLOW SPRINGS CREEK HEALTHCARE, INC

Administrator

NELSON PHELPS

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 36 of 84

Ownership & Management

Owners

Guadalupe County Hospital Board

Owner · Organization

100%

Key personnel

Chudleigh, JamesManaging Control - Governing BodyPhelps, NelsonManaging Control - Governing BodyBurnam, SoonOfficer / DirectorGann, KodyOfficer / DirectorKeetch, ChadOfficer / 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.

Nearby Alternatives

Call