San Marcos Rehabilitation and Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 102 Google reviews
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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)
Bottom 25% in Texas · Worst in THE ENSIGN GROUP chain · $52,140 in fines · Very few deficiencies
What this means for your family
This facility's nursing and therapy teams are its greatest asset, often described as treating residents like family. However, families should closely monitor daily hygiene routines and medication availability, as some reviewers have noted lapses in basic care and responsiveness.
Google Reviews
Google Reviews
102 reviews on Google“Families considering San Marcos Rehabilitation and Healthcare Center will find a facility widely praised for its exceptionally kind, professional, and attentive nursing and therapy staff. While many reviewers highlight a clean and welcoming environment, others have raised serious concerns regarding inconsistent hygiene care, medication management, and the physical condition of the building and parking lot.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and professional nursing staff
- Clean and pleasant-smelling facility
- Effective and skilled rehabilitation therapy
- Welcoming and family-oriented atmosphere
Concerns
- Inconsistent hygiene and basic care (bathing/teeth brushing) (mentioned by 2 reviewers)
- Poor communication from management and business office (mentioned by 3 reviewers)
- Issues with food quality and meal portions (mentioned by 3 reviewers)
- Facility maintenance and parking lot conditions (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 105 analyzed
How They Respond to Reviews
The owner provides personalized responses to positive reviews by acknowledging specific details mentioned by the reviewer. For negative feedback, they demonstrate a proactive approach by naming a specific staff member investigating the issue and providing a direct contact number.
Questions for Your Tour
- 1We've heard wonderful things about the compassionate nursing staff here; how do you ensure that level of care remains consistent for every resident during every shift?
- 2What specific steps are in place to ensure that daily personal care, like bathing and oral hygiene, is closely monitored and completed every day?
- 3How does the management team handle communication with families to ensure we are always updated on our loved one's well-being and any changes in their care?
- 4Could you tell us more about the meal service, specifically how you ensure nutritious portions and consistent food quality for all residents?
- 5What is the protocol for managing medications, and how do you ensure there are no errors in the administration process?
- 6In the event of a medical emergency after hours, what is the immediate procedure for contacting both the physician and our family?
Personalized based on this facility's data
Key Review Excerpts
“The staff is always friendly and they know their patients well, which tells me that they CARE.”
“The facility is clean and as soon as I walked in, I was greeted everybody and the staff was smiling. The place smelled amazing.”
“The personalized care that my mom has received is beyond words. David worked after hours and on a weekend to help my mom be admitted to this amazing facility!”
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
2
measures
4
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
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 on anti-anxiety or sleep medication
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with 8 complaint-triggered deficiencies, indicating families have filed reports about care issues. The most recurring problems involve medication management errors, fire safety violations, and overall quality of care including pain management and treatment delivery. While all deficiencies show correction dates, the repeated fire safety issues and recent complaints about medication errors and treatment quality suggest ongoing operational challenges families should carefully evaluate.
Dec 30, 2025Complaint1
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Aug 1, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Nov 4, 2024Complaint3
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 that residents are free from significant medication errors.
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.
Aug 15, 2024Routine10
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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 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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Apr 15, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 16, 2023Routine5
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
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
Aug 1, 2025
$33,891
Ownership & Operations
Who Operates This Facility
Guadalupe County Hospital Board
for profit
WOOD BAYOU HEALTHCARE, INC
JERRY J TOCHTERMAN
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 83 of 84 (Worst)
Ownership & Management
Owners
Guadalupe County Hospital Board
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
102 reviews from families & visitors
Official Website
Visit sanmarcoscare.com
Medicare data downloads
Original nursing home datasets
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