Loading EveryPlace content…
Nursing Home · San Marcos, TX
1600 N I H 35, San Marcos, TX 78666
Map location from our source data
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: 129 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 0.64 registered-nurse hours per resident per day. Ask how coverage varies across shifts. Review the inspection findings, ask which corrective actions are complete, and discuss the support your family member would receive.
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.
AI summaries of public opinions. These describe review sentiment, not verified care quality.
The vast majority of reviews express high satisfaction with the kindness and professionalism of the caregivers.
Reviewers frequently mention difficulty getting answers from the business office and management.
Most visitors note the facility is very clean and smells pleasant, despite isolated reports of odor issues.
While some find the food acceptable, multiple reviewers criticized poor portions and low quality.
Some mention good activities and holiday decorations, but it is not a primary theme in most reviews.
There are alarming reports of running out of pain medications and staff not responding to medication requests.
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 · 106 analyzed
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.
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!”
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
12
measures
5
measures
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
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents needing more daily help over time
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
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.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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.
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.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Aug 1, 2025
$33,891
Guadalupe County Hospital Board
for profit
WOOD BAYOU HEALTHCARE, INC
JERRY J TOCHTERMAN
The Ensign Group
342 facilities nationwide
Chain avg rating: 2.9/5 · Rank 83 of 84 (Lowest rating)
Owners
Guadalupe County Hospital Board
Owner · Organization
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
103 reviews from families & visitors
Official Website
Visit sanmarcoscare.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.
Nearby places may offer different services. Check care type and availability as you compare.
Rehab Without Walls Neuro Rehabilitation
2.5 miAssisted Living · San Marcos, TX
Smith House
3.1 miAssisted Living · San Marcos, TX
Brookdale San Marcos North
3.3 miAssisted Living · San Marcos, TX
Brookdale San Marcos North
3.3 miAssisted Living · San Marcos, TX
Mariella Senior Living of Sage Spring
3.3 miAssisted Living · San Marcos, TX
Hays Nursing and Rehabilitation Center
3.4 miNursing Home · San Marcos, TX
Keep this place handy
Optional: get a one-time email with this profile. You can also save or share it without an email address.
This sends one email and does not add you to a mailing list.