Cypress Healthcare and Rehabilitation Center
1351 Sadler · San Marcos, TX · 78666 · 5128055000
174 certified beds For profit - Individual
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $179,563 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
8 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$179,563 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 2.98 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 4 · $236,732 |
Inspection citations (41 in the current record)
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Potential for harm · D December 6, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected December 26, 2025 · Resident Rights
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Potential for harm · D November 25, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 18, 2025 · Resident Rights
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Potential for harm · E June 19, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 20, 2025 · Resident Rights
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Potential for harm · E April 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 18, 2025 · Resident Rights
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Potential for harm · E April 17, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 18, 2025 · Resident Rights
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Potential for harm · E April 17, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 18, 2025 · Resident Rights
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Potential for harm · D April 17, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · E April 17, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 23, 2025 · Pharmacy Service
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Potential for harm · E April 17, 2025
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.
Corrected April 23, 2025 · Pharmacy Service
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Potential for harm · E April 17, 2025
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.
Corrected April 18, 2025 · Nutrition and Dietary
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Potential for harm · E April 17, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 18, 2025 · Nutrition and Dietary
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Potential for harm · D April 17, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected April 18, 2025 · Nutrition and Dietary
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Potential for harm · F April 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 18, 2025 · Nutrition and Dietary
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Potential for harm · E April 17, 2025 · found via complaint
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.
Corrected May 7, 2025 · Resident Rights
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Potential for harm · D October 22, 2024 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected November 15, 2024 · Resident Rights
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Potential for harm · E October 22, 2024 · found via complaint
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.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D September 20, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 4, 2024 · Pharmacy Service
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Potential for harm · E September 20, 2024 · found via complaint
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.
Corrected November 4, 2024 · Pharmacy Service
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Immediate jeopardy · K August 2, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K August 2, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K August 2, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K August 2, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 22, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected April 21, 2024 · Resident Rights
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Potential for harm · D March 22, 2024
Keep residents' personal and medical records private and confidential.
Corrected April 21, 2024 · Resident Rights
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Potential for harm · D March 22, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 21, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 2, 2024 | Fine | $179,563 |
| January 23, 2024 | Fine | $12,048 |
| September 29, 2023 | Fine | $29,528 |
| August 10, 2023 | Fine | $15,593 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676226 · certified since August 3, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.