Hays Nursing and Rehabilitation Center
1900 Medical Pkwy · San Marcos, TX · 78666 · 5123961888
116 certified beds For profit - Corporation Chain: The Ensign Group
- 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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 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.
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: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 2.75 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 1 · $8,226 |
Inspection citations (24 in the current record)
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Potential for harm · E January 16, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 23, 2025 · Resident Rights
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Potential for harm · D January 16, 2025
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 January 31, 2025 · Resident Rights
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Potential for harm · E January 16, 2025
Provide activities to meet all resident's needs.
Corrected January 23, 2025 · Quality of Life and Care
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Potential for harm · E January 16, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 17, 2025 · Pharmacy Service
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Potential for harm · E January 16, 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 January 31, 2025 · Pharmacy Service
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Potential for harm · D January 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 17, 2025 · Nutrition and Dietary
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Potential for harm · D July 9, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 9, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 16, 2024 · Infection Control
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Immediate jeopardy · J May 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 May 3, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J May 2, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 3, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 2, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 3, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 14, 2023
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 January 5, 2024 · Resident Rights
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Potential for harm · D December 14, 2023
Provide activities to meet all resident's needs.
Corrected January 11, 2024 · Quality of Life and Care
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Potential for harm · D December 14, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 18, 2024 · Quality of Life and Care
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Potential for harm · E December 14, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 15, 2023 · Quality of Life and Care
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Potential for harm · D December 14, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 18, 2024 · Quality of Life and Care
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Potential for harm · D December 14, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected December 21, 2023 · Quality of Life and Care
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Potential for harm · F December 14, 2023
Keep all essential equipment working safely.
Corrected January 19, 2024 · Environmental
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Potential for harm · E November 20, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 27, 2023 · Quality of Life and Care
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Potential for harm · D September 23, 2023 · 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 October 12, 2023 · Pharmacy Service
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Potential for harm · D October 14, 2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected November 13, 2022 · Resident Rights
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Potential for harm · D October 14, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 13, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 14, 2022
Provide or obtain dental services for each resident.
Corrected November 13, 2022 · Quality of Life and Care
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Potential for harm · D October 14, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 13, 2022 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 2, 2024 | Fine | $8,226 |
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 455960 · certified since October 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.