Nursing homes › Texas › San Marcos Rehabilitation and Healthcare Center
1600 N I H 35, San Marcos, TX 78666 · 5123535026 · 129 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 2.98 (Texas median: 3.27). RN hours: 0.64. Weekend total: 2.54. Nursing staff turnover: 49%.
All-time on record: 17 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-30 | Post nurse staffing information every day. | F | complaint | corrected 2026-01-01 |
| 2025-08-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | complaint | corrected 2025-08-02 |
| 2025-08-01 | Provide safe, appropriate pain management for a resident who requires such services. | K | complaint | corrected 2025-08-02 |
| 2024-11-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-12-04 |
| 2024-11-04 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2024-12-04 |
| 2024-11-04 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-12-04 |
| 2024-08-15 | Keep residents' personal and medical records private and confidential. | E | Health | corrected 2024-09-14 |
| 2024-08-15 | 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. | E | Health | corrected 2024-09-14 |
| 2024-08-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-09-14 |
| 2024-08-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2024-09-14 |
| 2024-08-15 | Provide activities to meet all resident's needs. | E | Health | corrected 2024-09-14 |
| 2024-08-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-09-14 |
| 2024-08-15 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-09-14 |
| 2024-08-15 | Provide routine and 24-hour emergency dental care for each resident. | D | Health | corrected 2024-09-14 |
| 2024-04-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-05-03 |
| 2023-06-16 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2023-07-07 |
| 2023-06-16 | Provide activities to meet all resident's needs. | D | Health | corrected 2023-07-07 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-01 | Fine | $33,891 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2017 |
| CASTRO POU, GRACIELA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/27/2024 |
| TOCHTERMAN, JERRY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/21/2017 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2017 |
| GANN, KODY | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| WOOD BAYOU HEALTHCARE, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2017 |
| CASTRO POU, GRACIELA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/27/2024 |
| TOCHTERMAN, JERRY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/21/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675651. Corrections: data@carerecords.org.