Cypress Healthcare and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Cypress Healthcare and Rehabilitation Center is a 174-bed for-profit nursing home in San Marcos, Texas. In the CMS August 2026 release it reported 2.06 nurse aide hours per resident per day, 3% above the Texas average of 2.00, and 44.9% nursing staff turnover (Texas average 55.3%).
Cypress Healthcare and Rehabilitation Center
1351 SadlerSan Marcos, TX 78666
Hays County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Cypress Healthcare and Rehabilitation Center, nurse aides logged 2.06 hours per resident per day, 3% above the Texas average. With about 95 residents a day, that works out to roughly 195 aide hours a day, or about 24 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.06 | 2.00 | 2.32 |
| Licensed practical nurses | 0.83 | 0.95 | 0.86 |
| Registered nurses | 0.37 | 0.43 | 0.69 |
| All nursing staff | 3.26 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.94 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
44.9% of nursing staff at Cypress Healthcare and Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 55.6%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 12 health deficiencies (Texas average 9.3). CMS lists 3 fines totaling $221,139 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 2, 2024 | Fine | $179,563 |
| Jan 23, 2024 | Fine | $12,048 |
| Sep 29, 2023 | Fine | $29,528 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Cypress Healthcare and Rehabilitation Center holds 1 of 5 overall; the Texas average is 2.6.
About Cypress Healthcare and Rehabilitation Center
- Ownership: For profit - Individual
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Aug 3, 2009
- Councils: resident council
- Area: urban
Nursing homes near Cypress Healthcare and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Hays Nursing and Rehabilitation Center San Marcos | 0.6 | 116 | 1.85 | 3.27 | 37.9% | 3 | $8,226 |
| San Marcos Rehabilitation and Healthcare Center San Marcos | 2.4 | 129 | 1.90 | 2.98 | 48.8% | 1 | $33,891 |
| Legend Oaks Healthcare and Rehabilitation - New BR New Braunfels | 11.0 | 126 | 2.15 | 3.30 | 49.5% | 3 | None |
| Sundance Inn Health Center New Braunfels · abuse citation | 11.7 | 128 | 1.92 | 3.58 | 47.1% | 2 | $6,364 |
| Avir at New Braunfels New Braunfels · abuse citation | 11.8 | 154 | 2.15 | 3.36 | 73.7% | 1 | $163,819 |
| Legend Oaks Healthcare and Rehabilitation-Kyle Kyle | 12.5 | 126 | 2.06 | 3.38 | 38.1% | 3 | $8,407 |
| Deer Creek Nursing and Rehabilitation Wimberley | 13.3 | 122 | 1.59 | 2.69 | 56.1% | 1 | $75,581 |
| Eden Home New Braunfels | 13.7 | 122 | 2.43 | 3.98 | 38.8% | 3 | $45,130 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.