Hays Nursing and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Hays Nursing and Rehabilitation Center is a 116-bed for-profit nursing home in San Marcos, Texas, part of The Ensign Group. In the CMS August 2026 release it reported 1.85 nurse aide hours per resident per day, 7% below the Texas average of 2.00, and 37.9% nursing staff turnover (Texas average 55.3%).
Hays Nursing and Rehabilitation Center
1900 Medical ParkwaySan 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 Hays Nursing and Rehabilitation Center, nurse aides logged 1.85 hours per resident per day, 7% below the Texas average. With about 93 residents a day, that works out to roughly 171 aide hours a day, or about 21 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 17% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.85 | 2.00 | 2.32 |
| Licensed practical nurses | 0.96 | 0.95 | 0.86 |
| Registered nurses | 0.46 | 0.43 | 0.69 |
| All nursing staff | 3.27 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.72 | 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
37.9% of nursing staff at Hays Nursing 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 22.2%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 5, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $8,226 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 2, 2024 | Fine | $8,226 |
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. Hays Nursing and Rehabilitation Center holds 3 of 5 overall; the Texas average is 2.6.
About Hays Nursing and Rehabilitation Center
- Ownership: For profit - Corporation
- Chain: The Ensign Group, 342 homes
- Legal name: Guadalupe County Hospital Board
- Medicare and Medicaid certified since: Oct 1, 1991
- Councils: resident council
- Area: urban
Nursing homes near Hays Nursing and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Cypress Healthcare and Rehabilitation Center San Marcos | 0.6 | 174 | 2.06 | 3.26 | 44.9% | 1 | $221,139 |
| San Marcos Rehabilitation and Healthcare Center San Marcos | 1.9 | 129 | 1.90 | 2.98 | 48.8% | 1 | $33,891 |
| Legend Oaks Healthcare and Rehabilitation - New BR New Braunfels | 11.6 | 126 | 2.15 | 3.30 | 49.5% | 3 | None |
| Legend Oaks Healthcare and Rehabilitation-Kyle Kyle | 12.0 | 126 | 2.06 | 3.38 | 38.1% | 3 | $8,407 |
| Sundance Inn Health Center New Braunfels · abuse citation | 12.2 | 128 | 1.92 | 3.58 | 47.1% | 2 | $6,364 |
| Avir at New Braunfels New Braunfels · abuse citation | 12.4 | 154 | 2.15 | 3.36 | 73.7% | 1 | $163,819 |
| Deer Creek Nursing and Rehabilitation Wimberley | 13.1 | 122 | 1.59 | 2.69 | 56.1% | 1 | $75,581 |
| Eden Home New Braunfels | 14.3 | 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.