Cypress Healthcare and Rehabilitation Center
San Marcos · 0.5 mi · 174 beds
Citations0Substantiated0
Hays Nursing and Rehabilitation Center
1900 MEDICAL PKWY, San Marcos, TX, 78666
Nursing home116 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 6 deficiencies against Hays Nursing and Rehabilitation Center in San Marcos, Texas at its most recent standard inspection on 2026-03-05. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $8,226. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
116certified beds
6deficiencies at the last inspection
2immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $8,226
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.24
Potential for minimal harmThe least serious band.0
Most recentEEEEEDEEEEDDEDJJDFEE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2026-03-05 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2026-03-05 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2026-03-05 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-03-05 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-03-05 · standard survey · No actual harm, potential for more than minimal harm
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · F0810 · 2026-03-05 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-01-16 · standard survey · No actual harm, potential for more than minimal harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · F0679 · 2025-01-16 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2025-01-16 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2025-01-16 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2025-01-16 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-01-16 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-07-09 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2024-07-09 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-05-02 · from a complaint · Immediate jeopardy to resident health or safety
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2024-05-02 · from a complaint · Immediate jeopardy to resident health or safety
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-05-02 · from a complaint · No actual harm, potential for more than minimal harm
Keep all essential equipment working safely.
Environmental Deficiencies · F0908 · 2023-12-14 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2023-12-14 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2023-12-14 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.27031
Nursing staff turnoverShare of nursing staff who left in a year37.9%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$8,226
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Hays Nursing and Rehabilitation Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 100% | since 12/01/2020 |
| CHUDLEIGH, JAMES | Individual | NOT APPLICABLE | since 02/01/2024 |
| PHELPS, NELSON | Individual | NOT APPLICABLE | since 12/01/2020 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 12/01/2020 |
| GANN, KODY | Individual | NOT APPLICABLE | since 04/03/2021 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 03/01/2011 |
| WILLOW SPRINGS CREEK HEALTHCARE, INC. | Organization | NOT APPLICABLE | since 12/01/2020 |
| CHUDLEIGH, JAMES | Individual | NOT APPLICABLE | since 02/01/2024 |
| PHELPS, NELSON | Individual | NOT APPLICABLE | since 12/01/2020 |
| ENSIGN SERVICES INC | Organization | NOT APPLICABLE | since 10/13/2020 |
| SAN MARCOS TX PROPCO LLC | Organization | NOT APPLICABLE | since 12/01/2020 |
| WILLOW SPRINGS CREEK HEALTHCARE, INC. | Organization | NOT APPLICABLE | since 11/25/2025 |
Part of the THE ENSIGN GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Hays Nursing and Rehabilitation Center a question
This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.
Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 455960.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction