San Marcos Rehabilitation and Healthcare Center
1600 N I H 35, San Marcos, TX, 78666
Yes. Federal inspectors cited 3 deficiencies against San Marcos Rehabilitation and Healthcare Center in San Marcos, Texas at its most recent standard inspection on 2025-10-01, 3 of them arising from complaints. 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 $33,891. Medicare rates it 1 out of 5 overall.
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.
The last 17 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.
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2025-12-30 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-08-01 · from a complaint · Immediate jeopardy to resident health or safety
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2025-08-01 · from a complaint · Immediate jeopardy to resident health or safety
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-11-04 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2024-11-04 · from a complaint · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2024-11-04 · from a complaint · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2024-08-15 · 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 · 2024-08-15 · standard survey · 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 · 2024-08-15 · 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 · 2024-08-15 · 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 · 2024-08-15 · 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 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · F0790 · 2024-08-15 · 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 · 2024-04-15 · from a complaint · Actual harm to a resident
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2023-06-16 · 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 · 2023-06-16 · standard survey · No actual harm, potential for more than minimal harm
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.
What Medicare has fined this home
Who owns San Marcos Rehabilitation and Healthcare 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 04/01/2017 |
| CASTRO POU, GRACIELA | Individual | NOT APPLICABLE | since 12/27/2024 |
| TOCHTERMAN, JERRY | Individual | NOT APPLICABLE | since 08/21/2017 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 04/01/2017 |
| GANN, KODY | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 03/01/2011 |
| WOOD BAYOU HEALTHCARE, INC. | Organization | NOT APPLICABLE | since 04/01/2017 |
| CASTRO POU, GRACIELA | Individual | NOT APPLICABLE | since 12/27/2024 |
| TOCHTERMAN, JERRY | Individual | NOT APPLICABLE | since 08/21/2017 |
| CARETRUST GP LLC | Organization | NOT APPLICABLE | since 04/01/2017 |
| CARETRUST REIT INC | Organization | NOT APPLICABLE | since 04/01/2017 |
| CTR PARTNERSHIP LP | Organization | NOT APPLICABLE | since 04/01/2017 |
Part of the THE ENSIGN GROUP group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675651.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction