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Medicare-certifiedSkilled Nursing

Cypress Healthcare and Rehabilitation Center

(512) 805-5000

About Cypress Healthcare and Rehabilitation Center

Cypress Healthcare and Rehabilitation Center brings skilled nursing and rehabilitation services to San Marcos, Texas families navigating recovery and complex medical needs. Our experienced team focuses on personalized care plans that support each resident's path to healing and independence.

Community at a glance

Capacity

174 residents

Location

San Marcos, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

1351 Sadler, San Marcos, Texas 78666

(512) 805-5000

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on June 25, 2026, state inspectors cited 9 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 16 minutes with each resident a day, about the same as the Texas average.

Medicare fined Cypress Healthcare and Rehabilitation Center 2 times in the last three years, $191,611 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 16 minutes
Registered nurse time per resident, per day22 minutesBelow the Texas average
Nursing staff who left in the past year45%Below the Texas average

Inspections

44 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 25, 2026 · Standard inspection · 7 citations

  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 26, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 18, 2026
  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jun 26, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 26, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 26, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 26, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 26, 2026

December 6, 2025 · Complaint investigation · 1 citation

  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 26, 2025
November 25, 2025 · Complaint investigation · 1 citation+
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 18, 2025
June 19, 2025 · Complaint investigation · 1 citation+
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 20, 2025
April 17, 2025 · Standard inspection · 10 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 18, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Apr 23, 2025
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 18, 2025
  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 18, 2025
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 18, 2025
  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 18, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Apr 23, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 18, 2025
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 18, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 18, 2025
April 17, 2025 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected May 7, 2025
October 22, 2024 · Complaint investigation · 2 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Dec 6, 2024
  • Give the resident's representative the ability to exercise the resident's rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Nov 15, 2024
September 20, 2024 · Complaint investigation · 2 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Nov 4, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Nov 4, 2024
August 2, 2024 · Complaint investigation · 4 citations+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 6, 2024
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 6, 2024
  • Respond appropriately to all alleged violations.

    Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 6, 2024
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 6, 2024
March 22, 2024 · Standard inspection · 13 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 21, 2024
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 21, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 21, 2024
  • Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 21, 2024
  • Ensure the activities program is directed by a qualified professional.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 21, 2024
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Apr 21, 2024
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 21, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 21, 2024
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 21, 2024
  • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 21, 2024
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 21, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 21, 2024
  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 21, 2024
January 23, 2024 · Complaint investigation · 2 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by Jan 11, 2024
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 22, 2024

Fines and payment denials

2 fines totaling $191,611 in the last three years.

  • August 2, 2024Fine: $179,563
  • January 23, 2024Fine: $12,048

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
West Wharton County Hospital District
Medicare-certified beds
174
Average residents per day
95
Accepts
Medicare and Medicaid
First certified
August 3, 2009
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
676226

Location

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1351 SadlerSan Marcos, TX 78666

12 other communities within 10 miles

Senior living near San Marcos

Questions about Cypress Healthcare and Rehabilitation Center

How did Cypress Healthcare and Rehabilitation Center do on its last inspection?+

State inspectors visited on June 25, 2026 and cited 9 health deficiencies, 2 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Cypress Healthcare and Rehabilitation Center?+

Nurses and aides spend 3 hours 16 minutes with each resident per day, including 22 minutes from registered nurses. 45% of nursing staff left over the past year.

Has Cypress Healthcare and Rehabilitation Center been fined by Medicare?+

Yes. Medicare fined Cypress Healthcare and Rehabilitation Center 2 times in the last three years, totaling $191,611.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in San Marcos Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026