Mariella Senior Living Of Sage Spring
State licensed802 Leah Avenue, San Marcos, TX 78666
Assisted LivingMemory Care
Assisted livingState-licensed (Texas HHSC)24-hour personal care
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Prices not published
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Medicare-certifiedSkilled Nursing
Hays Nursing and Rehabilitation Center
San Marcos, TexasMedicare inspection record
About Hays Nursing and Rehabilitation Center
Hays Nursing and Rehabilitation Center brings personalized skilled nursing and rehabilitation care to San Marcos, Texas families. Our experienced team focuses on recovery, pain management, and helping residents regain independence through comprehensive medical support and therapeutic services tailored to individual needs.
Community at a glance
Capacity
116 residents
Location
San Marcos, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1900 MEDICAL PKWY, San Marcos, Texas 78666
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 March 5, 2026, state inspectors cited 6 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 Hays Nursing and Rehabilitation Center once in the last three years, $8,226 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 16 minutes |
| Registered nurse time per resident, per day | 28 minutesAbove the Texas average |
| Nursing staff who left in the past year | 38%Below the Texas average |
Inspections
25 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
March 5, 2026 · Standard inspection · 6 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 Mar 28, 2026Honor 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 Mar 20, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 22, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 27, 2026Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 28, 2026Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Mar 28, 2026
January 16, 2025 · Standard inspection · 6 citations
Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jan 23, 2025Honor 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 Jan 23, 2025Ensure 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 Jan 31, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jan 17, 2025Procure 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 few residents (level D)Nutrition and DietaryCorrected Jan 17, 2025Honor 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 few residents (level D)Resident RightsCorrected Jan 31, 2025
July 9, 2024 · Complaint investigation · 2 citations+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Jul 16, 2024Develop 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 PlanningFrom a complaintCorrected Jul 16, 2024
May 2, 2024 · Complaint investigation · 3 citations+
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 3, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 3, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 3, 2024
December 14, 2023 · Standard inspection · 7 citations+
Keep all essential equipment working safely.
Risk of harm, no one hurt, widespread (level F)EnvironmentalCorrected Jan 19, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 15, 2023Honor 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 Jan 5, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 18, 2024Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 11, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 18, 2024Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 21, 2023
November 20, 2023 · Complaint investigation · 1 citation+
Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Nov 27, 2023
Fines and payment denials
1 fine totaling $8,226 in the last three years.
- May 2, 2024Fine: $8,226
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Guadalupe County Hospital Board
- Medicare-certified beds
- 116
- Average residents per day
- 93
- Accepts
- Medicare and Medicaid
- First certified
- October 1, 1991
- Part of a chain
- The Ensign Group, 344 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 455960
Location
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1900 MEDICAL PKWYSan Marcos, TX 78666
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Senior living near San Marcos
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Cypress Healthcare and Rehabilitation Center
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Questions about Hays Nursing and Rehabilitation Center
How did Hays Nursing and Rehabilitation Center do on its last inspection?+
State inspectors visited on March 5, 2026 and cited 6 health deficiencies. The Texas average is 9.4.
How much nursing care does each resident get at Hays Nursing and Rehabilitation Center?+
Nurses and aides spend 3 hours 16 minutes with each resident per day, including 28 minutes from registered nurses. 38% of nursing staff left over the past year.
Has Hays Nursing and Rehabilitation Center been fined by Medicare?+
Yes. Medicare fined Hays Nursing and Rehabilitation Center once in the last three years, totaling $8,226.
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.