Rehab Without Walls Neuro Rehabilitation
State licensed618 W Hutchison, San Marcos, TX 78666
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
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Prices not published
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Medicare-certifiedSkilled Nursing
San Marcos Rehabilitation and Healthcare Center
San Marcos, TexasMedicare inspection record
About San Marcos Rehabilitation and Healthcare Center
San Marcos Rehabilitation and Healthcare Center provides skilled nursing and rehabilitation care designed for recovery and restoration. Our Texas team focuses on personalized medical support, therapeutic services, and compassionate daily care that helps residents regain strength and independence.
Community at a glance
Capacity
129 residents
Location
San Marcos, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1600 N I H 35, 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 October 1, 2025, state inspectors cited 1 health deficiency (the Texas average is 9.4).
Nurses and nurse aides spend 2 hours 59 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined San Marcos Rehabilitation and Healthcare Center once in the last three years, $33,891 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 59 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 39 minutesAbove the Texas average |
| Nursing staff who left in the past year | 49%Below the Texas average |
Inspections
15 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
December 30, 2025 · Complaint investigation · 1 citation
Post nurse staffing information every day.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Jan 1, 2026
August 1, 2025 · Complaint investigation · 2 citations
Provide safe, appropriate pain management for a resident who requires such services.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Aug 2, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Aug 2, 2025
November 4, 2024 · Complaint investigation · 3 citations+
Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Dec 4, 2024Provide 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 ServiceFrom a complaintCorrected Dec 4, 2024Immediately 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 few residents (level D)Resident RightsFrom a complaintCorrected Dec 4, 2024
August 15, 2024 · Standard inspection · 8 citations+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Sep 14, 2024Honor 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 Sep 14, 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 pattern (level E)Resident Assessment and Care PlanningCorrected Sep 14, 2024Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Sep 14, 2024Provide 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 Sep 14, 2024Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Sep 14, 2024Procure 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 Sep 14, 2024Provide routine and 24-hour emergency dental care for each resident.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 14, 2024
April 15, 2024 · Complaint investigation · 1 citation+
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 complaintCorrected May 3, 2024
Fines and payment denials
1 fine totaling $33,891 in the last three years.
- August 1, 2025Fine: $33,891
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Guadalupe County Hospital Board
- Medicare-certified beds
- 129
- Average residents per day
- 105
- Accepts
- Medicare and Medicaid
- First certified
- February 1, 1997
- 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
- 675651
Location
1600 N I H 35San Marcos, TX 78666
Senior living near San Marcos
Brookdale San Marcos North
State licensed1720 Old Ranch Rd 12, San Marcos, TX 78666
Assisted LivingMemory Care
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
Cypress Healthcare and Rehabilitation Center
Medicare-certified1351 Sadler, San Marcos, TX 78666
Skilled Nursing
Medicare & Medicaid certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
Call for pricing
Prices not published
Questions about San Marcos Rehabilitation and Healthcare Center
How did San Marcos Rehabilitation and Healthcare Center do on its last inspection?+
State inspectors visited on October 1, 2025 and cited 1 health deficiency, 1 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at San Marcos Rehabilitation and Healthcare Center?+
Nurses and aides spend 2 hours 59 minutes with each resident per day, including 39 minutes from registered nurses. 49% of nursing staff left over the past year.
Has San Marcos Rehabilitation and Healthcare Center been fined by Medicare?+
Yes. Medicare fined San Marcos Rehabilitation and Healthcare Center once in the last three years, totaling $33,891.
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.