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Cypress Healthcare And Rehabilitation Center

1351 Sadler, San Marcos, TX 786665128055000Ownership: For profit - IndividualCertified beds: 174Avg. daily residents: 94County: Hays

The complete public record on Cypress Healthcare And Rehabilitation Center, a Medicare & Medicaid–certified nursing home in San Marcos, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Cypress Healthcare And Rehabilitation Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Federal regulators have fined this facility $221,139 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.26 total nurse staff hours per resident per day
about the state average (3.39)
0.37 RN hours per resident per day
below the state average (0.43)
2.94 weekend nurse staff hours per resident per day
44.9% total nursing staff turnover
below the state average (55.3)
55.6% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

April 17, 2025 most recent standard health inspection
12 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
29 health deficiencies in the two prior cycles combined
$221,139 in federal fines across 3 penalties (last 3 years)
above the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

41 citations on record across recent inspections, 9 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
December 6, 20250583Keep residents' personal and medical records private and confidential. ComplaintD · Potential for more than minimal harm
November 25, 20250550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. ComplaintD · Potential for more than minimal harm
June 19, 20250580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the… ComplaintE · Potential for more than minimal harm
April 17, 20250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…F · Potential for more than minimal harm
April 17, 20250550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E · Potential for more than minimal harm
April 17, 20250565Honor the resident's right to organize and participate in resident/family groups in the facility.E · Potential for more than minimal harm
April 17, 20250583Keep residents' personal and medical records private and confidential.E · Potential for more than minimal harm
April 17, 20250755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E · Potential for more than minimal harm
April 17, 20250761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm
April 17, 20250803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician,…E · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.