Hays Nursing and Rehabilitation Center

    1900 Medical Pkwy, San Marcos, TX 78666
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate staff and excellent rehab

    I visited my grandma and was very pleased - easy check-in, friendly, attentive and compassionate staff, excellent rehab therapists, bright renovated spaces, and good meals. Communication was responsive and I felt my loved one was well cared for; I would recommend and return.

    Loved one of resident
    Jul 2026

    Schedule a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.66·(93)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.7
    • Staff

      4.7
    • Meals

      3.4
    • Amenities

      4.9
    • Value

      4.7

    Pros

    • Compassionate, attentive caregiving staff
    • Skilled CNAs and licensed nursing team
    • Strong physical and occupational therapy program
    • Patient-centered rehabilitation outcomes
    • Clean, well‑maintained interior and bright common areas
    • Engaging activities and seasonal programming
    • Welcoming admissions and front‑desk assistance
    • Responsive nurse‑call system
    • Partnerships with hospice providers
    • Comfortable communal spaces (TVs, skylights, decor)

    Cons

    • Inconsistent food‑service quality and meal temperature
    • Variable admissions and customer‑service interactions
    • Intermittent housekeeping and sanitation gaps
    • Occasional lapses in staff responsiveness and conduct
    • Aging physical plant with ongoing renovations
    • Rehabilitation intensity that some families perceive as pressuring
    • Operational and staffing issues in the kitchen

    Summary of reviews

    Overall impression Hays Nursing and Rehabilitation Center receives frequent praise for its caregiving staff and rehabilitation services. Reviewers commonly describe staff as compassionate, attentive, and professional; CNAs, RNs, and therapists are repeatedly highlighted for clinical skill and positive resident outcomes. The therapy program is a standout feature — families note measurable recovery after strokes or surgeries and describe the therapy department as robust and well‑staffed.

    Care quality and staffing Clinical care quality is generally described as strong, with specific compliments to nursing leadership, coherent team oversight, and effective therapy plans. Many families expressed that staff provided peace of mind and close attention to progress. That said, there are intermittent concerns about staff conduct and responsiveness: some accounts describe delays in attending to residents or less respectful interactions. There is at least one allegation of an unresponsive care event that families felt warranted further investigation; prospective families should clarify current staffing ratios, response protocols, and recent corrective actions during a visit.

    Dining and kitchen operations A recurrent operational weakness concerns food service. Multiple reviewers praise the appearance and variety of meals, yet meal temperature and consistency are commonly cited problems — several reviews describe cold meals or kitchen interruptions. These comments point to process or staffing issues in the dining/kitchen operation rather than the menu itself. Prospective visitors may wish to observe a mealtime and ask about kitchen staffing, meal‑delivery routines, and recent improvements tied to the ongoing remodel.

    Facilities, cleanliness, and activities The facility is described as an older building undergoing renovation; many reviewers note bright, pleasant common areas, skylights, and attractive seasonal decorations. Activities and communal programming receive positive mentions — residents enjoy movie time, holiday events, and group activities. Cleanliness impressions are mixed: many families find the environment clean and well‑kept, while others note isolated housekeeping or sanitation gaps (for example restroom maintenance or odor concerns). These observations suggest variability in housekeeping coverage that may correlate with staffing or scheduling.

    Management and admissions Leadership and clinical oversight earn positive comments for cohesion and partnership with outside providers (including hospice). However, admissions and front‑desk experiences are inconsistent: some reviewers describe welcoming, efficient intake, while others report poor customer service and slow or confusing admissions interactions. These differences indicate variability in the admissions experience across shifts or personnel. Communication is often good, but families should verify how the facility communicates care plans, therapy goals, and incident follow‑up.

    Notable patterns and guidance for families Two clear patterns emerge: (1) consistently strong rehabilitation and bedside caregiving in many cases, and (2) recurrent operational issues related to dining, intermittent housekeeping, and variable customer‑service responsiveness. For prospective residents and families, a prompted tour should include observing a mealtime, reviewing current staffing levels and response times, meeting therapy staff to discuss individualized goals, and asking management about recent corrective actions related to housekeeping and kitchen operations. Overall, Hays offers clinically strong rehabilitation and many families recommend it, but attention to the operational areas above may be warranted depending on individual priorities.

    Reviews written on Mirador

    We have no reviews to show about Hays Nursing and Rehabilitation Center.

    Help other families by writing a review about your experience with this community.

    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Hays Nursing and Rehabilitation Center

    Hays Nursing and Rehabilitation Center is located at 1900 Medical Pkwy, San Marcos, TX, 78666.

    About Hays Nursing and Rehabilitation Center

    Hays Nursing and Rehabilitation Center sits over at 1900 Medical Parkway in San Marcos, TX, within the Mockingbird Hills neighborhood, and it's a place where seniors needing extra help can receive care and support whether they're just coming out of the hospital, need a long-term stay, or need daily help. The center provides short-term and long-term skilled nursing along with both assisted and independent living, memory care, rehabilitation services including physical, occupational, and speech therapies, and wound care. Hays Nursing and Rehabilitation Center is for-profit and brings in experts such as licensed professional counselors and a full therapy team, and it provides skilled nursing, activities of daily living assistance, non-ambulatory services, medication management, bathing, dressing, transfers, and 24-hour supervision.

    The center stands out with the only memory care unit in San Marcos and a dedicated Alzheimer's disease care wing for residents needing specialized support. Residents get private bathrooms, cable TV, kitchenettes, air conditioning, and Wi-Fi in their rooms along with other amenities like a business room, fitness space, library, movie theater, activity and arts rooms, and various outdoor programs. There are also meal prep and service by a professional chef, help with special diets, community activities like music, cooking classes, bingo, outings to local restaurants, and plenty of organized events for socialization and engagement.

    Folks moving in can use move-in coordination and the building has garage and parking options, with accessible hallways and a courtyard patio. Residents can take part in both emergency alert and 24-hour call systems for extra safety, and some rooms are furnished. The center works with Medicaid and Medicare and doesn't participate as a Continuing Care Retirement Community. Staff collaborate closely with families and outside healthcare providers to build treatment and care plans that fit each resident, and there are organized resident and family councils to help address concerns about care. Hays Nursing and Rehabilitation Center offers a state-of-the-art building, a long-term care ombudsman for any complaints, and tries to combine advanced therapies with a caring atmosphere, drawing on a tradition tied to the Seventh-day Adventist Christian healthcare mission.

    The center isn't listed for sale or rent and as of June 2025, has 22 of 116 certified beds available. It's rated 4.0 out of 5 by 15 reviews. No one facility can fit everyone, but those needing specialized care, memory support, or help after medical stays might find Hays Nursing and Rehabilitation Center suitable, as it's staffed and designed to assist with a wide range of daily, health, and social needs.

    People often ask...

    Hays Nursing and Rehabilitation Center offers assisted living, memory care, and skilled nursing.

    The full address for this community is 1900 Medical Pkwy, San Marcos, TX 78666.

    No, Hays Nursing and Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Hays Nursing and Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Hays Nursing and Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

    Are you an owner or operator of this community?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 17 facilities$5,408/mo
    2. 7 facilities$4,198/mo
    3. 5 facilities$3,997/mo
    4. 4 facilities$3,954/mo
    5. 12 facilities$5,039/mo
    6. 9 facilities$5,039/mo
    7. 8 facilities$4,636/mo
    8. 4 facilities$3,939/mo
    9. 20 facilities$6,158/mo
    10. 30 facilities$4,776/mo
    11. 28 facilities$4,651/mo
    12. 8 facilities$4,636/mo
    © 2026 Mirador Living