Hays Nursing and Rehabilitation Center

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

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    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

    4.67·(98)

    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, respectful nursing and caregiving staff
    • Attentive response to call lights and resident needs
    • Strong physical, occupational, and speech therapy services
    • Positive rehabilitation progress and support for transitions home
    • Helpful care coordination and family communication
    • Welcoming staff and involved facility leadership
    • Regular activities, events, and opportunities for resident engagement
    • Clean, bright, and remodeled common areas and resident rooms
    • Comfortable community atmosphere and positive resident interactions
    • Favorable dining experiences noted by some families and residents

    Cons

    • Inconsistent meal temperature and dining quality
    • Uneven nursing responsiveness and clinical communication

    Summary of reviews

    Feedback about Hays Nursing and Rehabilitation Center is predominantly positive, particularly regarding staff kindness, rehabilitation services, and the welcoming atmosphere. Families describe nurses and aides as attentive and respectful, and several note prompt call-light responses and helpful communication. At the same time, a few accounts raise concerns about nursing responsiveness and the clinical guidance provided, indicating that experiences may vary. Families considering the facility may wish to ask how clinical concerns are escalated and how changes in a resident’s condition are communicated.

    Rehabilitation is a consistent strength in the reviews. Families describe physical, occupational, and speech therapy as helpful, with some reporting substantial progress after illness or hospitalization and successful transitions home. Staff are also praised for supporting family involvement and coordinating transitions into the facility. One family, however, described a difficult admissions process with delayed decisions and unclear communication; other accounts describe admissions staff as supportive and informative.

    Dining feedback is mixed. Some residents and families speak positively about the food, while others describe meals arriving cold or express dissatisfaction with meal quality. This suggests that the dining experience may not be consistent. Activities are frequently described as a positive feature, including bingo, movies, holiday events, and group celebrations. One visitor did not observe much resident interaction during a visit, though they noted that timing could have affected what they saw.

    The facility is often described as clean, bright, welcoming, and recently remodeled, with comfortable rooms and attractive common areas. Some visitors also characterize the building as older, and one raised a concern about odor and upkeep in a visitor bathroom. Overall, positive comments come from families, visitors, volunteers, and hospice or healthcare partners, while the less favorable feedback focuses mainly on meal consistency and concerns about nursing communication or responsiveness. These contrasting accounts make it useful for prospective families to visit, ask about current staffing and clinical communication practices, and observe meals and activities firsthand.

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    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

    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.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RsTyKAAV
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity116 residents
    LicenseeGUADALUPE COUNTY HOSPITAL BOARD
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    1

    Reports

    10

    Citations

    0

    Complaints

    0

    Years

    05 Mar 2026Inspection
    Found deficiencies in resident care, infection control, safety, and daily operations. The deficiencies affected resident well-being and safe operation.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code

    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.

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