San Marcos Rehabilitation & Health Care

    1600 I 35 N Frontage Rd, San Marcos, TX 78666
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Request 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)

    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

    4.03·(106)

    Overall rating

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

      3.6
    • Staff

      4.0
    • Meals

      1.6
    • Amenities

      2.1
    • Value

      2.0

    Pros

    • Compassionate, attentive nursing and clinical staff
    • Person-centered admissions and after-hours intake assistance
    • Engaged and personable activities team
    • Wide variety of recreational programs and events
    • Onsite physical and occupational therapy services
    • Clean common areas and spotlessly maintained bathrooms
    • Pleasant facility scent and welcoming entry experience
    • Safe outdoor areas and walking paths
    • Family-like atmosphere and personalized attention
    • 24/7 clinical availability and knowledgeable medical staff
    • Meals provided three times daily with snacks
    • Accepts Medicaid
    • Friendly and helpful front-desk and admissions personnel
    • Dedicated memory-care unit with infection-control intake procedures
    • Visible sanitizer availability and infection-prevention practices
    • Therapy-focused staff praised for patient-centered rehabilitation

    Cons

    • Inconsistent staffing levels and nurse turnover
    • Gaps in family communication and care coordination
    • Sanitation and odor concerns in some common areas and hallways
    • Inconsistent assistance with activities of daily living
    • Variable food quality and occasional inadequate meal portions
    • Aging physical plant and ADA/accessibility deficiencies
    • Transportation and appointment coordination delays
    • Weaknesses in safety procedures and resident supervision
    • Overcrowding and parking/traffic capacity constraints
    • Inconsistent medication and pain-management continuity
    • Front-line administrative responsiveness and availability gaps
    • Allegations of financial misconduct and mishandling of belongings

    Summary of reviews

    San Marcos Rehabilitation & Health Care elicits strongly polarized impressions. Many families and visitors praise the staff — nurses, therapists, admissions personnel and activity staff — for compassionate, person-centered care, strong clinical knowledge, and a welcoming, family-like atmosphere. The facility offers a broad range of activities (bingo, balloon volleyball, prize carts, holiday events), onsite therapy and rehabilitation services, safe outdoor space, and infection-control procedures for memory-care admissions. Multiple comments highlight clean common areas and bathrooms, visible sanitation supplies, and a pleasant entry experience.

    At the same time, reviews describe persistent operational weaknesses that affect reliability of day-to-day care. Staffing instability and nurse turnover are recurring themes tied to inconsistent responsiveness, scheduling gaps, and variability in assistance with activities of daily living such as bathing, oral care, and incontinence support. Several accounts raise concerns about coordination of care across shifts and with external providers, including transportation delays to appointments and missed follow-up. Communication lapses between staff and families — delayed responses, unavailable administrators, and unclear incident explanations — are also commonly referenced.

    Dining and facility-condition comments are mixed. Some families express satisfaction with meals and nutrition, while others describe inconsistent food quality and occasional inadequate portions. The physical plant is frequently characterized as older and in need of modernization; reviewers note accessibility issues, ADA noncompliance in some bathrooms, worn common areas, and parking-lot problems. Cleanliness assessments vary by area — with specific praise for spotless bathrooms and sanitizer availability alongside reports of sanitation and odor concerns in certain hallways and rooms.

    Safety, clinical incident response, and administrative oversight are important patterns to note. A subset of reviews describe serious adverse events and concerns about how the facility responded and communicated with families; those accounts indicate gaps in incident management, timeliness of clinical intervention, and family notification. There are also isolated but serious allegations regarding handling of resident belongings and finances. Conversely, other reviewers describe excellent clinical leadership, attentive after-hours admissions support, and staff who go beyond expectations to meet resident needs.

    Overall, San Marcos appears to provide strong clinical and rehabilitative capabilities with a caring staff and active engagement programming, but prospective residents and families should be attentive to operational variability. When evaluating the facility in person, consider asking about staffing ratios and turnover, ADL and incontinence-care protocols, medication and pain-management continuity, transportation procedures, sanitation audits, ADA accessibility, and the facility’s incident-response and family-communication policies. These targeted questions can help reconcile the facility’s clear strengths in care and therapy with the operational issues noted by some families.

    Reviews written on Mirador

    We have no reviews to show about San Marcos Rehabilitation & Health Care.

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

    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

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

    Location

    San Marcos Rehabilitation & Health Care is located at 1600 I 35 N Frontage Rd, San Marcos, TX, 78666.

    About San Marcos Rehabilitation & Health Care

    San Marcos Rehabilitation & Health Care sits in San Marcos, Texas, right along Interstate 35, just north of Aquarena Springs Drive, and it's part of the Ensign Services network of care communities. This large facility has 129 beds, offering both private and semi-private rooms, and the rooms tend to be bigger than what you'll find in most places, so people have plenty of space for their things. There's skilled nursing, long-term care, short-term rehabilitation, and memory care services, and they also help folks with assisted living when that's needed. People coming here can get a lot of specialized help, like in-house therapy with both physical and occupational options, all done with up-to-date methods and equipment, along with hands-on care to help folks heal up or get stronger. The facility keeps electronic records of calls and patient questions, so it helps them stay organized and responsive when family members want to check in.

    You see, life here feels more like being in a big house, since there's a spacious living room with a fireplace, big front porch, a community room for family parties and gatherings, and a large outdoor patio with a gazebo so people can get some sun or just sit outside. If you walk the grounds, you'll see things are well-kept, the grass is well-trimmed, and there's a big yard where they might hold organized outings or activities. For daily life, residents have access to organized games, a movie and library room, activity programs, thematic or upgraded dining rooms, and private spaces for folks who want to sit and talk with visitors or friends. There's also respite care, hospice care, adult day care, and even home care services available through the facility.

    San Marcos Rehabilitation & Health Care is a skilled nursing facility known as a nursing home and memory care unit, and it accepts Medicare and all major insurances. Meals are nutritious and menus offer some variety while aiming to please most folks, and the staff handles laundry and housekeeping, so residents have less to worry about. People use this place for long stays, short-term rehabilitation, or specialized medical needs, with staff and a long-term care ombudsman available to help work out issues or advocate for residents' rights. The facility scored a 2-star rating from the Centers for Medicare & Medicaid Services and holds an average of 3.7 out of 5 stars on public reviews, with an overall rating of 5.5 out of 10. While it doesn't claim to be perfect, it does offer a wide range of healthcare and support services in a setting that's been described as more comfortable and roomy than many other options around Hays County.

    People often ask...

    San Marcos Rehabilitation & Health Care offers assisted living, memory care, and skilled nursing.

    There are 5 photos of San Marcos Rehabilitation & Health Care on Mirador.

    The full address for this community is 1600 I 35 N Frontage Rd, San Marcos, TX 78666.

    No, San Marcos Rehabilitation & Health Care 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 number001cv00000RqHgOAAV
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity129 residents
    LicenseeGUADALUPE COUNTY HOSPITAL BOARD
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    2

    Reports

    10

    Citations

    0

    Complaints

    0

    Years

    15 Oct 2026Inspection
    Cited deficiencies in medication provision and safety, resident supervision and assistive devices, and sourcing of food.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    27 May 2026Life Safety
    Found deficiencies related to fire drills, gas heating equipment checks, and emergency preparedness planning. The issues reflected failures to meet required drill frequency and missing plan sections.
    • —Life Safety Code
    • —Life Safety Code
    • —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 San Marcos Rehabilitation & Health Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact San Marcos Rehabilitation & Health Care directly. There is no cost for this service. We are compensated by the community you select.

    Are you an owner or operator of San Marcos Rehabilitation & Health Care?

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

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 10 facilities$4,198/mo
    2. 7 facilities$3,997/mo
    3. 19 facilities$5,408/mo
    4. 12 facilities$5,039/mo
    5. 9 facilities$5,039/mo
    6. 4 facilities$3,954/mo
    7. 20 facilities$6,158/mo
    8. 2 facilities
    9. 8 facilities$4,636/mo
    10. 36 facilities$6,313/mo
    11. 10 facilities
    12. 8 facilities$4,636/mo
    © 2026 Mirador Living