San Marcos Rehabilitation & Health Care

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

    Compassionate attentive staff, excellent care

    I'm very satisfied with the care my father receives - compassionate, attentive staff who know residents by name and go above and beyond. The facility is clean, welcoming, offers helpful therapy and activities, and made the transition smooth; I feel he's in good hands and would highly recommend it.

    Loved one of resident
    Jul 2026

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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)

    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·(105)

    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
    • Responsive and personable admissions team
    • Strong clinical leadership and knowledgeable medical providers
    • Engaging activities program (bingo, balloon volleyball, prize cart)
    • On-site therapy and rehabilitation services
    • Clean and pleasant-smelling common areas
    • Safe, usable outdoor spaces
    • 24/7 reliable care availability
    • Personalized care plans and family-centered attention
    • Multilingual staff and Spanish-language support
    • After-hours admission assistance
    • Regular meal service (three meals plus snacks)
    • Warm, family-like atmosphere
    • Friendly front-desk greetings and concierge-style reception

    Cons

    • Inconsistent staffing and nurse turnover
    • Gaps in family-staff-administration communication
    • Sanitation and odor concerns in some areas
    • Incontinence-care delays and inconsistent hygiene assistance
    • Medication-management inconsistencies
    • Variable food quality and inadequate portioning
    • Unreliable transportation and appointment coordination
    • Aging physical plant with limited ADA accessibility
    • Resident safety and supervision weaknesses
    • Front-desk and administrative professionalism issues
    • Overcrowding and parking-management problems
    • Allegations of financial misconduct and police involvement
    • Gaps in clinical-incident response and family notification

    Summary of reviews

    Overall impression: Reviews present a mixed picture. Many families praise the staff’s compassion, clinical knowledge, and willingness to provide personalized, family-centered care; admissions and front-line clinicians are frequently described as helpful and personable. The facility offers on-site therapy and rehabilitation, a variety of activities (bingo, balloon volleyball, prize cart), safe outdoor spaces, and around-the-clock care coverage. Several reviewers emphasized a warm, family-like atmosphere and cleanliness in many common areas.

    Care and staff: Clinical leadership, therapists, and some nurses receive consistent positive mentions for attentive, knowledgeable care and good care-plan communication. At the same time, reviewers describe staffing variability and nurse turnover that appear to affect day-to-day consistency. Specific operational weaknesses attributed to staffing include missed bathing or oral-care schedules, inconsistent assistance with toileting/incontinence needs, and variable responsiveness to family requests. A small number of accounts raise significant concerns about the facility’s handling of acute clinical events; these are framed here as gaps in clinical-incident response and family notification rather than definitive causation.

    Dining, activities, and therapies: The facility provides three meals per day plus snacks and a range of recreational options; some families say residents enjoy activities and therapy sessions. However, food quality and portioning are described as inconsistent—examples range from positive reports to comments about inadequate or unappealing meals. Activities staffing and engagement are generally a strength but appear uneven at times when overall staffing is stretched.

    Facilities and operations: The building is described as an older, less modernized structure with some ADA accessibility limitations and maintenance issues (parking condition, run-down areas). Cleanliness and a pleasant smell are often reported in many areas, but multiple reviewers cite sanitation and odor concerns in specific corridors or rooms, suggesting inconsistent environmental maintenance. Security and supervision practices are another recurring theme; some reviewers note lapses in resident monitoring and facility access controls.

    Management, communication, and logistics: Communication and administrative responsiveness are prominent concerns. Families report inconsistent follow-through on appointment transportation, delayed transfers, and difficulty reaching administrators or social-work support. Front-desk professionalism and phone responsiveness are uneven across accounts. There are also serious, isolated claims—described by families as allegations—relating to financial misconduct and police involvement; these instances contribute to heightened concern about management oversight and transparency.

    Notable patterns and considerations: Prospective families should weigh the facility’s strong clinical and therapy resources and the many positive staff interactions against operational inconsistencies tied to staffing, communication, and the aging physical plant. If considering admission, ask targeted questions about current staffing ratios, incident-response protocols, transportation procedures, medication-administration safeguards, and recent corrective actions related to sanitation and accessibility. Visiting the unit at different times of day and speaking directly with the clinical leadership and activities director can help clarify how the facility’s strengths are sustained and how the noted weaknesses are being addressed.

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    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

    Map showing location of San Marcos Rehabilitation & Health Care

    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 4 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.

    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.

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