Deficiency Index

Cypress Healthcare and Rehabilitation Center

San Marcos, Texas · CCN 676226

33 surveys since 2010, 18 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
148
Surveys
33
Harm or worse
18
Immediate jeopardy
13
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy13

Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file21/33

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
174
Ownership
For profit - Corporation
Chain
Independent
County
Hays
Medicare-certified since
2009

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

Jun 25, 2026

137 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.263.26
Registered-nurse hours per resident day0.37—
Annual nurse turnover44.9%55.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$221,139 across 3 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ48.3%K48.3%L—
Actual harmG12.1%H—I—
No harm, potential for more than minimalD1735.4%E2143.8%F12.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 48 of the 148 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5833×

    Keep residents' personal and medical records private and confidential.

  • F5843×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6773×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6893×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

In the surveyor’s words

From the most serious findings on record at Cypress Healthcare and Rehabilitation Center, in the surveyor’s own words.

  • Immediate jeopardy, patternF600Aug 2, 2024

    Based on interview and record review, the facility failed to ensure the residents had the right to be free from abuse for one (Resident #1) of four residents reviewed for abuse. The facility failed to protect Resident #1 from physical and emotional abuse when CNA A forcefully dragged her to the shower room and sprayed her while still wearing her clothes while she was screaming and crying in June of 2024. The DON was notified and failed to take any action to protect Resident #1 from further abuse as CNA A continued to work at the facility and with Resident #1 and continued to emotionally abuse her. CNAs B and C did not intervene during the incident. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 07/30/24 at 3:01 PM. […]

  • Immediate jeopardy, patternF607Aug 2, 2024

    Based on interview and record review, the facility failed to implement their written policies and procedures regarding prohibiting and preventing abuse for one (Resident #1) of four residents reviewed for developing and implementing abuse and neglect policies. The facility failed to implement the facility abuse policy when they failed to protect Resident #1 from physical and emotional abuse when CNA A forcefully dragged her to the shower room and sprayed her while still wearing her clothes while she was screaming and crying in June of 2024. The DON was notified and failed to take any action to protect Resident #1 from further abuse as CNA A continued to work at the facility and with Resident #1 and continued to emotionally abuse her. […]

  • Immediate jeopardy, patternF609Aug 2, 2024

    Based on interview and record review, the facility failed to ensure all alleged violations involving abuse or neglect were reported to the facility Administrator immediately but no later than 2 hours for one (Resident #1) of four residents reviewed for abuse and neglect. The facility failed to notify their Abuse and Neglect Coordinator (The ADM) within 2 hours when CNA A forcefully dragged Resident #1 to the shower room and sprayed her while still wearing her clothes while she was screaming and crying in June of 2024. The DON was notified and failed to take any action to protect Resident #1 from further abuse as CNA A continued to work at the facility and with Resident #1 and continued to emotionally abuse her. […]

  • Immediate jeopardy, patternF610Aug 2, 2024

    Based on interview and record review, the facility failed to, in response to allegations of abuse, neglect or mistreatment, have evidence that all alleged violations were thoroughly investigated for one (Resident #1) of four residents reviewed for abuse and neglect. The facility failed to investigate an allegation of abuse when CNA A forcefully dragged Resident #1 to the shower room and sprayed her while still wearing her clothes while she was screaming and crying in June of 2024. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 07/30/24 at 3:01 PM. […]

  • Immediate jeopardy, isolatedF580Sep 29, 2023

    Based on observation, interview, and record review, the facility failed to immediately consult with the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) and a need to alter treatment significantly (that is, a need to discontinue an existing form of treatment due to adverse consequences, or to commence a new form of treatment) for one of ten residents (Resident #1) reviewed for notification of change. […]

Read 38 findings in full →The most serious and the most recent: 38 of 148 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 25, 2026Standard7 findings
  • Dec 6, 2025Complaint1 finding
  • Nov 25, 2025Complaint1 finding
  • Jun 19, 2025Complaint1 finding
  • Apr 17, 2025Standard and complaint11 findings
  • Oct 22, 2024Complaint2 findings
  • Sep 20, 2024Complaint2 findings
  • Aug 2, 2024Complaint4 findings · 4 harm
Show the 25 earlier surveys
  • Mar 22, 2024Standard13 findings
  • Jan 23, 2024Complaint2 findings · 1 harm
  • Sep 29, 2023Complaint3 findings · 3 harm
  • Aug 10, 2023Complaint1 finding · 1 harm
  • Dec 12, 2022Complaint1 finding · 1 harm
  • Oct 29, 2021Standard11 findings
  • Sep 23, 2021Complaint2 findings
  • Sep 14, 2021Complaint1 finding
  • Aug 10, 2021Complaint1 finding
  • Nov 13, 2020Complaint2 findings
  • Oct 6, 2020Infection control1 finding
  • Oct 24, 2019Standard11 findings
  • Oct 4, 2018Standard6 findings
  • Sep 28, 2018Complaint1 finding
  • Dec 13, 2017Complaint4 findings
  • Sep 26, 2017Standard and complaint21 findings · 5 harm
  • Aug 26, 2016Standard10 findings
  • Jul 17, 2015Standard6 findings
  • May 27, 2014Complaint1 finding
  • May 1, 2014Standard3 findings
  • Oct 15, 2013—2 findings
  • Feb 7, 2013—1 finding
  • Dec 30, 2011—8 findings
  • Aug 23, 2011—1 finding
  • Oct 1, 2010—6 findings · 3 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction