San Marcos Rehabilitation and Healthcare Center
1600 N I H 35, San Marcos TX 78666 · (512) 353-5026 · 72.09% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
San Marcos Rehabilitation and Healthcare Center is a large facility in San Marcos, Texas. With an overall rating of B-, this is a solid nursing home. This place seems to have some things working in its favor. One of the best aspects of this nursing home's profile is its exemplary inspection score, which you can find in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 129 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While this facility's overall grade was not bad, it really excelled in the category of inspections. In fact, we awarded it a grade of A for that category, which is one of our best scores. Our inspection ratings are based on datapoints found on the a nursing home's recent inspection reports. Nursing homes that excel in this area have few deficiencies on their reports. Most importantly, these places should not have any severe deficiencies which are associated with endangerment of patients. While this facility had some deficiencies on its government inspection report, none were major deficiencies based on CMS' deficiency scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
This facility also fared well in the area of long-term care. In fact, we gave it a score of A- in that category, which happens to be one of our highest grades. Facilities that excel in long-term care tend to provide residents with better supervision and stay on top of routine medical care. One of the factors we considered after nursing hours was vaccinations. This facility provided the pneumonia vaccine to 100 percent of its patients. Vaccination is a reliable method to avoid negative health outcomes for the senior population. Lastly, this place was able to limit hospitalizations. With only 1.05 hospitalizations per one thousand long-term resident days, this facility has less hospitalizations than many nursing homes.
Nurse Quality
This nursing home's nursing grade appears to be one of its better features. The facility received a grade of C in this category. The nursing score weighs many components, but the primary one is the number of nurse hours spent with patients. This nursing home provides 3 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. Finally, we also assessed some nursing quality-based metrics. Although this place got docked a bit for nursing hours, it actually excelled in some of these quality measures. With less than five percent of its residents suffering from pressure ulcers, it did very well in this statistic. This is generally an indicator of quality nursing care. Pressure ulcers can frequently be prevented by offering better nursing care, such as by employing a system of turning a patient even once per day.
Short-term Care Quality
The last area we assessed was short-term care, which proved to be this facility's least impressive category. We awarded this nursing home a grade of D in this category. Of course, this score pulled down the nursing home's overall grade a bit. Short-term care grades are generally employed to grade a nursing home's rehabilitation services. To have quality rehabilitation services, nursing homes generally need to have higher levels of skilled nursing. These types of services include registered nurses, physical therapists, occupational therapists and other licensed professionals. We found that this place was subpar in several staffing areas we looked at. It offered fewer registered nurse and physical therapist hours per resident than most other nursing homes. Finally, we looked at the number of residents who were able to return to the community from this nursing home. This definitely was not a strength for this facility. We found that just 41.5 percent of this facility's patients returned home. At most nursing homes, around half of their residents are able to return home so this is well below average.
Overall Rating Over Time
Compared to national and state averages across all facilities.
San Marcos Rehabilitation and Healthcare Center Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of residents who have had a pressure ulcer. Pressure ulcers, also known as bed sores, are routinely the result of patients not being moved frequently enough. Better nursing protocols minimizes the number of pressure ulcers sustained by residents in a nursing home.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This statistic gauges the percent of long-term patients who had falls resulting in major injury. Falls can arise for a variety of reasons, but excessive numbers of falls could be an indication of lower quality nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of patients who suffered from a urinary tract infection. These infections may be associated with inadequate hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This statistic measures the percentage of long-term care patients receiving antipsychotic medications. While antipsychotic medications serve an important medical purpose, it is important to confirm these medications are being used appropriately. In some situations, increased usage of these drugs may mean a nursing home is using these drugs to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents who were given antianxiety medications. These medications are generally prescribed to patients suffering from anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric is a measure of the percentage of long-term care patients who are demonstrating depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This metric measures the percentage of long-term care patients that received the flu and pneumonia vaccines.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is a measure of the percentage of long-term care patients that required increased assistance with activities of daily living over time. ADL's include activities such as taking medications and taking a bath. Some argue that this is a reasonable measure of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This indicates the percentage of patients that remained mobile levels over time. Retaining mobility is usually a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of times residents are hospitalized per thousand days of care. There is typically a correlation between keeping patients out of the hospital and the quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is the number of times residents are rehospitalized per 1,000 days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric measures the number of times residents are sent to the emergency room per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This tells you the percentage of short-term care residents that saw functional improvements, such as enhanced ability to perform activities of daily living.
Percentage of Resident
Higher is Better