Nursing homes in Hays County, Texas
There are 6 certified nursing homes in Hays County, Texas, with 727 beds between them.
50% of them are rated 1 or 2 stars overall, about the same share as the state (48%). Inspectors recorded 161 health deficiencies over three cycles, 22.1 per 100 beds against 24.4 statewide.
Fines in the period covered total $347K across 10 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Hays County | Texas | US |
|---|---|---|---|
| Facilities | 6 | 1177 | 14690 |
| Rated 1–2 stars overall | 50% | 48% | 41% |
| Median overall rating | 3 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 22.1 | 24.4 | 26.8 |
| Median nurse hours per resident day | 3.3 | 3.3 | 3.7 |
| Fines listed | $347K | $54M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Dripping Springs | Dripping Springs | 60 | 4 | 5 | 1 | 13 | 21.7 | — | 31 Dec 2025 |
| Hays Nursing and Rehabilitation Center | San Marcos | 116 | 3 | 3 | 3 | 26 | 22.4 | $8K | 5 Mar 2026 |
| Legend Oaks Healthcare and Rehabilitation-Kyle | Kyle | 126 | 3 | 3 | 2 | 29 | 23.0 | $8K | 26 May 2026 |
| Cypress Healthcare and Rehabilitation Center | San Marcos | 174 | 1 | 1 | 2 | 41 | 23.6 | $221K | 6 Dec 2025 |
| Deer Creek Nursing and Rehabilitation | Wimberley | 122 | 1 | 1 | 2 | 35 | 28.7 | $76K | 22 Dec 2025 |
| San Marcos Rehabilitation and Healthcare Center | San Marcos | 129 | 1 | 1 | 2 | 17 | 13.2 | $34K | 30 Dec 2025 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 13 |
| F0880 | Provide and implement an infection prevention and control program. | 8 |
| F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 8 |
| F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 7 |
| F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | 7 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 6 |
Chains present: The Ensign Group (3), Avir Health Group (1), Eduro Healthcare (1).
Questions and answers
How many nursing homes are in Hays County, Texas?
6 Medicare-certified nursing homes with 727 certified beds.
Which nursing homes in Hays County have the highest CMS ratings?
Avir At Dripping Springs (4 stars), Hays Nursing and Rehabilitation Center (3 stars), Legend Oaks Healthcare and Rehabilitation-Kyle (3 stars)
How do Hays County nursing homes compare with Texas?
50% are rated 1–2 stars overall against 48% statewide; citations run at 22.1 per 100 beds against 24.4 statewide.