Here are 6 Nursing Homes in Hays County, TX

Nurse hours

3.27 /day

Staff turnover

38%

Serious cites

0

Hays Nursing and Rehabilitation Center runs 116 certified beds in San Marcos under corporate for-profit ownership. Nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average, and weekends drop about 17% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover at 37.9% actually beats the national 45.8%, which is worth noting, but the inspection record carries 26 deficiencies, including two at the harm or jeopardy level and three tied to abuse. One fine totaling $8,226 is on file, and the most recent inspection was March 2026.

Nurse hours

3.38 /day

Staff turnover

38%

Serious cites

0

Legend Oaks-Kyle runs on thinner nursing coverage than most homes, 3.38 hours per resident day against a national average of 3.86, with the gap widening on weekends, when staffing drops about 19% below its own weekday level. That pattern matters for a 126-bed building, because fewer hands on Saturdays and Sundays is when falls and missed care tend to happen. Turnover at 38.1% is actually better than the 45.8% national figure, so the problem isn't retention so much as how many nurses are scheduled in the first place. The inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, with a $8,278 fine. Inspectors last visited in December 2025.

Nurse hours

3.26 /day

Staff turnover

45%

Serious cites

0

Cypress Healthcare and Rehabilitation Center runs 174 certified beds in San Marcos under individual for-profit ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average, with weekend coverage about 10 percent thinner than its own weekdays. Turnover lands near the national figure at 44.9 percent, so the bigger concerns are elsewhere: 41 deficiencies on the current record, nine of them serious enough to cause harm or jeopardy, four tied to abuse, and $236,732 in fines across four penalties. The most recent inspection closed in April 2025. Quality measures score well, but that single star on health inspections and the thin weekend staffing are what a family should weigh.

Nurse hours

2.98 /day

Staff turnover

49%

Serious cites

0

San Marcos Rehabilitation and Healthcare Center runs on 2.98 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 15% below what the home already provides on weekdays. State inspectors have cited 17 deficiencies, three of them serious enough to put residents at harm or jeopardy, and the last inspection was in October 2025. Staff turnover sits at 48.8%, a few points above the national rate, at a for-profit corporate home with 129 certified beds. Its quality measure score looks strong, but that reflects charted care, not the hours of nursing help actually available at the bedside when you or your family member needs it.

Nurse hours

2.80 /day

Staff turnover

69%

Serious cites

0

Avir At Dripping Springs runs 60 certified beds under corporate ownership, and the staffing numbers are the part that should get your attention. At 2.80 nurse hours per resident day, it sits about 27% under the national average of 3.86, and weekend coverage dips roughly 9% below its own weekday level. Annual turnover hits 68.6% against a national 45.8%, so the people caring for residents are cycling through fast. The inspection record is genuinely strong, a 5/5 star rating and a clean December 2025 survey, with no deficiencies at the harm level. But 13 deficiencies on file, one abuse-related, plus a 1/5 staffing star, means the day-to-day coverage is where the risk lives.

Nurse hours

2.69 /day

Staff turnover

56%

Serious cites

0

Deer Creek runs about 30% below the national average on nurse staffing, 2.69 hours per resident day against 3.86, and weekends dip another 13% below its own weekday level. That thin coverage shows up on the inspection side too: 35 deficiencies on the current record, 6 of them at the harm or jeopardy level, plus 2 abuse-related findings and $75,581 in fines across 4 citations. Staff turnover sits at 56.1%, well above the 45.8% national figure, which matters most when residents need consistent hands on deck. The last inspection was recent, so the picture is current, and the ownership is a for-profit corporation.