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Complaint Investigation

Cypress Healthcare And Rehabilitation Center

November 25, 2025 · San Marcos, TX · 1351 Sadler
Citations 1
CMS Rating 1/5
Beds 174
Provider ID 676226
Healthcare Facility
Cypress Healthcare And Rehabilitation Center
San Marcos, TX  ·  View full profile →
Inspection Summary

Cypress Healthcare and Rehabilitation Center in San Marcos, TX — inspection on November 25, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During interview on 11/25/2025 at 5:27 p.m., the administrator revealed that she worked as the administrator at this facility for 1 year and had ANE training in October 2025 including ANE definitions, types, and who to report and conduct investigations. If suspected ANE, it should be reported to her within 2 hrs.

Examples of verbal abuse would be calling names, yelling, perception of tone of voice, how they were spoken to.

She stated that she considered CNA D one of her best CNAs and intended to promote her to staffing coordinator.

She stated that she suspended CNA D immediately after learning of allegations from the surveyor and reported those allegations to the HHSC and started investigation.

The administrator stated she never had any complaints regarding CNA D before and even considered her for the staffing coordinator position. CNA D sent her an e-mail regarding an incident last night, 11/24/2025, describing the situation when she took a tray from Resident #1's room and Resident #1 got upset.The undated Policy titled Abuse Prevention and Investigation indicated verbal abuse is the use of oral, written, or gestured language that willfully includes disparaging and derogatory terms to residents or their families, or within their hearing distance, regardless of their age, ability to comprehend, or disability.

Under #9 of this policy: All employees are required to report any observed, known, or suspected instances of resident abuse or neglect to their supervisors, the Administrator or the Director of Nursing.

Any report, grievance, or complaint that indicates residents abuse or the potential for resident abuse will be reported to the Administrator and investigated as needed in order to protect all residents.

The timeframe required for reporting (immediately but not later than 2 hours after forming suspicion requirements for reporting).

Record Reviews of facility's grievances in last three months did not reveal any ANE grievances with CNA D.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in San Marcos, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Cypress Healthcare and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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