San Marcos Rehabilitation And Healthcare Center
Inspection Findings
F-Tag F0732
F 0732
Post nurse staffing information every day.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, interview, and record review, the facility failed to post the following information on a daily basis: (i) Facility name. (ii) The current date. (iii) The total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift: (A) Registered nurses. (B) Licensed practical nurses or licensed vocational nurses (C) Certified nurse aides. (iv) Resident census for 1 of 1 facility reviewed for posted nurse staffing. The facility failed to post nurse staffing as required from 12/19/2025 to 12/29/2025. This failure placed residents at risk of not knowing their rights to sufficient staffing.Record review of the facility's census (number of residents in the building) dated 12/29/2025 reflected 104. Observation, interview, and record review on 12/29/2025 revealed nurse staffing was posted on the wall in the foyer of the facility. The posting was dated 12/18/2025 and included a census of 92 residents. Several residents were in the vicinity of the posting; some were in wheelchairs, and one was seated on a chair in front of the posting with a walker nearby. An anonymous resident with a walker stated he had not noticed the posted staffing information, but thought it would be nice to know how many nursing staff should be present each day. During an interview on 12/30/2025 at 10:30 AM, the VNDV stated he was responsible for ensuring the nurse staffing was posted each day. He stated he arrived at the facility at 8:00 AM each morning and was posting the nurse staffing around 10:00 AM each morning, but over the holidays he was very busy and did not get it done. He stated he was too busy to notice if any residents or visitors looked at the posting. He stated he could not think of a negative effect it would have on the residents unless they looked at it to see how many staff were on duty and wanted to know for some reason. During an interview on 12/30/2025 at 12:50 PM, the DON stated her involvement in ensuring the nurse staffing was posted each day was to direct the VNDV to post it. She stated she had not been monitoring to ensure the nurse staffing was posted. She stated she could not think of any potential negative impact to residents of the staffing not being posted. She stated it was important for it to be posted so the visitors and residents would know the staffing patterns in the facility. During an interview on 12/30/2025 at 1:07 PM, the ADM stated the role of posting the nurse staffing had always gone to the position occupied by the VNDV. He stated he did not think there was a problem with the information being posted until very recently. The ADM stated the VNDV also had the role of ordering all supplies and had only recently begun transporting residents, so he thought perhaps the nurse staffing had diminished in importance. The Adm stated he could not imagine there would be a negative impact physically or psychologically, but residents had the right to the information, and it was a requirement to post it. He stated
he received no complaints about the posting. Review of the facility's policy dated May 2007 and titled Staffing Numbers, Posting reflected the following: POLICYIt is the policy of this facility to post staffing numbersPROCEDUREPost the number of staff working, who are directly responsible for resident care. 4.
Post prominently in a public area in readable font on a surface of at least 8.5x11 inches.
Residents Affected - Many
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
San Marcos Rehabilitation and Healthcare Center in San Marcos, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 San Marcos Rehabilitation and Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.