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Who owns Hays Nursing and Rehabilitation Center in San Marcos, Texas?

Hays Nursing and Rehabilitation Center is a Medicare-certified skilled nursing facility in San Marcos, Texas. WhoOwnsCare associates the facility with WILLOW SPRINGS CREEK HEALTHCARE, INC.. The facility's licence is held by GUADALUPE COUNTY HOSPITAL BOARD, a governmental hospital district or authority. Under Texas's Medicaid supplemental-payment programme a public district can be the owner of record for a nursing facility that a private company operates day to day, so the district is named here as the owner of record and not as the operator. The resolution is based on federal CMS ownership and enrollment records.

Ownership resolution: Public owner of record, private operator

Facility snapshot

CCN455960
Facility typeSkilled Nursing Facility
CitySan Marcos
CountyHays
StateTexas
Certified beds116
CMS overall rating3 of 5
Ownership typeFor profit - Corporation
Licence held by (statutory)GUADALUPE COUNTY HOSPITAL BOARD
Corporate familyWILLOW SPRINGS CREEK HEALTHCARE, INC.

Ownership changes for Hays Nursing and Rehabilitation Center

1 recorded change of ownership is on file for this facility; the most recent took effect 2020-12-01. The acquiring and prior entities, transaction types and complete history are part of the paid intelligence below.

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Common questions

Who owns Hays Nursing and Rehabilitation Center?

WhoOwnsCare resolves the facility's ownership filings to WILLOW SPRINGS CREEK HEALTHCARE, INC. (single confidence).

Has Hays Nursing and Rehabilitation Center changed ownership?

Yes — the most recent recorded change of ownership took effect 2020-12-01.

Ownership relationships for Hays Nursing and Rehabilitation Center

Operating family (who controls this facility)Willow Springs Creek Healthcare, Inc.
Operating entityresolved (confidence moderate); the enrolled operating entity is named in the full report
Family resolution status (v1.0)confirmed
CMS affiliation entityTHE ENSIGN GROUP (CMS evidence; separate from the operating family)
Legal corporate parentnone on file from integrated SEC/IRS evidence
Management companyno management-company candidate identified in CMS control roles
Property ownernot derivable from the public sources currently integrated
Lender / security interestsnone recorded

Each row is a different relationship. Operating control, CMS affiliation, legal parentage, management, property ownership and financing are recorded separately and never merged.

Ownership history and financial reporting

Recorded changes of ownership1 (latest 2020-12-01)
Latest cost-report period2024-10-01 to 2025-09-30 (365-day period)
Latest reported net resultpositive
Reporting periods on file3
Periods straddling an ownership change1 (never attributed to either party)

Exact reporting periods are preserved and never annualised. Operating expense, net income, utilisation and the full ownership-change history with buyer and seller are in the complete report.

Distress summary

Distress 2.0 band: Watch Drivers: elevated health-deficiency count; ownership-transition activity (short reporting periods, straddled changes of ownership); low or declining occupancy; staffing pressure (nurse hours below peer levels).

Bands summarise six documented components; the score and component values are in the paid report.

Related research

Sources

CMS Medicare enrollment and ownership files, Care Compare provider information, Payroll Based Journal, Medicare cost reports (HCRIS), change of ownership records. Data vintage July–August 2026. Full methodology.