San Juan Nursing Home, INC.

Name: San Juan Nursing Home, INC.
Address: 300 N NEBRASKA AVE., San Juan, TX, 78589, US
Telephone: 9567871771

300 N Nebraska Ave., San Juan, TX 78589 · Hidalgo County · 114 certified beds · avg 75 residents/day · certified since Mar 6, 1984

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.33

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 18, 2026	D · Potential for harm, one-off	The facility did not make sure care was delivered by qualified people following each resident's written care plan — the individualized document that spells out exactly what care that resident is supposed to receive. · from a complaint
Dec 11, 2025	E · Potential for harm, repeated	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Dec 11, 2025	E · Potential for harm, repeated	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Dec 11, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 11, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 11, 2025	D · Potential for harm, one-off	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Dec 11, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 6, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 6, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 6, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 2, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 6).

Year	Citations	Worst severity that year
2023	1	D
2024	3	E
2025	6	E
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.33	3.46	3.95	top 9% in Texas; top 28% in the U.S.
Registered Nurse hours	0.30	0.44	0.69	bottom 29% in Texas; bottom 10% in the U.S.
Weekend total nurse staffing	3.76	3.04	3.50	top 10% in Texas; top 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.18	0.34	0.48	bottom 15% in Texas; bottom 9% in the U.S.
Total nursing staff turnover (%)	45.1	55.3	45.8	top 34% in Texas; bottom 50% in the U.S.
RN turnover (%)	33.3	54.6	42.9	top 20% in Texas; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.35, RN 0.30, weekend 3.78. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Roman Catholic Diocese of Brownsville	Organization	5% or Greater Direct Ownership Interest	100%	01/01/1966
Roman Catholic Diocese of Brownsville	Organization	5% or Greater Indirect Ownership Interest	100%	01/01/1966
Arcaute, Raquel	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/30/2018
Bermudez, Yuri	Individual	Operational/Managerial Control	NOT APPLICABLE	04/15/2016
Bermudez, Yuri	Individual	ADP of the SNF	NOT APPLICABLE	04/15/2016
Contreras, Alejandra	Individual	Operational/Managerial Control	NOT APPLICABLE	06/25/2012
Contreras, Alejandra	Individual	ADP of the SNF	NOT APPLICABLE	06/25/2012
Dominguez, Natalia	Individual	Operational/Managerial Control	NOT APPLICABLE	03/06/2025
Dominguez, Natalia	Individual	ADP of the SNF	NOT APPLICABLE	03/06/2025
Flores, Daniel	Individual	Corporate Director	NOT APPLICABLE	10/01/2010
Garza, Alma	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/21/2013
Garza, Javier	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/21/2013
Medina, Trinidad	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/21/2013
Munoz, Jaime	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/21/2013
Rigsby, Jan	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/17/2022
Roman Catholic Diocese of Brownsville	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/1966
Tamez, Carlos	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/17/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure every shift actually follows each resident's care plan?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
The Heights of Alamo	2.7 mi	Alamo, TX	★★★★★	4/5
Windsor Las Palmas Nursing and Rehabilitation Cent	3.4 mi	McAllen, TX	★★★★★	5/5
McAllen Transitional Care Center	3.5 mi	McAllen, TX	★★★★☆	3/5
McAllen Nursing Center	3.9 mi	McAllen, TX	★★☆☆☆	2/5
Colonial Manor Advanced Rehab & Healthcare	4.1 mi	Pharr, TX	★☆☆☆☆	2/5
Alfredo Gonzalez Texas State Veterans Home	4.2 mi	McAllen, TX	★★☆☆☆	2/5	abuse
Grand Terrace Rehabilitation and Healthcare	4.6 mi	McAllen, TX	★★★★★	5/5
Edinburg Nursing and Rehabilitation Center	4.8 mi	Edinburg, TX	★★☆☆☆	3/5
Windsor Nursing and Rehabilitation Center of McAll	4.9 mi	McAllen, TX	★★★☆☆	4/5
Hidalgo Nursing and Rehabilitation Center	5.3 mi	Edinburg, TX	★☆☆☆☆	2/5	abuse
Windsor Nursing and Rehabilitation Center of Edinb	6.6 mi	Edinburg, TX	★★★★☆	4/5
Village Healthcare and Rehabilitation	6.7 mi	McAllen, TX	★★★☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in San Juan →

Facility data as of CMS processing date 2026-08-01. CCN 455484.

The Care File

Visit checklist — San Juan Nursing Home, INC.

300 N Nebraska Ave., San Juan, TX 78589 · 9567871771

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you make sure every shift actually follows each resident's care plan?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455484 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)