San Juan Nursing Home, INC.

300 N Nebraska Ave., San Juan, TX 78589 (opens Google Maps) · Hidalgo County · (956) 787-1771· 114 certified beds · avg 75 residents/day · certified since Mar 6, 1984 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

4/5

Health inspection rating (on-site)

inspected Dec 11, 2025

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.

Jun 18, 2026D · Potential for more than minimal harm, isolated
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 F-0659
Dec 11, 2025E · Potential for more than minimal harm, pattern
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. F-0637
Dec 11, 2025E · Potential for more than minimal harm, pattern
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. F-0644

View all 11 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Jun 18, 2026	D · Potential for more than minimal harm, isolated	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 · F-0659
Dec 11, 2025	E · Potential for more than minimal harm, pattern	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. · F-0637
Dec 11, 2025	E · Potential for more than minimal harm, pattern	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. · F-0644
Dec 11, 2025	E · Potential for more than minimal harm, pattern	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. · F-0812
Dec 11, 2025	D · Potential for more than minimal harm, isolated	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. · F-0761
Dec 11, 2025	D · Potential for more than minimal harm, isolated	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. · F-0865
Dec 11, 2025	D · Potential for more than minimal harm, isolated	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. · F-0880
Sep 6, 2024	E · Potential for more than minimal harm, pattern	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. · F-0761
Sep 6, 2024	D · Potential for more than minimal harm, isolated	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. · F-0656
Sep 6, 2024	D · Potential for more than minimal harm, isolated	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. · F-0695
Jun 2, 2023	D · Potential for more than minimal harm, isolated	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. · F-0655

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityTexas averageU.S. average

Total nurse staffing (hours per resident per day)

4.33

3.46

3.95

Registered Nurse hours

0.30

0.44

0.69

Weekend total nurse staffing

3.76

3.04

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.35 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for San Juan Nursing Home, INC.. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 17 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 45% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 17 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 22 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 →

Other facilities in the same county

CMS records place this facility in Hidalgo, TX — 22 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Valley Grande Manor — Weslaco, TX · overall 1/5abuse
Weslaco Nursing and Rehabilitation Center — Weslaco, TX · overall 4/5
Windsor Arbor View — Edinburg, TX · overall 4/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in San Juan →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — San Juan Nursing Home, INC.

300 N Nebraska Ave., San Juan, TX 78589 · (956) 787-1771

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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 45% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 17 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)