San Remo

Name: San Remo
Address: 3550 N SHILOH RD, Richardson, TX, 75082, US
Telephone: 9722314810

3550 N Shiloh Rd, Richardson, TX 75082 · Dallas County · 112 certified beds · avg 96 residents/day · certified since Jun 30, 2010

Part of chain: CANTEX CONTINUING CARE (37 facilities, chain avg rating 3.1★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.35

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 (31)

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
Apr 30, 2026	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. · from a complaint
Feb 19, 2026	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential.
Feb 19, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Feb 19, 2026	E · Potential for harm, repeated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Feb 19, 2026	E · Potential for harm, repeated	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.
Feb 19, 2026	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 19, 2026	E · Potential for harm, repeated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Feb 19, 2026	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Feb 19, 2026	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.
Feb 19, 2026	E · Potential for harm, repeated	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.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Feb 19, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 19, 2026	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.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 19, 2026	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.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Dec 5, 2024	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. · from a complaint
Dec 5, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Dec 5, 2024	D · Potential for harm, one-off	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. · from a complaint
Dec 5, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Dec 5, 2024	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. · from a complaint
Mar 11, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jan 30, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jan 30, 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. · from a complaint
Oct 12, 2023	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.
Oct 12, 2023	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.
Oct 12, 2023	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. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 19).

Year	Citations	Worst severity that year
2023	3	E
2024	8	E
2026	20	E

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)	3.35	3.46	3.95	top 48% in Texas; bottom 29% in the U.S.
Registered Nurse hours	0.61	0.44	0.69	top 15% in Texas; top 46% in the U.S.
Weekend total nurse staffing	3.14	3.04	3.50	top 32% in Texas; bottom 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.59	0.34	0.48	top 8% in Texas; top 24% in the U.S.
Total nursing staff turnover (%)	46.8	55.3	45.8	top 37% in Texas; bottom 45% 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 3.62, RN 0.66, weekend 3.39. 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: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Dallas County Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	09/01/2019
Castaneda, Edmundo	Individual	Corporate Officer	NOT APPLICABLE	01/10/2022
Cerise, Frederick	Individual	Corporate Officer	NOT APPLICABLE	03/24/2014
Lone, Jamal	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2022
Martin, Murry	Individual	Operational/Managerial Control	NOT APPLICABLE	04/17/2023
Martin, Murry	Individual	ADP of the SNF	NOT APPLICABLE	04/17/2023
Runyan, Carmen	Individual	ADP of the SNF	NOT APPLICABLE	02/03/2020
Sr Senior Community LTD. Co	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2019
Sr Senior Community LTD. Co	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2019

Questions to ask on your visit

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

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"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
Collinwood Nursing and Rehabilitation	1.3 mi	Plano, TX	★★☆☆☆	2/5
Remington Transitional Care of Richardson	2.2 mi	Richardson, TX	★★★★☆	4/5
Lindan Park Care Center LP	3.0 mi	Richardson, TX	★★★★☆	3/5
The Parks at Garland Healthcare and Rehab	3.3 mi	Garland, TX	★★★★☆	4/5
Legend Oaks Healthcare and Rehabilitation Garland	3.6 mi	Garland, TX	★★★☆☆	3/5
The Park in Plano	3.9 mi	Plano, TX	★★★☆☆	4/5
The Reserve at Richardson	4.0 mi	Richardson, TX	★★★☆☆	3/5
The Plaza at Richardson	4.2 mi	Richardson, TX	★★☆☆☆	3/5
Richardson Nursing and Rehabilitation	4.8 mi	Richardson, TX	★☆☆☆☆	1/5
Garnet Hill Rehabilitation and Skilled Care	4.8 mi	Wylie, TX	★★★☆☆	3/5
Beltline Healthcare Center	4.8 mi	Garland, TX	★☆☆☆☆	1/5	SFF
The Healthcare Resort of Plano	5.3 mi	Plano, TX	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Richardson →

Facility data as of CMS processing date 2026-08-01. CCN 676256.

The Care File

Visit checklist — San Remo

3550 N Shiloh Rd, Richardson, TX 75082 · 9722314810

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "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 676256 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)