Federal inspection record · CMS data as of October 1, 2026
San Juan Nursing Home, Inc.
300 N Nebraska Ave., San Juan, TX · (956) 787-1771
- Certified beds
- 114
- Residents per day
- 72
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 6, 1984
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
San Juan Nursing Home, Inc. carries 34 inspection points. That is fewer than 83% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning5E
- D
Provide care by qualified persons according to each resident's written plan of care.
- E
Assess the resident when there is a significant change in condition
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Pharmacy Service2E
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1D
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspection history
2025-12-11
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-09-06
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2023-06-02
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 29 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
4 h 29 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts better | 0.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts better | 0.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 99.7% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts better | 0.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.9 pts better | 0.4% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.2 pts worse | 8.1% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.3 pts better | 8.5% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6 pts worse | 15.8% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.2 pts worse | 20.1% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.6 pts worse | 19.4% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.8 pts worse | 3.1% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.7 pts worse | 3.5% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts worse | 15.5% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts worse | 5.3% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 94.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse | 2.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 94.6% | 85.4% | 80.1% |
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Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Roman Catholic Diocese Of Brownsville | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Roman Catholic Diocese Of Brownsville | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 1 facilities |
| Arcaute, Raquel | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Bermudez, Yuri | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bermudez, Yuri | Adp Of The SNF · Individual | 0% | 1 facilities |
| Contreras, Alejandra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Contreras, Alejandra | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dominguez, Natalia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dominguez, Natalia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Flores, Daniel | Corporate Director · Individual | 0% | 1 facilities |
| Garza, Alma | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Garza, Javier | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Medina, Trinidad | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Munoz, Jaime | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Rigsby, Jan | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Roman Catholic Diocese Of Brownsville | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Tamez, Carlos | Managing Control - Governing Body · Individual | 0% | 1 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5E
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
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★★★★★- Worst citation, 3 yrs
- G
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-
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