Non profit - Corporation · 114 certified beds · CMS number 455484

San Juan Nursing Home, INC., San Juan, TX

CMS records 11 health deficiencies at San Juan Nursing Home, INC. in San Juan, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 11, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for San Juan Nursing Home, INC. as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and San Juan Nursing Home, INC. may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (7 deficiencies)

Standard inspection Dec 11, 2025. CMS counts 7 health deficiencies and 5 fire safety deficiencies in this cycle.

Jun 18, 2026 · Complaint inspection

1 deficiency, highest D

F659 · Care by qualified staff per plan

Requirement cited (CMS): Provide care by qualified persons according to each resident's written plan of care.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 18, 2026

Dec 11, 2025 · Standard inspection

6 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 11, 2026

F865 · Quality improvement (QAPI) program

Requirement cited (CMS): Have a plan that describes the process for conducting QAPI and QAA activities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 11, 2026

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 11, 2026

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 11, 2026

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 11, 2026

F637 · Reassessment after a significant change

Requirement cited (CMS): Assess the resident when there is a significant change in condition

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 11, 2026
Previous cycle: 3 deficiencies (standard inspection Sep 6, 2024)

Standard inspection Sep 6, 2024. CMS counts 3 health deficiencies and 1 fire safety deficiency in this cycle.

Sep 6, 2024 · Standard inspection

3 deficiencies, highest E

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 25, 2024

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 25, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 25, 2024
Earlier cycle: 1 deficiency (standard inspection Jun 2, 2023)

Standard inspection Jun 2, 2023. CMS counts 1 health deficiency and 1 fire safety deficiency in this cycle.

Jun 2, 2023 · Standard inspection

1 deficiency, highest D

F655 · Baseline care plan within 48 hours

Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 30, 2023

Tags cited in more than one inspection

1 tag cited on more than one inspection date at San Juan Nursing Home, INC.; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F761 Drug labeling and secure storage2Dec 11, 2025; Sep 6, 2024

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
4.35 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.30 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.78 h
Nursing staff turnover
45.1% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
4 of 5
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measure rating
4 of 5

CMS figures for San Juan Nursing Home, INC., copied as published; Texas medians are ours.

Facility details

Address
300 N Nebraska Ave., San Juan, TX 78589
Phone
(956) 787-1771
County
Hidalgo
Accepts
Medicare and Medicaid
Ownership
Non profit - Corporation
Chain (CMS)
Not part of a chain in CMS data
Certified beds
114
Average residents per day
75.4
In Medicare/Medicaid since
Mar 6, 1984
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How are medications stored and secured on each unit? (F761, cited 2 times)
  • How does the care team decide when a change in condition calls for a full reassessment? (F637, cited 1 time)
  • If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 1 time)
  • Can a resident or their family review the baseline care plan during the first few days? (F655, cited 1 time)

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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