San Juan Nursing Home Inc
300 N Nebraska · San Juan, TX · 78589 · 9567871771
114 certified beds Non profit - Corporation
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.64 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (10 in the current record)
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Potential for harm · E December 11, 2025
Assess the resident when there is a significant change in condition
Corrected January 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 11, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025
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.
Corrected January 11, 2026 · Pharmacy Service
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Potential for harm · E December 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 11, 2026 · Nutrition and Dietary
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Potential for harm · D December 11, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected January 11, 2026 · Administration
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Potential for harm · D December 11, 2025
Provide and implement an infection prevention and control program.
Corrected January 11, 2026 · Infection Control
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Potential for harm · D September 6, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 6, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 25, 2024 · Quality of Life and Care
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Potential for harm · E September 6, 2024
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.
Corrected September 25, 2024 · Pharmacy Service
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Potential for harm · D June 2, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 30, 2023 · Resident Assessment and Care Planning
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455484 · certified since March 6, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.