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Nursing home · Top rated by CMS

San Juan Nursing Home

300 N Nebraska, San Juan, TX 78589 · Map
Non profit - Corporation · 114 certified beds

Medicare and Medicaid certified
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San Juan Nursing Home is a Medicare-certified nursing home in San Juan, Texas. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.68 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Dec 11, 2025 cited 6 deficiencies.

5 out of 5Overall CMS rating
4 out of 5Health inspections
3 out of 5Staffing
114 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating5/5
Health inspections4/5
Staffing3/5
Quality measures5/5
Long-stay quality5/5
Short-stay qualityNo data

How San Juan Nursing Home compares

This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityTexas avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)4.683.403.89above avg
RN staffing (hrs/resident/day)0.310.440.68below avg
Aide staffing (hrs/resident/day)2.992.012.34above avg
Nursing staff turnover36.0%51.5%46.4%below avg
Deficiencies cited, last inspection6.09.19.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

4.68Total nurse hrs/resident/day
0.31RN hrs/resident/day
1.39LPN hrs/resident/day
2.99Aide hrs/resident/day
3.96Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff36.0%
Registered nurses—
Administrator changes1 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Dec 11, 2025Most recent inspection
6Deficiencies found
36Health inspection score
0Fines

What inspectors found at San Juan Nursing Home

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Resident Assessment and Care Planning Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

    Assess the resident when there is a significant change in condition

    Resident Assessment and Care Planning Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Administration Deficiencies · Dec 11, 2025 · Full report (PDF)
Show all 10 deficiencies
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Dec 11, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Sep 6, 2024 · Full report (PDF)
  • Potential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies · Sep 6, 2024 · Full report (PDF)
  • Potential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning Deficiencies · Sep 6, 2024 · Full report (PDF)
  • Potential for harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Resident Assessment and Care Planning Deficiencies · Jun 2, 2023

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
300 N Nebraska
San Juan, TX 78589
CMS certification #
455484
Ownership
Non profit - Corporation
Certified beds
114
Avg residents/day
73.3
Provider type
Medicare and Medicaid
First certified
1984-03-06
Setting
Urban

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Location and nearby

Explore the area around San Juan Nursing Home using Google Maps.

Other public records

Full public records, with dates and sources

Location and nearby care

Nearest hospital with an emergency room
Rio Grande Regional Hospital, Mcallen. 4.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
The Heights of Alamo, Alamo. 2.7 miles away, straight line.
Nearest home health agency office
Americare Nursing Services, P.L.L.C., San Juan. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Martin Drug Company. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 78589 as metropolitan (metropolitan core).
Dialysis within 15 miles
Fresenius Medical Care Tri-City, Alamo, 2.1 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Medical Care River Valley Clinic, Pharr, 2.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fresenius Medical Care Mcallen, Mcallen, 3.4 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
45 Medicare hospices tell CMS they serve ZIP code 78589.
Alora Hospice And Palliative Care LLC, office in San Juan, 0.8 miles away, straight line
Caring Hearts Of Texas, office in Pharr, 2.2 miles away, straight line
Vida De Paz LLC, office in Alamo, 2.8 miles away, straight line
Nearest geriatric medicine practice
Stephanie H Garcia Mdpa, Harlingen. 30.8 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
FEMA has identified no high-risk (1% annual chance) flood area in this community. (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding very low, wildfire very low, tornado relatively low, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site

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Frequently asked questions

Is San Juan Nursing Home a good nursing home?

CMS gives San Juan Nursing Home an overall rating of 5 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is San Juan Nursing Home staffed?

San Juan Nursing Home reports 4.68 total nurse hours per resident per day, compared with the Texas average of 3.40.

Has San Juan Nursing Home had inspection problems?

Its most recent CMS inspection cited 6 deficiencies.

How many beds does San Juan Nursing Home have?

San Juan Nursing Home is certified for 114 beds.