San Juan Care Center
Strong Medicare quality ratings; families often praise effective physical and occupational therapy teams. Still worth an in-person visit.
based on 113 Google reviews
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What this means for your family
While the facility offers strong rehabilitation services and a welcoming atmosphere for visitors, the recent increase in reports regarding neglect and slow response times is concerning. If you choose this facility, we strongly advise maintaining a daily presence to monitor your loved one's hygiene, medical needs, and care quality.
Google Reviews
Google Reviews
113 reviews on Google“San Juan Care Center receives polarized feedback, with many families praising the friendly staff, effective rehabilitation services, and clean environment. However, a recurring pattern of serious concerns regarding understaffing, slow response times for basic needs, and inadequate medical oversight suggests inconsistent care quality. Families should approach with caution and maintain active involvement in their loved one's daily care.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy teams
- Friendly and welcoming nursing staff
- Clean and well-maintained facility
- Engaging activities and community events
Concerns
- Understaffing leading to slow response times for basic needs (mentioned by 5 reviewers)
- Inadequate medical oversight and failure to address health decline (mentioned by 3 reviewers)
- Poor hygiene and lack of basic patient care (bedsores, cleanliness) (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 119 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
- 2Given that physical and occupational therapy are noted as strengths here, how do you integrate those services into a resident's daily routine?
- 3With a 3-star staffing rating, what specific protocols do you have in place to ensure prompt assistance when a resident calls for help with basic needs?
- 4Could you walk me through your process for monitoring health changes and ensuring that medical oversight is proactive rather than reactive?
- 5I've read great things about your community events; what does a typical week of social engagement look like for someone living here?
- 6How does your nursing team coordinate with the pharmacy and medical staff to ensure accuracy and safety in medication management?
Personalized based on this facility's data
Key Review Excerpts
“Response time for help with the bathroom breaks and transfers leave much to be desired, she had several falls waiting for help. The help light 🚨 was on generally 15 - 20, before help arrived.”
“They are way under staffed & too many patients to properly take care for them! They did nothing to help my sister recover from west nile virus! They knew she was paralyzed & just let her lay there! They didn't roll her from side to side so she's suffering from terrible painful bed sores!”
“The therapy team had him up and going in no time. All of the staff is so very kind and knowledgeable and made his first stay very comfortable and his rehab successful.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows recurring problems across multiple areas requiring careful consideration. The most frequent issues involve fire safety systems, emergency preparedness, and medication management, with many deficiencies repeating across surveys from 2022 to 2025. Families have filed complaint reports leading to five inspections, indicating ongoing concerns about resident notification protocols, care planning, and facility conditions, though all cited deficiencies have been corrected according to facility reports.
Apr 7, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Jun 13, 2025Complaint1
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Jun 13, 2025Routine39
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Construction Deficiencies
Meet other general requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Mar 4, 2025Complaint1
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Jan 9, 2025Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Feb 29, 2024Routine7
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ownership & Operations
Who Operates This Facility
San Juan Care Center
for profit
Chain Affiliation
Opco Skilled Management
66 facilities nationwide
Chain avg rating: 2.4/5 · Rank 9 of 52
Ownership & Management
Owners
Walnut Summer LLC
Owner · Organization
Calisto Holdings LLC
Owner (parent company) · Organization
First Sweetzer Holdings LLC
Owner (parent company) · Organization
Hatteras Investments LLC
Owner (parent company) · Organization
Gurwitz, Solomon
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Hagins, Elizabeth
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Kaplan, Esther
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Kaplan, Mosha
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Mindle, Adam
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Sternshein, Jennifer
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Unger, Jeffrey
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Zimmerman, Caroline
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
113 reviews from families & visitors
Official Website
Visit sanjuancarecenter.com
Medicare data downloads
Original nursing home datasets
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