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Nursing HomeMedicaid

San Juan Nursing Home, INC

Strong Medicare quality ratings; families often praise friendly and welcoming nursing staff. Still worth an in-person visit.

300 N Nebraska Ave., San Juan, TX 78589114 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 49 Google reviews

5
4
3
2
1
San Juan Nursing Home, INC Nursing Home in San Juan, TX — Street View
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What this means for your family

The facility has a strong reputation for having a warm, attentive, and friendly staff that makes families feel at home. However, you must investigate the serious claims regarding hygiene and the use of sanitary supplies, as multiple reviewers have raised alarms about cleanliness standards.

Google Reviews

Google Reviews

49 reviews on Google
Families often praise the facility for its friendly, welcoming staff and the compassionate care provided to long-term residents. However, there are serious allegations regarding hygiene standards and the management of sanitary supplies that should be investigated thoroughly.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean4.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Friendly and welcoming nursing staff
  • Compassionate long-term care
  • Clean and pleasant environment
  • Attentive administrative and therapy teams

Concerns

  • Hygiene and sanitary supply management (mentioned by 2 reviewers)
  • Insufficient seating for visitors

Rating Trends

Tap a year to see what changed

234'15(1)'17(2)'20(11)'22(3)'24(11)'26(1)

Distribution · 53 analyzed

5
38
4
5
3
3
2
0
1
7

How They Respond to Reviews

40%response rate
Good

The owner provides personalized, warm responses that frequently use the reviewer's name and incorporate religious or ministry-focused language. While most responses acknowledge the specific content of the review, there is a notable lack of engagement with the substance of negative feedback.

Questions for Your Tour

  • 1We've heard such wonderful things about how friendly and welcoming the nursing staff is; how do you foster that culture of compassion among the team?
  • 2Since we want to make sure our visits are comfortable, what is the current seating arrangement like for family members during visit hours?
  • 3What specific protocols do you have in place to ensure the facility remains consistently clean and well-stocked with all necessary sanitary supplies?
  • 4How does the administrative team ensure that families are kept updated and informed about any changes in a resident's care or daily routine?
  • 5Could you tell us about the different types of daily activities or therapy programs available to keep residents engaged and active?
  • 6In the event of a medical emergency during the night, what is the process for notifying the family and coordinating with doctors?

Personalized based on this facility's data


Key Review Excerpts

The whole staff, greeters, billings, admittance, Nurses, therapists, kitchen staff, everyone was amazing. Helped in all things needed to make my husband's stay more comfortable.

Rehab patient's family · 2022★★★★★

At first I was so skeptical but needless to say the staff is great. Mom is bathed every morning. They go change their undies every other hour.

Long-term resident's family · 2024★★★★★

Highly recommend SanJuan Nursing Home. Here u get ur loved one pampered daily, great care, great people n delicious food.

Long-term resident's family · 2021★★★★★
Source: 49 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.28hrs
38%
Registered nurses for medical care
Total Nursing
4.28hrs
OK
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
19.5%
TX
18.4%
Hidalgo
11.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
TX
2.5%
Hidalgo
0.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.6%
Worse than Avg
Here
22.6%
US
14.4%
TX
16.1%
Hidalgo
11.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.3%
Worse than Avg
Here
20.3%
US
15.3%
TX
14.9%
Hidalgo
9.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Hidalgo
98.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.2%
Mixed vs Avgs
Here
15.2%
US
15.4%
TX
9.4%
Hidalgo
15.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.7%
Better than Avg
Here
96.7%
US
81.8%
TX
89.2%
Hidalgo
95.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.4%
Better than Avg
Here
94.4%
US
79.7%
TX
88.0%
Hidalgo
91.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.4%
Worse than Avg
Here
5.4%
US
1.6%
TX
1.5%
Hidalgo
3.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Near state avg (9.1)

This facility has concerning fire safety issues that remain uncorrected, with multiple deficiencies in sprinkler systems, smoke barriers, and electrical wiring lacking correction plans as of the most recent December 2025 survey. The facility shows recurring problems in care planning and medication management across multiple surveys, though most healthcare-related deficiencies have been corrected. Families should inquire about the status of fire safety corrections before visiting, as these pose immediate safety concerns for residents and visitors.

Dec 11, 2025Routine
11
0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0637Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0644Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0761Potential for harm · IsolatedCorrected

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.

0865Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Sep 6, 2024Routine
4
0761Potential for harm · PatternCorrected

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.

0656Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Jun 2, 2023Routine
2
0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0655Potential for harm · IsolatedCorrected

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

San Juan Nursing Home, INC

Organization Type

nonprofit

Administrator

NATALIA DOMINGUEZ

Ownership & Management

Owners

Roman Catholic Diocese of Brownsville

Owner · Organization

100%

Roman Catholic Diocese of Brownsville

Owner (parent company) · Organization

100%

Key personnel

Arcaute, RaquelManaging Control - Governing BodyGarza, AlmaManaging Control - Governing BodyGarza, JavierManaging Control - Governing BodyMedina, TrinidadManaging Control - Governing BodyMunoz, JaimeManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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