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Nursing HomeMedicaid Top Rated

San Remo

Strong Medicare quality ratings; families often praise exceptional physical therapy and rehab progress. Still worth an in-person visit.

3550 Shiloh Road, Richardson, TX 75082112 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 479 Google reviews

5
4
3
2
1

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What this means for your family

San Remo offers excellent rehabilitation and physical therapy, with many families reporting remarkable recovery progress. However, you must be vigilant regarding weekend care and response times, as multiple families have reported significant delays in assistance and inconsistent staffing quality during off-hours.

Google Reviews

Google Reviews

479 reviews on Google
San Remo is highly regarded by many families for its exceptional rehabilitation services and a leadership team that is frequently described as hands-on and compassionate. While many reviewers praise the nursing and therapy staff for their dedication, there are serious, recurring reports of neglect, specifically regarding delayed response to call lights and inadequate care during weekend shifts. Families should be aware of these significant discrepancies in care quality between weekday and weekend staff.

Quality Themes

Tap a score for details
Food6.0Staff7.0Clean7.0Activities9.0Meds4.0MemoryN/AComms5.0ValueN/A

Strengths

  • Exceptional physical therapy and rehab progress
  • Hands-on and accessible administration
  • Compassionate and skilled nursing staff
  • Clean and aesthetically pleasing facility
  • Attentive maintenance and housekeeping

Concerns

  • Slow response times to call lights and nursing requests (mentioned by 6 reviewers)
  • Inconsistent care quality during weekend shifts (mentioned by 4 reviewers)
  • Shortage of basic medical and hygiene supplies (mentioned by 3 reviewers)
  • Communication lapses from administration or social workers (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.72024(108)4.02025(65)4.12026(35)

Distribution · 208 analyzed

5
170
4
5
3
4
2
5
1
24
57 reviews posted between Jul 18, 2024Jul 19, 2024 · 52 were 5-star
17 reviews posted between Jan 27, 2026Jan 28, 2026 · 16 were 5-star
15 reviews posted between Jul 10, 2025Jul 11, 2025 · 15 were 5-star

How They Respond to Reviews

100%response rate
Generic

The owner relies heavily on a small set of canned templates to respond to reviews. Positive reviews are met with repetitive, non-specific praise, while negative reviews are met with a single standardized request to contact the corporate email.

Questions for Your Tour

  • 1It is wonderful to see how much the administration engages with the community through your reviews; how can we best stay in touch with the social work team regarding updates on our loved one?
  • 2We have heard great things about the physical therapy and rehab progress here, so could you tell us more about how the therapy team works with residents?
  • 3With the facility looking so clean and well-maintained, how does the housekeeping team ensure that resident rooms are kept tidy and hygienic on a daily basis?
  • 4How does the nursing team manage medication administration, especially during the transition between day and weekend shifts?
  • 5What is the protocol for responding to call lights during the night or on weekends to ensure residents aren't waiting long for assistance?
  • 6How do you ensure that essential medical and hygiene supplies are always readily available for every resident's needs?

Personalized based on this facility's data


Key Review Excerpts

The staff have all been very attentive and professional in caring for my difficult brother and the Executive Director, Joshua, by far exceeded our expectations.

Rehab patient's family · 2026★★★★★

I was pleased with the care and progress, my husband made while in rehab here after he broke his hip recently . Therapy worked with him and had him walking within a month.

Rehab patient's family · 2026★★★★★

I love the fact that Josh the administrator is present in the halls—and in the rooms of the residents. He does not sit in his office all day!

Long-term resident's family · 2026★★★★★
Source: 479 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.73hrs
98%
Registered nurses for medical care
Total Nursing
3.43hrs
84%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
39%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

16

measures

Worse Than Avg

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Collin
6.5%

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 Facility5.9%
Better than Avg
Here
5.9%
US
14.4%
TX
16.1%
Collin
15.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.6%
Worse than Avg
Here
23.6%
US
15.3%
TX
14.9%
Collin
16.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.7%
Better than Avg
Here
8.7%
US
15.4%
TX
9.4%
Collin
8.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Collin
97.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.1%
Better than Avg
Here
13.1%
US
19.4%
TX
14.2%
Collin
16.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
79.7%
TX
88.0%
Collin
90.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
81.8%
TX
89.2%
Collin
88.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.1%
Better than Avg
Here
0.1%
US
1.6%
TX
1.5%
Collin
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (9.1)
13 complaint-triggered

Families have filed multiple complaints against San Remo, resulting in 11 complaint-triggered deficiencies over the review period. The most recurring issues involve infection control problems (cited three times across different surveys), medication management deficiencies, and food safety violations. While all deficiencies show correction dates, the pattern of repeated issues in infection control and the high volume of family complaints raise concerns about care consistency at this facility.

Feb 19, 2026Complaint
2
0584Potential for harm · PatternCorrected

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Dec 5, 2024Complaint
4
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.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 5, 2024Routine
2
0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0559Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Mar 11, 2024Complaint
1
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jan 30, 2024Complaint
2
0584Potential for harm · IsolatedCorrected

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.

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.

Oct 12, 2023Routine
5
0900Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Meet Health Care Facilities Code mechanical requirements.

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.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

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.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dallas County Hospital District

Organization Type

for profit

Management Company

SR SENIOR COMMUNITY LTD CO

Administrator

JOSHUA S HOES

Chain Affiliation

Chain Name

Cantex Continuing Care

Chain Size

38 facilities nationwide

Chain avg rating: 3.2/5 · Rank 7 of 37

Ownership & Management

Owners

Dallas County Hospital District

Owner · Organization

100%

Key personnel

Castaneda, EdmundoOfficer / DirectorCerise, FrederickOfficer / DirectorSr Senior Community Ltd. CoManagerMartin, MurryManagerSr Senior Community Ltd. CoAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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