The home failed to properly assess a resident after a major change in condition. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 637 — 42 CFR §483.20(b)(2) — S/S: E
Nursing home report
SAN JUAN NURSING HOME INC
SAN JUAN, TX · Medicare-certified · 114 beds
In good standing
Non-profit
4 of 5 overall
San Juan Nursing Home Inc in San Juan, TX has a 4 out of 5 star overall rating, with 4-star health inspection, staffing, and quality measures scores. Reported nurse staffing is 4.28 hours per resident per day, slightly above the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.2756 hrs/resident/day
Quality measures
Last inspection: December 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2756.
Staffing detail
- Registered nurses
- 0.28
- Licensed practical nurses
- 1.29
- Nurse aides
- 2.71
- Weekend nursing
- 3.64
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 20%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.2%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
6.5%Steady
Residents with a urinary tract infection
2.5%Worsening
Residents who lost too much weight
8.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
22.6%Worsening
Residents whose ability to walk got worse
20.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
6.8%Steady
Short-stay residents newly given an antipsychotic
5.4%Steady
Residents with a long-term catheter
3.4%Worsening
Residents with new or worsening incontinence
13.8%Worsening
Residents with depressive symptoms
0.4%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
94.4%Steady
Short-stay residents given the pneumonia vaccine
96.7%Worsening
What the inspectors found
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited September 2024 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 79.1 residents on an average day (69% of 114 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.