The home failed to properly assess a resident after a major change in condition. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
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
Data as of July 1, 2026
4 of 5 overall
SAN JUAN NURSING HOME INC in San Juan, TX has an overall 4-star rating, with 4 stars for health inspections and quality measures and 3 stars for staffing. Reported nurse staffing is 4.35 hours per resident per day, slightly above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.348 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 4.348.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 1.32
- Nurse aides
- 2.72
- Weekend nursing
- 3.78
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
15.1%15%No change
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
10.7%6.5%Improving
Residents with a urinary tract infection
0%1.4%Worsening
Residents who lost too much weight
9.8%3.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.9%10.3%Worsening
Residents whose ability to walk got worse
—21.5%—
Long-stay residents on antianxiety or sleep medication
6.6%9.8%Worsening
Short-stay residents newly given an antipsychotic
4.8%0%Improving
Residents with a long-term catheter
3.6%2.2%Improving
Residents with new or worsening incontinence
11.1%21.7%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98.6%Worsening
Short-stay residents given the seasonal flu vaccine
—94.4%—
Short-stay residents given the pneumonia vaccine
97.5%97.2%No change
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.
View the original federal record
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
- 75.4 residents on an average day (66% 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.