San Juan Nursing Home, INC in San Juan, Hidalgo County, Texas

San Juan, Hidalgo County, Texas 78589

Status Medicare and Medicaid certifiedMedicare CCN 455484

HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Verify on TULIP View on Medicare.gov

Location and contact

Address: 300 N Nebraska Ave.
San Juan, TX 78589
Open map (OpenStreetMap)
Phone: (956) 787-1771
HHSC facility ID: 004540
License number: 144386

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Overall: 4 of 5Overall: 4 of 5 stars
Health inspection: 4 of 5Health inspection: 4 of 5 stars
Staffing: 4 of 5Staffing: 4 of 5 stars
Quality measures: 4 of 5Quality measures: 4 of 5 stars
Long-stay quality measures: 4 of 5Long-stay quality measures: 4 of 5 stars
Short-stay quality measures: Not rated in the CMS file on handShort-stay quality measures: not rated in the CMS file on hand
CMS footnote: 2

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
Measure	This facility	Texas average (this site)
Total nurse staffing	4.49 hours	3.42 hours n=1,152
Registered nurse	0.29 hours	0.44 hours
LPN	1.43 hours	0.95 hours
Nurse aide	2.76 hours	2.03 hours
Weekend nurse staffing	3.85 hours	2.99 hours

1.07 hours above this site’s computed Texas average.

Total nursing staff turnover: 40% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover: 33.3%
Average residents per day: 72.2
Certified beds (CMS): 114

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
Measure	Stay	Four-quarter average	Used in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased Quarterly scores Q1 21.7% · Q2 39.1% · Q3 10.3% · Q4 2.6% · Period 2025Q3-2026Q2 · Measure code 401	Long Stay	19.4%	Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder Quarterly scores Q1 1.8% · Q2 4.6% · Q3 2.2% · Q4 3.7% · Period 2025Q3-2026Q2 · Measure code 406	Long Stay	3.1%	Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection Quarterly scores Q1 4.4% · Q2 4.1% · Q3 1.4% · Q4 4.2% · Period 2025Q3-2026Q2 · Measure code 407	Long Stay	3.5%	Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · Period 2025Q3-2026Q2 · Measure code 410	Long Stay	0.3%	Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened Quarterly scores Q1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 451	Long Stay	20.1%	Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers Quarterly scores Q1 4.0% · Q2 5.3% · Q3 6.5% · Q4 5.5% · Period 2025Q3-2026Q2 · Measure code 479	Long Stay	5.3%	Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication Quarterly scores Q1 15.1% · Q2 15.4% · Q3 15.0% · Q4 17.9% · Period 2025Q3-2026Q2 · Measure code 481	Long Stay	15.8%	Yes, as published by CMS
Percentage of long-stay residents who lose too much weight Quarterly scores Q1 5.3% · Q2 11.7% · Q3 3.3% · Q4 12.5% · Period 2025Q3-2026Q2 · Measure code 404	Long Stay	8.1%	No, as published by CMS
Percentage of long-stay residents who have depressive symptoms Quarterly scores Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 408	Long Stay	0.4%	No, as published by CMS
Percentage of long-stay residents who were physically restrained Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409	Long Stay	0.0%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 100.0% · Q2 100.0% · Q3 98.6% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415	Long Stay	99.7%	No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication Quarterly scores Q1 7.0% · Q2 6.7% · Q3 9.8% · Q4 10.7% · Period 2025Q3-2026Q2 · Measure code 452	Long Stay	8.5%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454	Long Stay	100.0%	No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Quarterly scores Q1 11.2% · Q2 17.4% · Q3 21.7% · Q4 11.7% · Period 2025Q3-2026Q2 · Measure code 480	Long Stay	15.5%	No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication Quarterly scores Q1 5.0% · Q2 — (CMS footnote 9) · Q3 0.0% · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 434	Short Stay	2.7%	Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 97.6% · Q2 94.3% · Q3 97.2% · Q4 87.5% · Period 2025Q3-2026Q2 · Measure code 430	Short Stay	94.1%	No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472	Short Stay	94.6%	No, as published by CMS

Inspection citations

11 health citations in the CMS file (1 from complaint surveys). Highest scope/severity letter in the file: D — Isolated, potential for more than minimal harm.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
Severity	Isolated	Pattern	Widespread
Potential for minimal harm	A	B	C
No actual harm, potential for more than minimal harm	D	E	F
Actual harm	G	H	I
Immediate jeopardy	J	K	L

2026 — 1 citation

Tag 0659D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: June 18, 2026

CMS records a correction date (July 18, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 6 citations

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: December 11, 2025

CMS records a correction date (January 11, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0865D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: December 11, 2025

CMS records a correction date (January 11, 2026)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: December 11, 2025

CMS records a correction date (January 11, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0761D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: December 11, 2025

CMS records a correction date (January 11, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0644E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: December 11, 2025

CMS records a correction date (January 11, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0637E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: December 11, 2025

CMS records a correction date (January 11, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2024 — 3 citations

Tag 0761E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: September 6, 2024

CMS records a correction date (September 25, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0695D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 6, 2024

CMS records a correction date (September 25, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0656D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 6, 2024

CMS records a correction date (September 25, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2023 — 1 citation

Tag 0655D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: June 2, 2023

CMS records a correction date (June 30, 2023)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective: August 14, 2026
License expires: January 1, 2028
Initial license date: September 1, 1971
Facility licensed: Yes
Facility certified (HHSC): Yes
Service type: MEDICARE/MEDICAID
Total licensed capacity: 100 beds
Bed mix (HHSC): Licensed only 0; Medicaid only 0; Medicare only 1; Medicare/Medicaid 99; ICF/IID 0
Alzheimer capacity: 0
Administrator: Natalia Dominguez
Management company: —

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: Non profit - Corporation

CMS ownership records
Name	Role	Type	Share	Associated
ROMAN CATHOLIC DIOCESE OF BROWNSVILLE	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/1966
ROMAN CATHOLIC DIOCESE OF BROWNSVILLE	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/1966
ARCAUTE, RAQUEL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/30/2018
GARZA, ALMA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/21/2013
GARZA, JAVIER	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/21/2013
MEDINA, TRINIDAD	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/21/2013
MUNOZ, JAIME	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/21/2013
RIGSBY, JAN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 06/17/2022
TAMEZ, CARLOS	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 06/17/2022
FLORES, DANIEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2010
ROMAN CATHOLIC DIOCESE OF BROWNSVILLE	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/1966
BERMUDEZ, YURI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/15/2016

5 more CMS ownership records

Additional CMS ownership records
Name	Role	Type	Share	Associated
CONTRERAS, ALEJANDRA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/25/2012
DOMINGUEZ, NATALIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/06/2025
BERMUDEZ, YURI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/15/2016
CONTRERAS, ALEJANDRA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/25/2012
DOMINGUEZ, NATALIA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/06/2025

HHSC owner fields

Owner (HHSC): San Juan Nursing Home, INC
Type of entity (HHSC): Nonprofit Organization

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.