San Juan Nursing Home, Inc
300 N NEBRASKA AVE., San Juan, TX, 78589
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation
- Certified beds
- 114 · avg 73 residents/day
- Total nursing staff turnover
- 36% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 144386
- Service type
- Medicare/medicaid
- Licensed capacity
- 114 beds
- Bed type breakdown
- 15 Medicare-only · 99 Medicaid/Medicare
- Current license effective
- January 1, 2025
- Current license expires
- January 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- San Juan Nursing Home, Inc (Nonprofit Organization)
- Administrator
- Natalia Dominguez
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Parent entity
Roman Catholic Diocese of Brownsville
Disclosed owners (12 on record)
- Natalia Dominguez
Operational/managerial Control · since 2025
- Carlos Tamez
Managing Control - Governing Body · since 2022
- Jan Rigsby
Managing Control - Governing Body · since 2022
- Raquel Arcaute
Managing Control - Governing Body · since 2018
- Yuri o Bermudez
Operational/managerial Control · since 2016
- Alma Garza
Managing Control - Governing Body · since 2013
+ 6 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 10)
- D0880·Dec 11, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0865·Dec 11, 2025
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
- E0812·Dec 11, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Dec 11, 2025
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.
- E0644·Dec 11, 2025
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E0637·Dec 11, 2025
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
- E0761·Sep 6, 2024
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.
- D0695·Sep 6, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Dec 11, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
San Juan Nursing Home is a 114-bed nonprofit nursing facility in San Juan, TX (Hidalgo County), licensed since 1971 and accepting Medicare and Medicaid. CMS rates it 5 stars overall, with a 5-star quality-of-care rating and a 3-star staffing rating. The facility is currently operating at about 64% of its licensed beds — 73 residents on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars. Each resident receives about 281 minutes of nursing care per day — above the 241-minute threshold for a 4-star staffing rating in Texas, which puts this facility in roughly the top 19% of Texas nursing homes on that measure. The resident mix here requires less hands-on care than a typical facility, so the staffing hours stretch further than they would at a facility with heavier-care residents.
About 4 in 10 nursing staff left in the past year. That is below the Texas 25th-percentile cutoff of 42% — better than roughly three-quarters of nursing homes in the state.
One administrator has turned over in the past year. That is one change, not chronic instability, but it is a transition worth asking about — specifically who is now in the role and how long they have been in it.
The facility is operating at about 64% of its 114 licensed beds, with 73 residents on an average day. That level of vacancy is present alongside otherwise strong CMS ratings, which makes it worth understanding directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator tenure
One administrator has turned over in the past year — ask how long Natalia Dominguez has been in the role and what her background is.
Reason for low occupancy
The facility averages 73 residents against 114 licensed beds — ask what is driving that gap and whether staffing or services have changed alongside it.
Staffing on nights and weekends
Reported weekend nursing hours run about 238 minutes per resident per day — below the weekday figure — ask how staffing levels differ on evenings and weekends.
Resident council structure
The facility has a Resident Council but no Family Council — ask how family members typically raise concerns and how those concerns are tracked and resolved.
RN coverage per shift
Reported RN hours work out to about 18 minutes per resident per day — ask how many registered nurses are on the floor during a typical day shift and overnight.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.