San Remo
3550 SHILOH ROAD, Richardson, TX, 75082
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
- Government - County · Chain: Cantex Continuing Care
- Certified beds
- 112 · avg 87 residents/day
- Total nursing staff turnover
- 47.6% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 53.8% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 307547
- Service type
- Medicare/medicaid
- Licensed capacity
- 112 beds
- Bed type breakdown
- 49 Medicare-only · 63 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- June 30, 2010
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Dallas County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Sr Senior Community Ltd Co
- Administrator
- Joshua S Hoes
Texas HHS licensing registry · as of April 16, 2026
About this community
San Remo is a 112-bed nursing home in Richardson, Texas, licensed for Medicare and Medicaid residents and managed by Sr Senior Community Ltd Co under a Dallas County Hospital District license. CMS rates it 4 stars overall, with 4 stars on health inspections and quality measures for long-stay residents, but 2 stars on staffing. The facility carries no CMS fines and has an active license through September 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates San Remo 2 stars on staffing — the bottom third of nursing homes in Texas on this measure, with about 31% of facilities sharing this rating or lower. Each resident receives roughly 194 minutes of nursing care per day, about 47 minutes less than the daily total at a 4-star-staffing facility in Texas. The gap matters more here because residents tend to need more hands-on care than at a typical facility — more dependent or medically complex on average — so those 194 minutes are being spread across heavier demands than the raw number suggests.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.96 hours per resident per day — lower than the weekday figure — so ask how many nurses and aides are scheduled on evenings and weekends specifically.
How RN coverage is scheduled
Reported RN hours come to about 42 minutes per resident per day; ask whether a registered nurse is on-site around the clock or available only during daytime shifts.
Care plans for higher-need residents
The resident mix here skews toward more dependent or medically complex individuals — ask how care plans are reviewed and updated when a resident's condition changes.
Role of the Resident Council
San Remo has a Resident Council but no Family Council; ask how families receive updates on concerns raised through the council and how they can submit feedback directly.
Management company's day-to-day responsibilities
The facility is licensed to a hospital district but operated by Sr Senior Community Ltd Co — ask which entity sets staffing budgets and handles complaint resolution.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.