McAllen Senior AdvisorSan Juan Nursing Home is a 114-bed nursing home at 300 N Nebraska Ave., San Juan, certified for Medicare and Medicaid and licensed by the Texas Health and Human Services Commission as nursing facility #144386; CMS rates San Juan Nursing Home 4 out of 5 stars overall in Care Compare data dated October 1, 2026.
How many stars does Medicare give San Juan Nursing Home?
CMS rates San Juan Nursing Home 4 out of 5 stars overall, with 4 stars for health inspections, 4 for staffing and 4 for quality measures.
| Measure | Value |
|---|---|
| CMS overall rating | 4 of 5 |
| Health inspections (CMS) | 4 of 5 |
| Staffing (CMS) | 4 of 5 |
| Quality measures (CMS) | 4 of 5 |
| Long-stay / short-stay quality (CMS) | 4 / – |
| Certification (CMS) | Medicare and Medicaid |
| Certified beds; average daily census | 114; 72.2 |
| Ownership (CMS) | Non profit - Corporation |
| Chain (CMS) | None listed |
| Medicare/Medicaid participation since | March 6, 1984 |
| HHSC nursing facility license | #144386, 100 licensed beds |
| Alzheimer's beds (HHSC directory) | 0 |
| Licensee (HHSC) | San Juan Nursing Home |
About 72 residents live there on an average day, 63% of certified beds, below the 78% median for certified homes in Hidalgo County.
What did San Juan Nursing Home's latest health inspection find?
The most recent standard health inspection in CMS's data is dated December 11, 2025 and produced 7 health deficiencies, 6 from the routine survey and 1 from complaint visits.
The cycle before that (standard survey September 6, 2024) had 3 deficiencies. The median latest-cycle count across certified homes in Hidalgo County is 11, which puts San Juan Nursing Home at or under the local middle.
CMS shows no fines and 0 payment denials in its three-year penalty window.
What do staffing and turnover look like at San Juan Nursing Home?
Residents at San Juan Nursing Home get about 4.49 hours of nursing staff time per day in CMS's payroll data, above the Hidalgo County median of 3.30; registered nurses supply 0.29 of those hours.
Nurse aides account for 2.76 hours per resident day. Weekend total nurse staffing is 3.85 hours per resident day. Nursing staff turnover is 40.0%, above the Hidalgo County median of 38.5%; RN turnover is 33.3%. CMS counts 0 administrator departures in its measurement period.
Does San Juan Nursing Home accept Medicare and Texas Medicaid?
CMS lists San Juan Nursing Home as certified for Medicare and Medicaid, so it can bill Medicare for qualifying short-term skilled stays and Texas Medicaid for long-term residents who qualify financially and medically.
Medicare's skilled nursing benefit requires a qualifying inpatient hospital stay of at least three days and pays in full only for the first 20 days; a daily coinsurance applies from day 21 to day 100. Long-term custodial care is paid privately, by long-term care insurance, or by Medicaid. A Texas Medicaid resident keeps a $75 monthly personal needs allowance; the rest of their income goes toward the cost of care.
Which nursing homes are closest to San Juan Nursing Home?
The closest other certified nursing home is The Heights of Alamo in Alamo (2.7 mi, CMS 5 of 5), and the nearest acute-care hospital is Rio Grande Regional Hospital, about 6.2 miles away.
| Facility or agency | Miles (straight line) | Licensed capacity | CMS overall rating | Latest CMS health inspection | Health deficiencies (latest cycle) |
|---|---|---|---|---|---|
| The Heights of Alamo 1214 S. Alamo Road, 78516 | 2.7 | 130 | 5 of 5 | August 5, 2026 | 11 |
| Windsor Las Palmas Nursing and Rehabilitation Center 1301 E Quebec Ave, 78503 | 3.4 | 120 | 5 of 5 | May 7, 2026 | 6 |
| McAllen Transitional Care Center 2109 South K Street, 78503 | 3.5 | 100 | 4 of 5 | March 11, 2026 | 12 |
| Avir at McAllen 600 N Cynthia St, 78501 | 3.9 | 122 | 3 of 5 | June 24, 2026 | 8 |
| Avir at Pharr 1100 W. Minnesota Rd., 78577 | 4.1 | 123 | 2 of 5 | June 25, 2026 | 17 |
What should families ask before choosing San Juan Nursing Home?
Take the CMS data with you. To begin, ask for the full statement of deficiencies from December 11, 2025, even though the count (7) is not high.
- Turnover of 40.0% is above the local median; ask what share of aides on nights and weekends are agency staff.
- With occupancy near 63%, ask which halls have openings and why.
- CMS shows a resident council; ask when it meets and how families raise concerns.
- Ask whether nurses and aides on every shift speak Spanish, and how care conferences are held for Spanish-speaking families.
- Ask who the attending physicians are and how often they see long-term residents.
