McAllen Senior AdvisorSan Juan and Alamo sit side by side east of Pharr along Expressway 83, with about 58,493 residents between them in 2025. San Juan is home to the Basilica of the National Shrine of Our Lady of San Juan del Valle, a pilgrimage site that draws visitors from across Texas and Mexico.
Alamo is a gateway to the Santa Ana National Wildlife Refuge and has long been a winter-visitor town, with many seniors living in RV and manufactured home parks. Each city has a nursing home; neither has licensed assisted living, so families compare options in Pharr, McAllen and Weslaco.
How much licensed senior care is in San Juan & Alamo, Texas?
San Juan & Alamo had about 58,493 residents in the Census Bureau's July 2025 estimates, and HHSC lists 0 licensed assisted living facilities, 2 nursing homes and 9 adult day centers with local addresses.
| License type | Licenses | Licensed capacity |
|---|---|---|
| Assisted living facilities | 0 | 0 |
| Alzheimer's certified places | — | 0 |
| Nursing homes | 2 | 230 |
| Adult day (DAHS) centers | 9 | 825 |
| Home health agencies (office here) | 4 | — |
| Hospices (office here) | 4 | — |
| Personal assistance agencies (office here) | 12 | — |
For context, Hidalgo County as a whole has about 118,695 residents aged 65 and older (12.9% of the population) and 12,509 aged 85 and older.
Is there licensed assisted living in San Juan & Alamo?
No licensed assisted living facility has an address in San Juan & Alamo; the closest is The Gardens at Brook Ridge in Pharr, roughly 4 miles away by straight line.
| Facility or agency | City | Miles (straight line) | Licensed capacity | Alzheimer's beds | Latest HHSC inspection |
|---|---|---|---|---|---|
| The Gardens at Brook Ridge 1201 W Ridge Rd, 78577 | Pharr | 3.6 | 65 | 30 | 03/05/2025 |
| Barcelona Assisted Living 712 E Jackson Avenue, 78501 | McAllen | 4.7 | 16 | 0 | 01/21/2026 |
| Biltmore Assisted Living 700 E Jackson Ave, 78501 | McAllen | 4.7 | 16 | 0 | 06/08/2026 |
| Our Lady Residential Assisted Living 209 W Hackberry, 78501 | McAllen | 5.7 | 20 | 0 | 06/30/2026 |
Which nursing homes are in San Juan & Alamo, and how does CMS rate them?
2 licensed nursing homes with 230 beds are in San Juan & Alamo; 2 of the 2 rated by CMS hold four or five stars overall.
| Facility or agency | CMS overall rating | Licensed capacity | Latest CMS health inspection | Health deficiencies (latest cycle) |
|---|---|---|---|---|
| San Juan Nursing Home 300 N Nebraska Ave., 78589 | 4 of 5 | 100 | December 11, 2025 | 7 |
| The Heights of Alamo 1214 S. Alamo Road, 78516 | 5 of 5 | 130 | August 5, 2026 | 11 |
How many adult day (DAHS) centers does San Juan & Alamo have?
HHSC licenses 9 adult day (DAHS) centers in San Juan & Alamo, with licensed capacity from 60 to 150 participants.
| Facility or agency | Licensed capacity | City | First licensed | Phone |
|---|---|---|---|---|
| Dias Felices Adult Day Care 1039 W Frontage Rd Ste I, 78516 | 99 | Alamo | — | (956) 787-8700 |
| El Recreo Adult Day Care 1618 N Veterans Blvd Suite F, 78589 | 60 | San Juan | 2005 | (956) 782-0341 |
| Estamos Unidos Adult Day Care 2109 N Raul Longoria Rd, 78589 | 80 | San Juan | 2008 | (956) 781-2600 |
| La Morada Adult Daycare 1040 W Ellis # 3716, 78516 | 60 | Alamo | 2017 | (956) 702-2167 |
| Los Encinos Adult Day Care 130 E Us Hwy 83, 78589 | 133 | San Juan | 2003 | (956) 292-0838 |
| Mejor Vida Adult Day Care 1209 E Farm To Market Rd 495, 78589 | 60 | San Juan | 2012 | (956) 725-1584 |
| Mi Hacienda Adult Daycare 4011 N. Verterans Blvd, 78589 | 84 | San Juan | 2008 | (956) 787-7746 |
| Rainbow Adult Day Care 618 S Kansas, 78589 | 150 | San Juan | — | (956) 781-6779 |
| Tierra Santa Adult Daycare 508 South Standard St, 78589 | 99 | San Juan | 2007 | (956) 782-1000 |
Most centers pick participants up in their own vans. Ask about the route and how long your parent would ride.
Which home health, hospice and attendant agencies have offices in San Juan & Alamo?
4 licensed home health agencies, 4 licensed hospices and 12 personal assistance agencies list an office in San Juan & Alamo; an agency's office location does not limit where it sends staff.
- Americare Nursing Services, PLLC (certified home health, personal assistance, license #015230, licensed since 2012)
- Dulce Primary Home Care (licensed home health, personal assistance, license #022177, licensed since 2023)
- Promesa Home Care (licensed home health, personal assistance, license #020696, licensed since 2021)
- Truecare Primary Home Care Services (licensed home health, personal assistance, license #024291, licensed since 2025)
- Alora Hospice and Palliative Care (hospice, license #018635, licensed since 2018)
- Jireh Hospice & Palliative Healthcare Services (hospice, license #023320, licensed since 2024)
- Principle Hospice Service (hospice, license #019024, licensed since 2024)
- Vida De Paz (hospice, personal assistance, license #019222, licensed since 2019)
The 12 personal assistance agencies are on the personal care roster.
How far is San Juan & Alamo from a hospital?
From the middle of San Juan & Alamo, the nearest acute-care hospitals in CMS's hospital data are Rio Grande Regional Hospital, about 6.5 miles away, and South Texas Health System, about 8.4 miles.
Doctors Hospital at Renaissance is about 8.4 miles away. These are straight-line distances, good for comparison but shorter than real drives.
Who provides free help for older adults in San Juan & Alamo?
The Area Agency on Aging of the Lower Rio Grande Valley, at 301 W. Railroad Street, Building D, Weslaco, TX 78596 ((956) 682-3481), serves San Juan & Alamo with information, case management, caregiver support, benefits counseling and contracted meals, homemaker help and respite for people 60 and older.
Its Long-Term Care Ombudsman program advocates for residents of nursing homes and assisted living at the same number, and HICAP (1-800-252-9240) gives free Medicare counseling.
