Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at San Juan Nursing Home Inc during CMS and state inspections, most recent first.
The facility failed to label and discard expired medical supplies in accordance with professional principles. An observation revealed expired dressings in the medication storage room, posing a risk to residents. Interviews with staff, including an LVN, ADON, and DON, indicated a lack of systematic checks and no specific policy for handling expired items.
A facility failed to include a dementia diagnosis in a resident's care plan, despite severe cognitive impairment and dependence on staff for ADLs. Staff interviews revealed oversight in updating the care plan, with the DON acknowledging the need for comprehensive care planning.
A resident with multiple health conditions was not provided oxygen at the prescribed rate, receiving 3 LPM instead of the ordered 2 LPM. Staff interviews revealed inconsistencies in monitoring and adjusting the oxygen flow rate, with the DON stating that checks should occur at least twice daily. The facility's policy on oxygen administration was not followed, potentially risking respiratory distress for the resident.
Failure to Properly Label and Discard Expired Medical Supplies
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were labeled according to currently accepted professional principles, including appropriate accessory and cautionary instructions and expiration dates. During an observation of the medication storage room on the 200 hallway, it was found that seven out of twelve boxes of medical supplies contained expired items. Specifically, there were two boxes of collagen dressings and three boxes of silicone super-absorbent dressings with expiration dates that had already passed, as well as two boxes of Allevyn Adhesive dressings with an upcoming expiration date. This oversight could potentially place residents at risk of receiving expired medical supplies, which may not provide the intended therapeutic effect. Interviews with facility staff, including an LVN, the ADON, and the DON, revealed a lack of a systematic process for checking and discarding expired medications and supplies. The LVN mentioned that expired medications were placed in a box for disposal by the ADON, DON, and pharmacist, but was unsure of the frequency of these checks. The ADON admitted to conducting random checks every 2-3 months but acknowledged that some expired items might have been overlooked. The DON confirmed that everyone with access to the medication room was responsible for discarding expired items and maintaining organization, but there was no specific policy in place for handling expired medications and supplies.
Failure to Include Dementia in Resident Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident diagnosed with dementia. The resident, a female with unspecified dementia and depression, was found to have a care plan that did not reflect her dementia diagnosis. The resident's quarterly MDS indicated severe cognitive impairment and dependence on staff for activities of daily living and mobility. Despite these findings, the care plan dated August 21, 2024, lacked focus, goals, or interventions related to her dementia diagnosis. Interviews with facility staff revealed a lack of responsibility and oversight in updating the care plan to include the dementia diagnosis. MDS staff acknowledged the oversight, noting that the dementia diagnosis was mentioned only in the context of ADLs but not specifically care planned. The Director of Nursing confirmed that the dementia diagnosis should have been included in the care plan, emphasizing the collaborative nature of care planning and the importance of addressing all resident needs comprehensively.
Failure to Administer Prescribed Oxygen Rate
Penalty
Summary
The facility failed to provide appropriate respiratory care for a resident, specifically by not administering oxygen at the prescribed rate. The resident, a 90-year-old female with multiple diagnoses including Alzheimer's Disease, Parkinsonism, hypertensive heart disease with heart failure, and vascular dementia, was prescribed oxygen therapy to maintain oxygen saturation above 92%. However, during an observation, it was noted that the resident was receiving oxygen at 3 liters per minute (LPM) instead of the prescribed 2 LPM. Interviews with staff revealed that the oxygen flow rate was not consistently monitored or adjusted according to the doctor's orders. An LVN admitted to adjusting the flow rate after noticing it was set incorrectly and suggested that the concentrator might have been bumped, causing the change. The Director of Nursing (DON) stated that floor nurses were responsible for ensuring accurate oxygen flow rates and that these should be checked at least twice a day during shift changes. Despite this, the resident was found to be receiving more oxygen than prescribed, which could lead to potential health risks. The facility's policy on oxygen administration, dated October 2010, outlines the procedure for safe oxygen administration, including starting the flow at 2 to 3 LPM unless otherwise ordered and ensuring the proper flow is maintained. However, the policy was not adhered to in this instance, as evidenced by the incorrect oxygen flow rate being administered to the resident. This oversight in following the prescribed oxygen rate could place residents at risk for respiratory distress.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near San Juan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Heights Of Alamo | 2.7 mi | — | 2 | 0 |
| Windsor Las Palmas Nursing And Rehabilitation Cent | 3.4 mi | — | 0 | 0 |
| Mcallen Transitional Care Center | 3.5 mi | — | 5 | 0 |
| Mcallen Nursing Center | 3.9 mi | — | 2 | 0 |
| Colonial Manor Advanced Rehab & Healthcare | 4.1 mi | — | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.