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 St. Juanita Retirement And Rehab during CMS and state inspections, most recent first.
A resident with a history of cerebral infarction, Alzheimer’s disease, and hypertensive heart/chronic kidney disease was admitted with an expectation of dual certification and hospice plus PT services, but after assessment the facility determined the resident did not qualify for those services and arranged transfer by ambulance to another facility with hospice. The administrator acknowledged there was no physician order or family approval documentation for the transfer and stated he believed the hospice liaison was responsible for handling all documentation. The resident’s family member reported she did not sign any documents or agree to the move and learned of the transfer only from the hospice company, not from the facility. This conflicted with facility policy requiring safe and orderly transfer or discharge and proper notice of bed-hold and readmission requirements, and resulted in the resident and representative not receiving written notice of the transfer and its reasons in a language and manner they understood.
Failure to Provide Required Written Transfer/Discharge Notice to Resident Representative
Penalty
Summary
The facility failed to provide written notice of transfer or discharge, including the reasons for the move, to a resident and the resident’s representative in a language and manner they understood prior to the transfer. A male resident with diagnoses including cerebral infarction, Alzheimer’s disease, and hypertensive heart/chronic kidney disease was admitted with an anticipated dual certification status and placement on the skilled side, with hospice and physical therapy services expected. After admission, the facility’s assessment determined the resident did not meet qualifications for hospice and physical therapy services, which changed the services to be provided. The resident’s record showed a discharge after a one-day stay, with transfer by ambulance to another facility with hospice services, but there was no documentation of a physician order for the transfer or any written notice to the resident or representative explaining the reason for the move. During interviews, the resident’s family member stated she did not sign any documents or agree to the transfer and that she was informed of the move only by the hospice company, not by the facility. The administrator reported that, after determining the resident did not qualify for hospice and physical therapy, he spoke with the hospice company and concluded the resident could not remain, and he acknowledged having no physician order or family approval documentation for the transfer. He stated he believed the hospice liaison should have handled all aspects of the transfer, including documentation. The hospice liaison reported that the administrator repeatedly called insisting the resident be removed, stating it was the hospice company’s responsibility, and that the process for transfer was not followed. Facility policy titled “Your Rights and Protections as a nursing home resident” stated the nursing home must safely and orderly transfer or discharge residents and provide proper notice of bed-hold and/or readmission requirements, which was not reflected in the documentation for this resident’s transfer.
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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 Angelo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At San Angelo | 1.5 mi | — | 2 | 0 |
| Avir At Meadow Creek | 2.4 mi | — | 1 | 0 |
| Regency House | 3.6 mi | — | 1 | 0 |
| Avir At Arbor Terrace | 3.9 mi | — | 7 | 0 |
| Cedar Manor Nursing And Rehabilitation Center | 4 mi | — | 5 | 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.