St. Juanita Retirement and Rehab

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

CMS has not published payroll-based (PBJ) staffing hours for this facility yet — this can happen for newer, hospital-based, or recently-certified homes. It can also mean the home simply did not file, which CMS does not distinguish in this data, so treat the gap as unexplained rather than benign. Staffing is one of the three parts of the CMS star rating; where it’s missing, weigh the independent health-inspection score most, and ask the facility directly about its nurse-to-resident ratios and weekend RN coverage.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Potential for harm · D2026-05-27 · tag F0729 — isolated
  Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure it received registry verification that the individual met competency for 1 (CNA C) of 3 employees reviewed for registry verification. The facility failed to ensure CNA C had a current nurse aide certification prior to providing care for residents. This failure could place residents at risk for being provided with care by staff who have not provided documentation of training and competency in providing care. Findings included: A record review on [DATE] of CNA C's personnel file revealed a date of hire of [DATE]. The last Employability Status Check Search was completed on [DATE] reflected CNA C's NAR status expired [DATE]. A record review on [DATE] of Employe Time Clock details, dated [DATE], revealed CNA C clocked in and worked 6:00 p.m. - 6:00 a.m. on [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE], [DATE],[DATE], [DATE],[DATE], [DATE], [DATE], and [DATE]. During an interview on [DATE] at 1:45 p.m., CNA C stated t she was aware that her…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-29 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure, before a resident was transferred or discharged , the resident and the resident's representative was notified of the transfer or discharge and the reason for the move in writing and in a language and manner they understood for 1 of 3 residents (Resident #1) reviewed for transfer and discharge rights.The facility failed to notify Resident #1's representative of the transfer with the reasons for the move in writing in a language and manner they understand. This failure could place residents at risk of not receiving an advocate who could inform them of their options, rights, and the added protection from being inappropriately transferred or discharged . Findings include: Record review of Resident #1's face sheet, dated 1/29/26, revealed a [AGE] year old male who was admitted to the facility on [DATE]. Resident #1 had diagnoses which included Cerebral infarction (a type of ischemic stroke caused by a blockage in blood vessels supplying the brain,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-23 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to prevent dishes and utensils from being stored face up (open to air contamination).The facility failed to remove potatoes in the dry storage when they were beginning to show signs of rot.These failures could place residents who received prepared meals from the kitchen at risk of food borne illness and cross-contamination. The findings included:During the initial tour of the kitchen on 12/23/25 at 8:15 AM the following observations were revealed: The top plate in the plate warmer faced up and was not covered. Cooking and serving utensils hanging above a food preparation table were not covered. Silverware in bins was not covered. A plastic container of red potatoes had sprouting potatoes in it. A food grater was on a shelf and not covered.In an interview with the Dietary Manager (DM) on 12/23/25 at 5:16 PM, the DM said a cover…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-23 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were labeled with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 1 med rooms. that had Tuberculosis solution that was not labeled with an open date.The facility failed to ensure one Tuberculosis solution was labeled with the open date in Medication room [ROOM NUMBER].This failure could place residents at risk of adverse medication reactions.Findings included:Observation on 12/23/2025 at 10:30 AM revealed the refrigerator in Medication room [ROOM NUMBER] had the following opened medications with no open date labeled:1. Aplisol Tuberculin solutionInterview on 12/23/25 at 10:31 AM with DON, she said once Tuberculosis solution was opened, they need to be dated with open dates. She stated tuberculosis solutions are good for 28 days after opening. She stated the risk of not having an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• No harm found · C2026-05-27 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to post the daily nurse staffing information with the current date, resident census, and the total number of staff and actual hours worked at the beginning of each shift for 1 of 1 facility reviewed for nurse staffing. The facility failed to update and post the daily nurse staffing information from 5/10/2026-5/26/2026. This failure could place residents at risk of not having access to information regarding the numbers of staff caring for the residents each shift and the facility census.Findings included: During an observation and interview on 05/26/2026 at 11:32 A.M., the daily staffing posting was not hanging at the nurse's station, only an assignment sheet for staffing. The Corporate Quality Assurance Nurse said the daily staffing was completed by the DON. The Corporate Quality Assurance Nurse stated the new DON just started on Monday 5/25/2026 and they were changing the way the daily staffing was completed. She said the daily staffing posting should be completed daily so that everyone knew how much staff were…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in TX