Nursing homeFAID #14623

San Remo

3550 N SHILOH RD, RICHARDSON, TX, 75082

(972) 231-4810

112 licensed beds

CMS rates San Remo 2 out of 5 overall. Federal inspectors issued 39 citations across 15 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Christine Cooper

Address

3550 N Shiloh Rd

Richardson, TX 75082

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Public record summary

What we can show you for free.

Bed capacity

112

CMS facility ID

676256

Care type

Nursing home

County

Dallas

Facility name

San Remo

Street address

3550 N SHILOH RD

City / state / ZIP

Richardson, TX 75082

Phone

(972) 231-4810

Website

cantexcc.com/snf/san-remo

About this facility — San Remo

San Remo is a Medicare/Medicaid-certified skilled nursing facility in Richardson, Texas. It is licensed for 112 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 31 senior care facilities in Richardson and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Cantex Continuing Care, a group of 37 facilities on this site.

Federal inspectors have cited San Remo 39 times across 15 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Cantex Continuing Care

Ownership type

For profit - Corporation

Registered owners & officers

Dallas County Hospital District

Direct owner — 100% stake — since 2019

Castaneda, Edmundo

Officer — since 2022

Cerise, Frederick

Officer — since 2014

Lone, Jamal

Additional disclosable party — since 2022

Martin, Murry

Operational control · Additional disclosable party — since 2023

Runyan, Carmen

Additional disclosable party — since 2020

Sr Senior Community Ltd. Co

Operational control · Additional disclosable party — since 2019

Regulatory standing

Federal court records

1 naming this facility · 18 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2010-06-30

CMS overall rating

2 of 5 stars

Health deficiencies

21 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-02-19

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$425 per day (≈ $12,920/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

53% Medicaid · 11% Medicare · 36% private/other

Occupancy

67% (fiscal year 2023)

Vs. state median

53% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

112

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-16Health inspectionComplaint-triggered1 citation

F-0644

D · No harm foundFrom a complaint

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2026-04-30Health inspectionComplaint-triggered1 citation

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-05-01

8 earlier / fire-safety inspections (37 citations)

2026-02-19Health inspectionComplaint-triggered19 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-02-20

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-02-20

F-0583

E · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2026-02-20

F-0584

E · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2026-02-20

F-0605

E · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-02-20

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-02-20

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2026-02-20

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-02-20

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-02-20

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-02-20

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-02-20

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-02-20

F-0693

E · No harm found

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2026-02-20

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-02-20

F-0700

E · No harm found

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2026-02-20

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-02-20

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-02-20

F-0761

E · No harm found

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.

Corrected 2026-02-20

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-02-20

2024-12-05Health inspectionComplaint-triggered5 citations

F-0559

D · No harm found

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2025-01-03

F-0644

D · No harm foundFrom a complaint

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-01-03

F-0690

D · No harm foundFrom a complaint

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-01-03

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-01-03

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-01-03

2024-03-11Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-03-12

2024-01-30Health inspectionComplaint-triggered2 citations

F-0584

D · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-01-31

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-01-31

2023-10-12Health inspectionComplaint-triggered3 citations

F-0761

D · No harm found

Corrected 2023-10-13

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-10-13

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2023-10-13

2026-02-19Fire-safety inspection3 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-04-01

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-25

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-04-01

2024-12-05Fire-safety inspection1 citation

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-13

2023-10-12Fire-safety inspection3 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-10-11

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-10-11

K-0900

F · No harm found

Meet Health Care Facilities Code mechanical requirements.

Corrected 2023-10-11

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676256.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 61% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.4

Higher than 58% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

47%

Higher than 39% of nursing homes in the state

State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 11 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	12.9%	15.8%	13.5%	Better than state
Lose too much weight	2.8%	2.9%	5.1%	Near state average
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	0.8%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	16.0%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	15.6%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	98.6%	97.0%	95.3%	Near state average
With pressure ulcers	3.5%	3.7%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	14.9%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	7.6%	9.8%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.1%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	97.6%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	26.5%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	17.7%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0644 2 inspections. Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F-0584 2 inspections. Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What its owners also hold

Dallas County Hospital District has an ownership stake on file at 36 nursing homes, averaging 2.9 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Methodist Richardson Medical Center, about 0.2 miles. CMS rating 4 of 5.
Texas Health Presbyterian Hospital Allen, about 5.9 miles. CMS rating 4 of 5.
Medical City Plano, about 6.0 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Collinwood Nursing and Rehabilitation, Plano, about 1.3 miles. CMS rating 1 of 5.
Remington Transitional Care of Richardson, Richardson, about 2.2 miles. CMS rating 4 of 5.
Lindan Park Care Center, Richardson, about 3.0 miles. CMS rating 5 of 5.
The Parks At Garland Healthcare and Rehab, Garland, about 3.3 miles. CMS rating 4 of 5.
Legend Oaks Healthcare and Rehabilitation - Garland, Garland, about 3.6 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

4.2511 ratings on Google

★★★★★Brittini Johnson · 2026-05-19 · via Google
“From the moment I walked into this facility, I was extremely impressed with everything I saw. I was warmly greeted by the Executive Director, James Parker, who was polite, professional, and exceptionally knowledgeable. He immediately reassured me that my mother would receive excellent care and provided a very personal and compassionate experience throughout the process. I also had the pleasure of…”

★Kaylee Kish · 2026-08-09 · via Google
“Treated my grandmother horribly. She has very special skin that needs to be handled lightly and with proper care and treatment yet they don’t care and get mad at you when you suggest anything. They act like they know it all. They also got upset at an her an OLD WOMAN for going to the bathroom on herself and also cleaning it up herself because they didn’t come to help. It’s YOUR JOB. If you work in…”

★★★★★Juan carlos · 2025-10-24 · via Google
“I want to take a moment to recognize the amazing front desk staff at San Remo. From the moment I walked in, I was greeted with warmth and professionalism. Senya Flores always goes above and beyond to make everyone feel welcome, remembered, and cared for. She’s patient, organized, and always willing to help or answer questions or concerns. Her positive attitude truly makes the environment brighter …”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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The 39 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered