About San RemoSan Remo is located at 3550 N Shiloh Rd, Richardson, TX, reachable at (972) 231-4810. This Government – County facility operates 112.0 certified beds and serves an average of 87 residents per day. It is part of the Cantex Continuing Care network (38 facilities nationwide). Medicare and Medicaid services have been provided since 2010-06-30. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
San Remo is a strong choice for families in the Richardson, TX area seeking a well-inspected, high-quality care environment. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5. Its clean five-year compliance record adds confidence for families making this important decision.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★4 / 5
Health Inspection
★★★★★4 / 5
Staffing Rating
★★★★★2 / 5
Quality Measures (QM)
★★★★★4 / 5
Long-Stay QM Rating
★★★★★5 / 5
Short-Stay QM Rating
★★★★★3 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightSan Remo currently provides 3 hours 14 minutes of total nurse staffing per resident per day, including 42 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover stands at 47.6% — above the national average of ~35%.
Current Staffing Hours Per Resident Per Day (2026)
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours2 hours 58 minutes
Weekend Registered Nurse (RN) Hours38 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummarySan Remo has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 7 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Nationally, San Remo ranks 5413th out of 14,703 facilities (composite score: 76.0/100), placing it in the above average nationwide. Within TX, it ranks 310th out of 1,177 nursing homes. In Richardson, it ranks 3rd out of 7 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #11,603 nationally and RN hours rank #4,996 nationally (#99 in TX).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TX State Rank
Note
2022
3.15
#10,731 / 14,703
#660 / 1,177
Below average
2023
3.23
#10,189 / 14,703
#571 / 1,177
Below average
2024
3.43
#8,860 / 14,703
#330 / 1,177
Below average
2025
3.57
#8,195 / 14,703
#251 / 1,177
Below average
2026
3.24
#11,603 / 14,703
#614 / 1,177
⚠️ Bottom 25%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TX State Rank
Note
2022
0.47
#9,409 / 14,703
#302 / 1,177
Below average
2023
0.40
#10,208 / 14,703
#336 / 1,177
Below average
2024
0.48
#8,678 / 14,703
#221 / 1,177
Below average
2025
0.54
#7,682 / 14,703
#205 / 1,177
Below average
2026
0.70
#4,996 / 14,703
#99 / 1,177
Above average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
San Remo is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2010-06-30. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (972) 231-4810 or your local Medicaid office to verify current eligibility.
San Remo holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (2★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 76.0/100, placing it #5413 of 14703 facilities nationally and #310 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at San Remo receives a reported average of 3 hours 14 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 42 minutes; Licensed Practical Nurse (LPN) — 1 hour 2 minutes; Nurse Aide — 1 hour 31 minutes. On weekends, total nurse staffing is 2 hours 58 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 47.6%. Families are encouraged to ask about current staffing schedules during their facility visit.
San Remo has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 7 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 28.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, San Remo ranks 5413th out of 14,703 facilities (composite score: 76.0/100), placing it in the above average nationwide. Within TX, it ranks 310th out of 1,177 nursing homes. In Richardson, it ranks 3rd out of 7 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #11,603 nationally and RN hours rank #4,996 nationally (#99 in TX). Our composite quality score of 76.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Richardson, visit: https://nursinghomesnearme.org/texas/richardson/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.