Skilled nursing facility · CMS certification number 745060
St. Juanita Retirement and Rehab
SAN ANGELO, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 90
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
No Medicare cost report on file for this facility.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| JANIE FSH LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2025 |
| MARTINEZ IRIZARRY, AXEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| ROBINSON, STEVEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| WATT, RAYMOND | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| APOLINAR, ADAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2025 |
| WATT, JESSE | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/15/2025 |
| ROBINSON, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2025 |
| VITALS HEALTH VENTURES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of UVALDE COUNTY HOSPITAL AUTHORITY (enrollment ID O20251126000449).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| UVALDE COUNTY HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| AXEL MARTINEZ IRIZARRY | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANIE FSH LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| RAYMOND WATT | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN D ROBINSON | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN ROBINSON | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADAM APOLINAR | Individual | CORPORATE OFFICER | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN ROBINSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VITALS HEALTH VENTURES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- April 1, 2026: JANIE FSH LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: UVALDE COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: VITALS HEALTH VENTURES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADAM APOLINAR (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: AXEL MARTINEZ IRIZARRY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STEVEN D ROBINSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RAYMOND WATT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STEVEN ROBINSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STEVEN ROBINSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Recent changes on this record
- July 12, 2026: A deficiency was cited under tag F 0552, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- April 1, 2026: JANIE FSH LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: UVALDE COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: VITALS HEALTH VENTURES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADAM APOLINAR (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: AXEL MARTINEZ IRIZARRY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STEVEN D ROBINSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RAYMOND WATT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STEVEN ROBINSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STEVEN ROBINSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 23, 2025 | December 23, 2025 | 6 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
6 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 12, 2026 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Yes | Deficient, Provider has date of correction | July 14, 1902 |
| May 27, 2026 | Health | F 0729 | Nursing and Physician Services Deficiencies | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Yes | Deficient, Provider has date of correction | June 3, 2026 |
| May 27, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | Yes | Deficient, Provider has date of correction | June 2, 2026 |
| January 29, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has date of correction | January 30, 2026 |
| December 23, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | December 24, 2025 |
| December 23, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | December 24, 2025 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | UVALDE COUNTY HOSPITAL AUTHORITY |
| Date First Approved to Provide Medicare and Medicaid Services | 2025-12-10 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Tom Green |
| Telephone Number | 3252220830 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 90 |
| Average Number of Residents per Day | 27.7 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on St. Juanita Retirement and Rehab: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 12, 2026: A deficiency was cited under tag F 0552, scope and severity E. That is one line of the alert.
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The citable document for St. Juanita Retirement and Rehab
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 745060.