San Remo

    3550 Shiloh Rd, Richardson, TX 75082
    • Skilled Nursing

    Attentive staff and excellent rehab

    I'm very pleased with the attentive, caring staff and top-notch rehab - my aunt improved steadily, can climb stairs and bathe herself, and is going home soon. Rooms are comfortable and clean, the Mediterranean-style common areas and courtyard are lovely, and meals are varied and tasty. Staff were professional, responsive, and kept us informed with daily updates; activities and amenities (beauty shop, chapel, events) kept her engaged. A very good, homey place I'd recommend.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    2.59·(63)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.5
    • Staff

      2.6
    • Meals

      2.7
    • Amenities

      3.8
    • Value

      1.6

    Pros

    • Top-rated physical and occupational therapy
    • Knowledgeable, effective therapy staff
    • Engaging and varied activities program
    • Clean, well-maintained interiors and grounds
    • Attractive Italy-inspired décor and courtyard
    • Onsite amenities (chapel, beauty shop, gift shop, salon)
    • Comfortable, accessible resident rooms and common areas
    • Generally palatable, balanced dining options
    • Visible infection-control protocols (COVID‑19 measures)
    • Individual caregivers and nurses who provide attentive support

    Cons

    • Inconsistent nursing responsiveness and call-light follow-through
    • Medication-administration and reconciliation weaknesses
    • Gaps in chronic-condition monitoring and diabetes management
    • Weak transfer, feeding, and swallow-safety practices
    • Unreliable housekeeping and laundry processes
    • Irregular meal timing and inconsistent therapeutic-meal delivery
    • Poor internal communication and care coordination
    • Understaffing and staff turnover impacting continuity
    • Front-office and administrative communication variability
    • Unorganized admission, orientation, and discharge coordination
    • Language and communication barriers affecting care delivery
    • Reactive clinical approach rather than preventive care practices

    Summary of reviews

    San Remo presents a split profile: the facility’s built environment, therapy services and activities are recurrently praised, while routine nursing, frontline responsiveness and operational coordination show notable variability. Many families and residents compliment the physical plant — an attractive Italy-inspired interior, well-maintained courtyard and comfortable, accessible rooms — and highlight strong rehabilitation outcomes tied to the physical, occupational and speech therapy teams. The activities program, onsite amenities (chapel, salon, gift shop), and generally well-received dining options are also consistent strengths that contribute to a homelike atmosphere for many residents.

    Clinical quality and daily-care reliability are mixed. Several reviewers describe high-quality therapy and individual caregivers or nurses who are attentive and effective; however, there is a pattern of concerns about nursing responsiveness to call lights, delays in basic care tasks (linen/laundry, bathing, toileting assistance), and lapses in clinical monitoring for conditions such as diabetes and sleep-disordered breathing. Medication-administration and reconciliation issues are recurrently cited as an operational weakness; families report wrong or delayed doses and inconsistent documentation, which raises concerns about the facility’s medication-safety processes.

    Operationally, communication and coordination problems appear frequently. Families describe inconsistent information from staff, poor handoffs between shifts and departments, cancelled appointments with little notice, and variable front-desk/administrative responsiveness. Admissions and discharge processes are sometimes unorganized, with delayed room readiness, incomplete orientation, and scheduling confusion. Understaffing and turnover are frequently mentioned as contributing factors to these gaps; reviewers link staffing shortages to slower response times and reduced follow-through on routine tasks.

    Dining and environmental services show mixed performance. Many reviewers praise the food’s taste, variety and balanced options; others report late meal delivery, inconsistency in diabetic/therapeutic meal delivery, and occasional sanitation or housekeeping lapses (delayed linen changes, missed cleaning). The facility’s infection-control measures during the COVID‑19 period and amenity offerings receive positive notice, but housekeeping reliability and laundry processes are operational areas needing improvement.

    Safety concerns in care processes are a recurring theme that prospective residents and families should weigh carefully. Reports indicate issues with transfer technique, feeding and swallow-safety vigilance, fall-risk monitoring, and timeliness of clinical escalation for acute changes; some reviews describe emergency transfers and concerns following a resident’s death, which underscores the need to clarify the facility’s incident escalation, family-notification and quality-review protocols. Language barriers and variable staff communication styles also complicate care for some residents.

    In summary, San Remo offers strong rehabilitation services, appealing facilities and a robust activities program that many residents find beneficial. At the same time, the facility exhibits operational and clinical variability — particularly in nursing responsiveness, medication safety, housekeeping reliability and internal communication — that families should assess directly. Prospective residents should: inquire about nurse-to-resident ratios and turnover; request details on medication-safety and chronic-condition monitoring protocols; verify therapeutic diet processes; and seek references about recent clinical outcomes and incident response procedures before making a placement decision.

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    Medicare Ratings

    5·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of San Remo

    San Remo is located at 3550 Shiloh Rd, Richardson, TX, 75082.

    About San Remo

    San Remo is a senior living community in Richardson, Texas, with a 112-bed capacity, and it's open 24 hours a day, so there's always staff available when residents need help, and folks like Shanique, Karen, Laura, Gertrude, Andrea, Carmen, and Rebecca are known for being helpful and kind, creating a family-like atmosphere where people feel at home. The facility offers a wide range of healthcare services, including skilled nursing with 12 to 16-hour coverage, a 24-hour call system, medication management, bathing, dressing, transfers, and supervision, so residents with high medical needs or those who need specialized help get their care with dignity and professionalism. Residents can also get high acuity care, pharmacy services seven days a week, and medical support like diagnostic tests, X-rays, and laboratory services, and the clinical side covers wound management, tracheotomy care, intravenous therapy, respiratory therapy, and even telemedicine, making sure everything from cardiac recovery to palliative care is managed right onsite. There's a rehabilitation center at San Remo that offers physical, occupational, and speech therapy, as well as outpatient rehabilitation and recovery options for folks coming from surgery, stroke, or needing transitional care.

    Along with the medical support, San Remo makes daily life easier through housekeeping, laundry and dry cleaning, on-call move-in help, and transportation or parking services, so families don't have to worry about logistics or staying connected. Residents live in private rooms with their own bathrooms, cable TV, kitchenettes, telephones, air conditioning, and high-speed Wi-Fi, plus there's the option to have them furnished, which takes care of comfort pretty well. Meals are cooked by a professional chef, served all day in a dining room with restaurant-style service, and the kitchen adjusts for dietary needs, so everyone can eat safely and enjoyably.

    Amenities cover most interests and needs, with an arts room, library, game room, fitness center, weekly nail care, and a spa and sauna for wellness, plus community services such as an on-site business room, structured educational programs, and scheduled daily activities like bingo and happy hour with refreshing drinks. The activities director plans events every day, so residents always have something to look forward to, and there are plenty of outdoor features, like walking paths and a garden, that make it nice to get outside, along with outdoor programs that keep people moving or socializing. Inside, the building's well-lit, with spacious common areas and elegant décor that makes the place inviting and calm, and everything's wheelchair accessible.

    San Remo's staff, including MDS nurses who provide daily updates and care coordination, are committed to comfort and supporting each resident's dignity, safety, and wellness, and the billing process stays transparent, using simple language, with flexible payment options like credit cards, mobile payments, or cash, which makes things easier for families. The reviews, over 200 of them, generally reflect residents and families being satisfied with how helpful, joyful, and compassionate the staff are, and people say the environment at San Remo feels welcoming and supportive, focusing on quality of life and personalized care rather than just medical treatment.

    People often ask...

    San Remo offers skilled nursing.

    There are 8 photos of San Remo on Mirador.

    The full address for this community is 3550 Shiloh Rd, Richardson, TX 75082.

    No, San Remo does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of San Remo. The information above has not been verified or approved by the owner or operator. For exact information, please contact San Remo directly. There is no cost for this service. We are compensated by the community you select.

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