nursing home in San Antonio, TX
Castle Hills Rehabilitation and Care Center
8020 Blanco Rd, San Antonio, TX 78216 · (210) 344-4553
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★1
- Special Focus candidate
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Castle Hills Rehabilitation and Care Center at a glance
Castle Hills Rehabilitation and Care Center is a 143-bed for-profit nursing home in San Antonio, Texas (Bexar County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (September 12, 2025) found 31 health citations. The Texas average is 9.4.
Federal regulators fined it 4 times in the past three years, totaling $112,386.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 143
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Optima Care
- Medicare-certified since
- July 1, 1985
- Resident/family council
- Resident
- County
- Bexar County
- CMS Certification Number
- 455510
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.96 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.59 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.71 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.52 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 31 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 21 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 327.3 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $112,386 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 143 | 113 | 107 | |
| Average residents per day | 62 | 76 | 86 | |
| Occupancy | 43.2% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.6% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7.3% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 10.7% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.3% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.1% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 15.3% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 20.9% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 6.4% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 29.2% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 22.7% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.1% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 90% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 91.2% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 67 health deficiencies and 32 fire safety deficiencies in the inspection records CMS currently publishes. 8 citations involved actual harm, including 8 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 20, 2026 Complaint | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected May 21, 2026 |
| May 20, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 21, 2026 |
| May 20, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected May 21, 2026 |
| May 15, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 16, 2026 |
| May 15, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 16, 2026 |
| May 15, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 16, 2026 |
| May 15, 2026 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 16, 2026 |
| April 24, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 31, 2026 |
| April 24, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 31, 2026 |
| March 6, 2026 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected March 20, 2026 |
| February 22, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 15, 2026 |
| February 22, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 15, 2026 |
| February 22, 2026 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 15, 2026 |
| January 16, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 20, 2026 |
| January 16, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected February 20, 2026 |
| December 10, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected January 10, 2026 |
| December 10, 2025 Complaint | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected December 12, 2025 |
| November 25, 2025 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected November 26, 2025 |
| November 14, 2025 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected November 30, 2025 |
| November 14, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected January 10, 2026 |
| September 12, 2025 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | F Potential harm, widespread | Corrected September 11, 2025 |
| September 12, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected September 11, 2025 |
| September 12, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected September 11, 2025 |
| September 12, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected September 11, 2025 |
| September 12, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected September 11, 2025 |
| September 12, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected September 11, 2025 |
| September 12, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected September 11, 2025 |
| September 12, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected September 11, 2025 |
| September 12, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| September 12, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | C No harm, widespread | No revisit needed |
| September 12, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected September 13, 2025 |
| September 12, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 13, 2025 |
| September 12, 2025 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected September 13, 2025 |
| September 12, 2025 Standard | Have policies on smoking. Environmental Deficiencies · Tag F0926 | D Potential harm, isolated | Corrected September 13, 2025 |
| September 12, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected September 13, 2025 |
| September 12, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 13, 2025 |
| September 12, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 13, 2025 |
| September 12, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 13, 2025 |
| September 12, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected September 13, 2025 |
| September 12, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 13, 2025 |
| September 12, 2025 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | C No harm, widespread | Corrected September 13, 2025 |
| August 15, 2025 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected September 14, 2025 |
| June 26, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 2, 2025 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. Quality of Life and Care Deficiencies · Tag F0690 | J Immediate jeopardy, isolated | Corrected May 3, 2025 |
| May 2, 2025 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | J Immediate jeopardy, isolated | Corrected May 3, 2025 |
| September 13, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 30, 2024 |
| September 10, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 30, 2024 |
| August 23, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 7, 2024 |
| August 23, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected October 7, 2024 |
| August 23, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected October 7, 2024 |
| August 23, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected October 7, 2024 |
| August 23, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected October 7, 2024 |
| August 23, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected October 7, 2024 |
| August 23, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | C No harm, widespread | Corrected August 23, 2024 |
| August 23, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected August 23, 2024 |
| August 23, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected September 23, 2024 |
| August 23, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 23, 2024 |
| August 23, 2024 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected September 23, 2024 |
| August 23, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 23, 2024 |
| August 23, 2024 Standard | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | D Potential harm, isolated | Corrected September 23, 2024 |
| August 23, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 23, 2024 |
| August 23, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected September 23, 2024 |
| August 23, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected September 23, 2024 |
| August 23, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 23, 2024 |
| August 23, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected September 23, 2024 |
| August 2, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected June 20, 2024 |
| March 23, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected March 24, 2024 |
| March 23, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected March 24, 2024 |
| March 16, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | K Immediate jeopardy, pattern | Corrected March 17, 2024 |
| March 16, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | K Immediate jeopardy, pattern | Corrected March 17, 2024 |
| March 16, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected March 17, 2024 |
| March 16, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 15, 2024 |
| December 21, 2023 Complaint | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Tag F0551 | D Potential harm, isolated | Corrected January 20, 2024 |
| December 21, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 20, 2024 |
| July 14, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 25, 2023 |
| July 14, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 25, 2023 |
| July 14, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected August 25, 2023 |
| July 14, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 25, 2023 |
| July 14, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected August 25, 2023 |
| July 14, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected August 25, 2023 |
| July 14, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected August 25, 2023 |
| July 14, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 14, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 14, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 14, 2023 Fire safety | Meet other general requirements. Egress Deficiencies · Tag K0200 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 14, 2023 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 14, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | C No harm, widespread | Corrected July 13, 2023 |
| July 14, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected July 13, 2023 |
| July 14, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected July 15, 2023 |
| July 14, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | E Potential harm, pattern | Corrected August 14, 2023 |
| July 14, 2023 Standard | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | E Potential harm, pattern | Corrected July 28, 2023 |
| July 14, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 15, 2023 |
| July 14, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected August 14, 2023 |
| July 14, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected August 14, 2023 |
| July 14, 2023 Standard | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected August 14, 2023 |
| July 14, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 14, 2023 |
| July 14, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 15, 2023 |
| July 14, 2023 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected August 14, 2023 |
| July 14, 2023 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected August 14, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $112,386 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 12, 2025 | Fine | $19,418 |
| May 2, 2025 | Fine | $27,094 |
| August 2, 2024 | Fine | $10,226 |
| March 16, 2024 | Fine | $55,648 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FRIO HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 02/01/2024 |
| AZIZ, WESAM Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| CASTLE HILLS NURSING AND REHAB CENTER LLC Organization | adp of the snf | NOT APPLICABLE | 02/21/2025 |
| PORRAS, PETER Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| RUFF, MICHAEL Individual | corporate officer | NOT APPLICABLE | 02/01/2024 |
| RUFF, MICHAEL Individual | managing control - governing body | NOT APPLICABLE | 02/01/2024 |
| BEWSEY, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| CASTLE HILLS NURSING AND REHAB CENTER LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| PORRAS, PETER Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
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For-profit · 93 beds · Part of Paramount Healthcare
★★★★★2Below averageThe Atrium Rehabilitation Center
7602 Louis Pasteur St., San Antonio, TX 78229 · 4.4 mi
For-profit · 87 beds · Part of Paramount Healthcare
★★★★★4Above average
Frequently asked questions
What is Castle Hills Rehabilitation and Care Center's rating?
Castle Hills Rehabilitation and Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Castle Hills Rehabilitation and Care Center receive?
Its most recent standard health inspection found 31 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Castle Hills Rehabilitation and Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Castle Hills Rehabilitation and Care Center?
It is for profit - limited liability company and part of Optima Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Castle Hills Rehabilitation and Care Center and how do I contact it?
Castle Hills Rehabilitation and Care Center is at 8020 Blanco Rd, San Antonio, TX 78216. Phone: (210) 344-4553.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.