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Medicare-certifiedSkilled Nursing

Castle Hills Rehabilitation and Care Center

San Antonio, TexasMedicare inspection record
(210) 344-4553

About Castle Hills Rehabilitation and Care Center

Castle Hills Rehabilitation and Care Center brings together skilled nursing and rehabilitation expertise in San Antonio, Texas. Our team provides personalized recovery support for patients transitioning through acute care phases, helping you or your loved one regain strength and independence with compassionate, attentive care.

Community at a glance

Capacity

143 residents

Location

San Antonio, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

8020 Blanco Rd, San Antonio, Texas 78216

(210) 344-4553

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Castle Hills Rehabilitation and Care Center is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.

At its most recent standard inspection, on September 12, 2025, state inspectors cited 31 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 2 hours 58 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.

Medicare fined Castle Hills Rehabilitation and Care Center 4 times in the last three years, $112,386 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day2 hours 58 minutesBelow the Texas average
Registered nurse time per resident, per day35 minutesAbove the Texas average

2 administrators have left the home in the past year.

Inspections

56 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

May 20, 2026 · Complaint investigation · 3 citations

  • 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected May 21, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 21, 2026
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 21, 2026

May 15, 2026 · Complaint investigation · 4 citations

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

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 16, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 16, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 16, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected May 16, 2026
April 24, 2026 · Complaint investigation · 2 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected May 31, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected May 31, 2026
March 6, 2026 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Mar 20, 2026
February 22, 2026 · Complaint investigation · 3 citations+
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 15, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 15, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 15, 2026
January 16, 2026 · Complaint investigation · 2 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 20, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Feb 20, 2026
December 10, 2025 · Complaint investigation · 2 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jan 10, 2026
  • Keep all essential equipment working safely.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Dec 12, 2025
November 25, 2025 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Nov 26, 2025
November 14, 2025 · Complaint investigation · 2 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jan 10, 2026
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Nov 30, 2025
September 12, 2025 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Sep 13, 2025
September 12, 2025 · Standard inspection · 10 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 13, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 13, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 13, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 13, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 13, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 13, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 13, 2025
  • Have policies on smoking.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Sep 13, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 13, 2025
  • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Minimal harm or risk, widespread (level C)Resident RightsCorrected Sep 13, 2025
August 15, 2025 · Complaint investigation · 1 citation+
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 14, 2025
June 26, 2025 · Complaint investigation · 1 citation+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 30, 2025
May 2, 2025 · Complaint investigation · 2 citations+
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected May 3, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Immediate danger to residents, a few residents (level J)Resident Assessment and Care PlanningFrom a complaintCorrected May 3, 2025
September 13, 2024 · Complaint investigation · 1 citation+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Sep 30, 2024
September 10, 2024 · Complaint investigation · 1 citation+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Sep 30, 2024
August 23, 2024 · Standard inspection · 10 citations+
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Sep 23, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 23, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 23, 2024
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 23, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 23, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Sep 23, 2024
  • Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Sep 23, 2024
  • Keep all essential equipment working safely.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Sep 23, 2024
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 23, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 23, 2024
August 2, 2024 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Jun 20, 2024
March 23, 2024 · Complaint investigation · 2 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 24, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Mar 24, 2024
March 16, 2024 · Complaint investigation · 4 citations+
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Immediate danger to residents, a pattern (level K)Resident RightsFrom a complaintCorrected Mar 17, 2024
  • Ensure that residents are free from significant medication errors.

    Immediate danger to residents, a pattern (level K)Pharmacy ServiceFrom a complaintCorrected Mar 17, 2024
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 17, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 15, 2024
December 21, 2023 · Complaint investigation · 2 citations+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 20, 2024
  • Give the resident's representative the ability to exercise the resident's rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 20, 2024

Fines and payment denials

4 fines totaling $112,386 in the last three years.

  • September 12, 2025Fine: $19,418
  • May 2, 2025Fine: $27,094
  • August 2, 2024Fine: $10,226
  • March 16, 2024Fine: $55,648

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Frio Hospital District
Medicare-certified beds
143
Average residents per day
62
Accepts
Medicare and Medicaid
First certified
July 1, 1985
Part of a chain
Optima Care, 8 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
455510

Location

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8020 Blanco RdSan Antonio, TX 78216

12 other communities within 10 miles

Senior living near San Antonio

Questions about Castle Hills Rehabilitation and Care Center

How did Castle Hills Rehabilitation and Care Center do on its last inspection?+

State inspectors visited on September 12, 2025 and cited 31 health deficiencies, 21 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Castle Hills Rehabilitation and Care Center?+

Nurses and aides spend 2 hours 58 minutes with each resident per day, including 35 minutes from registered nurses.

Has Castle Hills Rehabilitation and Care Center been fined by Medicare?+

Yes. Medicare fined Castle Hills Rehabilitation and Care Center 4 times in the last three years, totaling $112,386.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in San Antonio Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026