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HomeTexasCastle Hills Rehabilitation and Care Center

Castle Hills Rehabilitation and Care Center

8020 Blanco Rd, San Antonio, TX 782162103444553WebsiteGoogle Maps
4.0on Google(46 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
1/5
Beds
143
certified
4 fine(s) totaling $112,386

How Castle Hills Rehabilitation and Care Center Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
1/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
2.96 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.59 hrs/day
TX average
0.43 hrs/day
Above state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 1/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 2.96 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.59 hours per resident per day, above the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
29
deficiency citations
Inspected Aug 23, 2024
Most recent cycle
32
deficiency citations
Inspected Sep 12, 2025
The most recent cycle recorded 3 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Bexar County 65+
248,631
12.3% of county
County Population
2,014,059
Bexar County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Castle Hills Rehabilitation and Care Center is a 1-star Medicare and Medicaid certified nursing home in San Antonio, Texas with 143 certified beds. It has been operating since 1985. Its overall CMS rating is 1 out of 5.

Beds
143
Avg Residents/Day
61.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 1, 1985
Sprinklers
Yes
Council
Resident
County
Bexar
Last Inspection
Sep 12, 2025
Deficiencies (Cycle 1)
32
Weighted Score
334.3
Infection Citations
0

Deficiency Citations (72)

F0727Potential for Harm

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.

Survey: May 20, 2026Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: May 20, 2026Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: May 20, 2026Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: May 15, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: May 15, 2026Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: May 15, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 15, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Mar 6, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 22, 2026Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Feb 22, 2026Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Feb 22, 2026Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jan 16, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 16, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Nov 25, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 12, 2025Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Sep 12, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Sep 12, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Sep 12, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Sep 12, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Sep 12, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Sep 12, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Sep 12, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 12, 2025Corrected: NoCycle: 1
F0926Potential for Harm

Have policies on smoking.

Survey: Sep 12, 2025Corrected: NoCycle: 1

+ 42 more deficiencies

Total Fines
$112,386
Number of Fines
4
Payment Denials
0
Total Penalties
4

Penalty History

FineAug 2, 2024
$10,226
FineSep 12, 2025
$19,418
FineMay 2, 2025
$27,094
FineMar 16, 2024
$55,648

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.71 hrs
National avg: 2.32 hrs
LPN0.66 hrs
National avg: 0.86 hrs
RN0.59 hrs
National avg: 0.69 hrs
Total Nursing2.96 hrs
National avg: 3.86 hrs
Weekend Total2.52 hrs
National avg: 0.00 hrs
Physical Therapist0.10 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
FRIO HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Feb 1, 2024
RUFF, MICHAELMANAGING CONTROL - GOVERNING BODYIndividualN/AFeb 1, 2024
RUFF, MICHAELCORPORATE OFFICERIndividualN/AFeb 1, 2024
CASTLE HILLS NURSING AND REHAB CENTER LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 1, 2025
BEWSEY, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
PORRAS, PETEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
CASTLE HILLS NURSING AND REHAB CENTER LLCADP OF THE SNFOrganizationN/AFeb 21, 2025
AZIZ, WESAMADP OF THE SNFIndividualN/AFeb 1, 2025
PORRAS, PETERADP OF THE SNFIndividualN/AFeb 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Castle Hills Rehabilitation and Care Center and nearby alternatives.

All Texas facilities
Castle Hills Rehabilitation and Care Center
San Antonio, TXCurrent facility
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $112,386
Broadway Nursing & Rehabilitation
San Antonio, TX2.9 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $84,129
Sage Park San Antonio
San Antonio, TX3.3 mi
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: $121,976
The Lev at San Antonio
San Antonio, TX3.3 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $174,496
The Heights at Medical Center
San Antonio, TX3.5 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $22,052
Golden Estates Rehabilitation Center
San Antonio, TX4.0 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $161,844
The Atrium Rehabilitation Center
San Antonio, TX4.4 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: $9,600
FacilityDistanceCMSHealthStaffingRecorded fines
Castle Hills Rehabilitation and Care Center
San Antonio, TX · Current facility
—1/51/51/5$112,386
Broadway Nursing & Rehabilitation
San Antonio, TX
2.9 mi1/52/51/5$84,129
Sage Park San Antonio
San Antonio, TX
3.3 mi3/52/53/5$121,976
The Lev at San Antonio
San Antonio, TX
3.3 mi1/52/51/5$174,496
The Heights at Medical Center
San Antonio, TX
3.5 mi1/52/51/5$22,052
Golden Estates Rehabilitation Center
San Antonio, TX
4.0 mi2/52/52/5$161,844
The Atrium Rehabilitation Center
San Antonio, TX
4.4 mi4/54/52/5$9,600

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Castle Hills Rehabilitation and Care Center?▾
Castle Hills Rehabilitation and Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 1/5. This facility is rated below average.
How much does Castle Hills Rehabilitation and Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Castle Hills Rehabilitation and Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Castle Hills Rehabilitation and Care Center had any health inspection violations?▾
Castle Hills Rehabilitation and Care Center had 32 deficiency citations in its most recent health inspection (Sep 12, 2025). The current CMS dataset records 4 fine(s) totaling $112,386.
What are the staffing levels at Castle Hills Rehabilitation and Care Center?▾
Castle Hills Rehabilitation and Care Center provides 2.96 total nursing staff hours per resident per day, including 0.59 RN hours, 0.66 LPN hours, and 1.71 nurse aide hours.
How many beds does Castle Hills Rehabilitation and Care Center have?▾
Castle Hills Rehabilitation and Care Center has 143 certified beds with an average of 61.8 residents per day, resulting in approximately 43% occupancy. The facility is For profit - Limited Liability company owned and is part of the Optima Care chain.
Are there other nursing homes near Castle Hills Rehabilitation and Care Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 6 in San Antonio. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Castle Hills Rehabilitation and Care Center?▾
On Google Maps, Castle Hills Rehabilitation and Care Center has a rating of 4.0 out of 5 based on 46 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Optima Care

This chain operates 8 facilities. View all →