• CMS rates this facility 1/5 stars (below average)
• Has 143 certified beds with an average of 62.2 residents per day (43% occupancy)
• Last health inspection found 20 deficiencies (inspected Sep 12, 2025)
• Has been fined a total of $157,841 across 12 fine(s)
• Total nursing staff: 2.53 hours per resident per day
• Part of the Optima Care chain (8 facilities)
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. The facility scored below average compared to Texas facilities.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Keep all essential equipment working safely.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Reasonably accommodate the needs and preferences of each resident.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Have policies on smoking.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide and implement an infection prevention and control program.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that residents are free from significant medication errors.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Reasonably accommodate the needs and preferences of each resident.
+ 34 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FRIO HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Feb 1, 2024 |
| CASTLE HILLS NURSING AND REHAB CENTER LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2025 |
| BEWSEY, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| PORRAS, PETER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| RUFF, MICHAEL | CORPORATE OFFICER | Individual | N/A | Feb 1, 2024 |
This chain operates 8 facilities. View all →