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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasCastle Hills Rehabilitation and Care Center

Castle Hills Rehabilitation and Care Center

8020 Blanco Rd, San Antonio, TX 782162103444553
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
2/5
Beds
143
certified
12 fine(s) totaling $157,841

Key Findings

• 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.

Beds
143
Avg Residents/Day
62.2
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)
20
Weighted Score
347.8
Infection Citations
0

Deficiency Citations (64)

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
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jun 26, 2025Corrected: NoCycle: 1
F0655Immediate Jeopardy

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: May 2, 2025Corrected: NoCycle: 1
F0690Immediate Jeopardy

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: May 2, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Sep 12, 2025Corrected: NoCycle: 1
F0577Minimal Harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

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
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
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
F0755Potential for Harm

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

Survey: Sep 13, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 10, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

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

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Mar 23, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

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

Survey: Mar 23, 2024Corrected: NoCycle: 2
F0580Immediate Jeopardy

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

Survey: Mar 16, 2024Corrected: NoCycle: 2
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: Mar 16, 2024Corrected: NoCycle: 2
F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

Survey: Mar 16, 2024Corrected: NoCycle: 2
F0842Potential for Harm

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

Survey: Mar 16, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Aug 23, 2024Corrected: NoCycle: 2

+ 34 more deficiencies

Total Fines
$157,841
Number of Fines
12
Payment Denials
0
Total Penalties
12

Penalty History

FineMar 20, 2023
$4,580
FineMar 13, 2023
$4,580
FineMar 6, 2023
$4,580
FineFeb 28, 2023
$4,580
FineFeb 21, 2023
$4,580
FineMay 8, 2023
$4,587
FineJun 29, 2023
$5,078
FineAug 2, 2024
$10,226
FineApr 17, 2023
$13,762
FineSep 12, 2025
$19,120
FineMay 2, 2025
$26,520
FineMar 16, 2024
$55,648

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

Nurse Aide1.39 hrs
National avg: 2.35 hrs
LPN0.79 hrs
National avg: 0.86 hrs
RN0.35 hrs
National avg: 0.68 hrs
Total Nursing2.53 hrs
National avg: 3.89 hrs
Weekend Total2.12 hrs
National avg: 0.00 hrs
Physical Therapist0.11 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
1

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
FRIO HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Feb 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
RUFF, MICHAELCORPORATE OFFICERIndividualN/AFeb 1, 2024

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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 2/5. This facility is rated below average.
Has Castle Hills Rehabilitation and Care Center had any health inspection violations?▾
Castle Hills Rehabilitation and Care Center had 20 deficiency citations in its most recent health inspection (Sep 12, 2025). The facility has been fined a total of $157,841 across 12 fine(s).
What are the staffing levels at Castle Hills Rehabilitation and Care Center?▾
Castle Hills Rehabilitation and Care Center provides 2.53 total nursing staff hours per resident per day, including 0.35 RN hours, 0.79 LPN hours, and 1.39 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 62.2 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, there are 57 other nursing homes in San Antonio, Texas with an average rating of 2.5/5. You can compare all facilities on the San Antonio nursing homes page.

Part of Optima Care

This chain operates 8 facilities. View all →