Castle Hills Rehabilitation and Care Center

Inspection record

Most recent standard health inspection: Sep 12, 2025. CMS lists 78 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 14, 2023 to Aug 15, 2026): 47 from complaint inspections, 8 at the “actual harm” level or higher, including 8 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

Showing the 12 most recent of 78. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $112,386 in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day

3.02 hours

Registered nurse (RN) time per resident per day

0.65 hours

Nurse aide time per resident per day

1.56 hours

Total nurse staffing on weekends

2.46 hours

Nursing staff turnover (yearly)

78%

RN turnover (yearly)

67%

Administrators who left in the past year

1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.