Castle Hills Rehabilitation and Care Center

Nursing home in San Antonio, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (210) 344-4553 Send a message Map ↗

Public-record details

Address: 8020 Blanco Rd, San Antonio, TX 78216
Phone: (210) 344-4553
Listed under: For-profit
Medicare CCN: 455510
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 1 of 5
Quality measures rating: 1 of 5
Certified beds: 143
Average residents per day: 62
Ownership: For-profit, limited Liability company
Legal business name: Frio Hospital District
Chain: Optima Care (8 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jul 1, 1985
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 455510. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 12, 2025. CMS lists 67 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 14, 2023 to May 20, 2026): 36 from complaint inspections, 8 at the “actual harm” level or higher, including 8 at “immediate jeopardy”.

Inspection	Citation	Severity
May 20, 2026	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
May 20, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
May 20, 2026	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. Nursing and Physician Services · complaint inspection	F Potential for more than minimal harm, widespread
May 15, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
May 15, 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… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
May 15, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
May 15, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	D Potential for more than minimal harm, isolated
Apr 24, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	D Potential for more than minimal harm, isolated
Apr 24, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary · complaint inspection	E Potential for more than minimal harm, pattern
Mar 6, 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… Pharmacy Service · complaint inspection	E Potential for more than minimal harm, pattern
Feb 22, 2026	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Feb 22, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 67. 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 Aug 1, 2026.

Fines and payment denials

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

Sep 12, 2025	Fine: $19,418
May 2, 2025	Fine: $27,094
Aug 2, 2024	Fine: $10,226
Mar 16, 2024	Fine: $55,648

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

Staffing

Total nurse staffing per resident per day: 2.96 hours
Registered nurse (RN) time per resident per day: 0.59 hours
Nurse aide time per resident per day: 1.71 hours
Total nurse staffing on weekends: 2.52 hours
Administrators who left in the past year: 2

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

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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