Castle Hills Rehabilitation And Care Center
8020 Blanco Rd, San Antonio, TX 78216 · Bexar County
For-profit · 143 certified beds · 43% occupancy · (210) 344-4553
Castle Hills Rehabilitation And Care Center reviews: what the government record shows
The U.S. government (CMS) rates Castle Hills Rehabilitation And Care Center 1 out of 5 stars overall, much below average. Its nurse staffing is 9% below the Texas median. Inspectors cited it for 8 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 2.96 hrs/resident/day (-9% vs TX median)
- Antipsychotic drug use
- 10.7% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 6.6% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $112,386
- Inspection findings
- 67 cited, 8 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 2.96 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 8 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $112,386 in federal fines in roughly the last three years.
- !Serious-fall rate of 6.6% is well above the Texas median of 3%.
- !Pressure-ulcer (bedsore) rate of 7.3% is well above the Texas median of 3.3%.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
- ·What is your fall-prevention program, and how is it staffed overnight?
- ·How often are residents repositioned, and who checks skin daily?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Castle Hills Rehabilitation And Care Center
Is Castle Hills Rehabilitation And Care Center a good nursing home?
Castle Hills Rehabilitation And Care Center in San Antonio, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Castle Hills Rehabilitation And Care Center staffed?
Castle Hills Rehabilitation And Care Center reports 2.96 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Castle Hills Rehabilitation And Care Center been fined or flagged for abuse?
Castle Hills Rehabilitation And Care Center has paid approximately $112,386 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
2.96 nurse hours per resident per day. 9% below the Texas median of 3.27.
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0689 · Sep 12, 2025ComplaintCorrected Sep 13, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0727 · May 20, 2026ComplaintCorrected May 21, 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 Deficiencies
- Potential for harmTag F0812 · Apr 24, 2026ComplaintCorrected May 31, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0761 · Mar 6, 2026ComplaintCorrected Mar 20, 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 locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
- Potential for harmTag F0812 · Dec 10, 2025ComplaintCorrected Jan 10, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0908 · Dec 10, 2025ComplaintCorrected Dec 12, 2025
Keep all essential equipment working safely.
Environmental Deficiencies
- Potential for harmTag F0812 · Nov 14, 2025ComplaintCorrected Jan 10, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0925 · Nov 14, 2025ComplaintCorrected Nov 30, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
- Potential for harmTag F0803 · Sep 12, 2025Corrected Sep 13, 2025
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.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0812 · Sep 12, 2025Corrected Sep 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Showing the 10 most recent and serious of 67 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at least double the Texas median. Ask the staff directly about their fall-prevention program: how they assess risk, how often they check on residents, and whether staffing at night is enough to respond quickly.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Optima Care chain, which operates 8 facilities, with a chain-average CMS rating of 3 stars.