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Castle Hills Rehabilitation and Care Center, San Antonio, Texas
- 67
- Citations from health inspectionsTexas average: 28 a home
- 8
- Residents harmed or put in dangerTexas average: 2.3 a home
- $112,386
- Fines from the federal governmentTexas average: $44,141 a home
- 1 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
21 inspection visits produced 67 citations. Residents were in immediate danger in eight findings. Federal fines came to $112,386 (four fines).
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
Are you worried about the way someone was treated at this home?
Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.Quick Look at the Record
- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 1 out of 5
- Nurse time for each resident
- 2.96 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.59 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- Not sent to CMS
- Beds that are certified
- 143
- Ownership
- Limited Liability company (for profit)
- Chain
- Optima Care, with eight homes
- Street address
- 8020 Blanco Rd, San Antonio, Texas 78216
- County
- Bexar
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Three citations dated May 20, 2026
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated May 15, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated April 24, 2026
One citation dated March 6, 2026
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Three citations dated Feb. 22, 2026
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Jan. 16, 2026
Two citations dated Dec. 10, 2025
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated Nov. 25, 2025
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Nov. 14, 2025
- F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
11 citations dated Sept. 12, 2025
- F926 Smoking Policies: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F577 Access to Inspection Results and Advocates: minimal risk to residents, widespread.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
One citation dated Aug. 15, 2025
- F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated June 26, 2025
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated May 2, 2025
- F690 Bladder, Bowel and Catheter Care: immediate danger to residents, one or a few residents, found on a complaint visit.
- F655 Baseline Care Plan at Admission: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated Sept. 13, 2024
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Sept. 10, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
10 citations dated Aug. 23, 2024
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F810 Special Eating Utensils and Mealtime Help: risk of harm, no one found hurt, one or a few residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
One citation dated Aug. 2, 2024
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
Two citations dated March 23, 2024
Four citations dated March 16, 2024
- F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F760 Significant Medication Errors: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F580 Telling the Family About a Change: immediate danger to residents, a pattern, several residents, found on a complaint visit.
Two citations dated Dec. 21, 2023
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F551 Representative May Exercise Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
11 citations dated July 14, 2023
- F944 Staff Training on Quality Improvement Program: risk of harm, no one found hurt, a pattern, several residents.
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents.
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F661 Share Information at Planned Discharge: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, a pattern, several residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Sept. 12, 2025 | Fine | $19,418 |
| May 2, 2025 | Fine | $27,094 |
| Aug. 2, 2024 | Fine | $10,226 |
| March 16, 2024 | Fine | $55,648 |
Ownership and Management of the Home
- The home is run by Castle Hills Nursing and Rehab Center LLC (operational or managerial control).
- The direct 100% owner is Frio Hospital District.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 455510. Other homes in San Antonio.