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UPDATED JUL 2026

Nursing Homes · Medicare certified

Castle Hills Rehabilitation And Care Center

8020 Blanco Rd · San Antonio, TX 78216 · 143 certified beds

2103444553

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

1.0

Inspections on record

2

Cited deficiencies

56

Inspection history (67)

  • August 2, 2024 · J

    Citation F0689

    Federal surveyors cited this nursing home on 2024-08-02 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-02.GOV
  • March 23, 2024 · J

    Citation F0600

    Federal surveyors cited this nursing home on 2024-03-23 under CMS tag F0600 (CMS scope/severity J: isolated, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2024-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-23.GOV
  • March 23, 2024 · J

    Citation F0689

    Federal surveyors cited this nursing home on 2024-03-23 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-23.GOV
  • March 16, 2024 · K

    Citation F0580

    Federal surveyors cited this nursing home on 2024-03-16 under CMS tag F0580 (CMS scope/severity K: pattern, immediate jeopardy) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-03-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-16.GOV
  • March 16, 2024 · E

    Citation F0842

    Federal surveyors cited this nursing home on 2024-03-16 under CMS tag F0842 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-03-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-16.GOV
  • March 16, 2024 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2024-03-16 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-16.GOV
  • March 16, 2024 · K

    Citation F0760

    Federal surveyors cited this nursing home on 2024-03-16 under CMS tag F0760 (CMS scope/severity K: pattern, immediate jeopardy) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2024-03-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-16.GOV
  • December 21, 2023 · D

    Citation F0880

    Federal surveyors cited this nursing home on 2023-12-21 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-01-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-21.GOV
  • December 21, 2023 · D

    Citation F0551

    Federal surveyors cited this nursing home on 2023-12-21 under CMS tag F0551 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give the resident's representative the ability to exercise the resident's rights. The deficiency was recorded as corrected on 2024-01-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-21.GOV
  • July 14, 2023 · D

    Citation F0814

    Federal surveyors cited this nursing home on 2023-07-14 under CMS tag F0814 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2023-08-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-14.GOV
  • July 14, 2023 · E

    Citation F0812

    Federal surveyors cited this nursing home on 2023-07-14 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-07-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-14.GOV
  • July 14, 2023 · E

    Citation F0582

    Federal surveyors cited this nursing home on 2023-07-14 under CMS tag F0582 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2023-08-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-14.GOV
  • July 14, 2023 · D

    Citation F0661

    Federal surveyors cited this nursing home on 2023-07-14 under CMS tag F0661 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. The deficiency was recorded as corrected on 2023-08-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-14.GOV
  • July 14, 2023 · E

    Citation F0944

    Federal surveyors cited this nursing home on 2023-07-14 under CMS tag F0944 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. The deficiency was recorded as corrected on 2023-07-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-14.GOV
  • July 14, 2023 · E

    Citation F0760

    Federal surveyors cited this nursing home on 2023-07-14 under CMS tag F0760 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2023-07-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-14.GOV
  • July 14, 2023 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2023-07-14 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-08-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-14.GOV
  • July 14, 2023 · D

    Citation F0695

    Federal surveyors cited this nursing home on 2023-07-14 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2023-07-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-14.GOV
  • July 14, 2023 · D

    Citation F0645

    Federal surveyors cited this nursing home on 2023-07-14 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2023-08-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-14.GOV
  • July 14, 2023 · E

    Citation F0921

    Federal surveyors cited this nursing home on 2023-07-14 under CMS tag F0921 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2023-08-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-14.GOV
  • July 14, 2023 · E

    Citation F0584

    Federal surveyors cited this nursing home on 2023-07-14 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. The deficiency was recorded as corrected on 2023-08-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-14.GOV

Penalties

Total fines on file: $117,166

Staffing

Latest: 2.75 nurse staffing hours per resident per day (2026-06-01)

Staffing trend (2 periods)

  1. 2025Q42.75 hrs/resident/day
  2. 2026-06-012.75 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit - Limited Liability company

CMS Care Compare chain: Optima Care

Chain ID 386 · 8 facilities in chain (CMS)

  • Chain average overall rating: 2.9
  • Chain average health inspection rating: 2.3
  • Chain average staffing rating: 3.4
  • Chain average quality measure rating: 3.9

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Frio Hospital District

    parent · PAC 1658657929

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth Cost of Care Survey · 2024

This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · TX$6,003/mo
See full TX cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · TX$5,627/mo
See full TX cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

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Castle Hills Rehabilitation And Care Center in San Antonio, TX · Inspections page 3 · ElderCareCosts