Nursing Homes · Medicare certified
Castle Hills Rehabilitation and Care Center
8020 Blanco Rd · San Antonio, TX 78216 · 143 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1619661295. Look this up in the CMS NPPES registry (opens in a new tab)
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About Castle Hills Rehabilitation and Care Center
Castle Hills Rehabilitation and Care Center is a nursing home in San Antonio, Texas. Public records list 143 beds. Ownership records list a nonprofit operator and tie the listing to Optima Care. It is Medicare certified. We hold 74 inspection citations for this listing, the most recent dated 20 May 2026. CMS also lists 4 fine or payment denial actions against it. Reported staffing works out to 2.96 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
1.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
61
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
56
Staffing rating
1.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
56
Inspection history (74)
Records from June 2023 to May 2026.
July 14, 2023 · D
Citation F0645Federal 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.GOVJuly 14, 2023 · D
Citation F0814Federal 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.GOVJuly 14, 2023 · E
Citation F0944Federal 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.GOVJuly 14, 2023 · E
Citation F0921Federal 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.GOVJuly 14, 2023 · E
Citation F0812Federal 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.GOVJuly 14, 2023 · E
Citation F0582Federal 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.GOVJuly 14, 2023 · D
Citation F0695Federal 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.GOVJuly 10, 2023 · D
Citation F0800Federal surveyors cited this nursing home on 2023-07-10 under CMS tag F0800 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. The deficiency was recorded as corrected on 2023-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-10.GOVJuly 10, 2023 · D
Citation F0842Federal surveyors cited this nursing home on 2023-07-10 under CMS tag F0842 (CMS scope/severity D: isolated, 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 2023-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-10.GOVJuly 10, 2023 · D
Citation F0684Federal surveyors cited this nursing home on 2023-07-10 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-10.GOVJuly 10, 2023 · D
Citation F0584Federal surveyors cited this nursing home on 2023-07-10 under CMS tag F0584 (CMS scope/severity D: isolated, 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 2023-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-10.GOVJuly 10, 2023 · D
Citation F0712Federal surveyors cited this nursing home on 2023-07-10 under CMS tag F0712 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that the resident and his/her doctor meet face-to-face at all required visits. The deficiency was recorded as corrected on 2023-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-10.GOVJune 29, 2023 · E
Citation F0626Federal surveyors cited this nursing home on 2023-06-29 under CMS tag F0626 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. The deficiency was recorded as corrected on 2023-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-29.GOVJune 29, 2023 · E
Citation F0623Federal surveyors cited this nursing home on 2023-06-29 under CMS tag F0623 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2023-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-29.GOV
Penalties (4)
Total fines on file: $112,386
September 12, 2025 · Fine
Citation FINE-135164CMS recorded a civil money penalty of $19,418 against this nursing home on 2025-09-12 (Fine ID: 135164). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-12.GOVMay 2, 2025 · Fine
Citation FINE-113826CMS recorded a civil money penalty of $27,094 against this nursing home on 2025-05-02 (Fine ID: 113826). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-02.GOVAugust 2, 2024 · Fine
Citation FINE-113093CMS recorded a civil money penalty of $10,226 against this nursing home on 2024-08-02 (Fine ID: 113093). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-02.GOVMarch 16, 2024 · Fine
Citation FINE-112531CMS recorded a civil money penalty of $55,648 against this nursing home on 2024-03-16 (Fine ID: 112531). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-16.GOV
Staffing
Latest: 2.96 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q42.75 hrs/resident/day
- 2026-06-012.75 hrs/resident/day
- 2026-07-012.96 hrs/resident/day
- 2026-08-012.96 hrs/resident/day
- 2026Q12.96 hrs/resident/day
Most recent period is higher than 2025Q4 (+0.21 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
Non profit
CMS Care Compare chain: Optima Care
Chain ID 386 · 8 facilities in chain (CMS)
- Chain average overall rating: 3
- Chain average health inspection rating: 2.1
- Chain average staffing rating: 3.5
- Chain average quality measure rating: 4
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
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 CareScout Cost of Care Survey · 2025
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$5,627/moNearby alternatives
No other listed providers in San Antonio yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Castle Hills Rehabilitation and Care Center
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.