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
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.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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 72 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Optima Care chain (8 facilities), chain average overall rating 2.9★.