Nursing home in San Antonio, Texas
Castle Hills Rehabilitation and Care Center
Medicare and Medicaid
8020 Blanco Rd, San Antonio, TX 78216
(210) 344-4553
- CMS lists this nursing home as a candidate for the Special Focus Facility program.
CMS star ratings
CMS gives this nursing home an overall star rating of 1 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home1
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home1
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home1
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home1
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Sep 12, 2025. CMS counts 31 health deficiencies in rating cycle 1.
- This nursing home31
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 56 health deficiencies on 20 inspection dates since Sep 30, 2023. By level of harm: 8 immediate jeopardy, 47 potential for harm, 1 minimal harm potential.
- 8 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 47 No actual harm, potential for more than minimal harm
- 1 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| May 20, 2026 | F0727 | 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 | F Potential for harm, widespread | Complaint | Deficient, Provider has date of correction May 21, 2026 |
| May 20, 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 21, 2026 |
| May 20, 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 21, 2026 |
| May 15, 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 16, 2026 |
| May 15, 2026 | F0761 | 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 | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 16, 2026 |
| May 15, 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 16, 2026 |
| May 15, 2026 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 16, 2026 |
| Apr 24, 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction May 31, 2026 |
| Apr 24, 2026 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 31, 2026 |
| Mar 6, 2026 | F0761 | 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 | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Mar 20, 2026 |
Show the other 46 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Feb 22, 2026 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 15, 2026 |
| Feb 22, 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 15, 2026 |
| Feb 22, 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 15, 2026 |
| Jan 16, 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 20, 2026 |
| Jan 16, 2026 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 20, 2026 |
| Dec 10, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jan 10, 2026 |
| Dec 10, 2025 | F0908 | Keep all essential equipment working safely.Environmental Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Dec 12, 2025 |
| Nov 25, 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nursing and Physician Services Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Nov 26, 2025 |
| Nov 14, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jan 10, 2026 |
| Nov 14, 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Nov 30, 2025 |
| Sep 12, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Sep 13, 2025 |
| Sep 12, 2025 | F0803 | 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 | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Sep 13, 2025 |
| Sep 12, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Sep 13, 2025 |
| Sep 12, 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 13, 2025 |
| Sep 12, 2025 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 13, 2025 |
| Sep 12, 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 13, 2025 |
| Sep 12, 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 13, 2025 |
| Sep 12, 2025 | F0761 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 13, 2025 |
| Sep 12, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 13, 2025 |
| Sep 12, 2025 | F0926 | Have policies on smoking.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 13, 2025 |
| Sep 12, 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Resident Rights Deficiencies | C Minimal harm potential, widespread | Standard | Deficient, Provider has date of correction Sep 13, 2025 |
| Aug 15, 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Sep 14, 2025 |
| Jun 26, 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jun 30, 2025 |
| May 2, 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care Planning Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction May 3, 2025 |
| May 2, 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction May 3, 2025 |
| Sep 13, 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Sep 30, 2024 |
| Sep 10, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Sep 30, 2024 |
| Aug 23, 2024 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Sep 23, 2024 |
| Aug 23, 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Sep 23, 2024 |
| Aug 23, 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 23, 2024 |
| Aug 23, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 23, 2024 |
| Aug 23, 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 23, 2024 |
| Aug 23, 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nursing and Physician Services Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 23, 2024 |
| Aug 23, 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 23, 2024 |
| Aug 23, 2024 | F0761 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 23, 2024 |
| Aug 23, 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 23, 2024 |
| Aug 23, 2024 | F0908 | Keep all essential equipment working safely.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 23, 2024 |
| Aug 2, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Jun 20, 2024 |
| Mar 23, 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Mar 24, 2024 |
| Mar 23, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Mar 24, 2024 |
| Mar 16, 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Mar 17, 2024 |
| Mar 16, 2024 | F0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Mar 17, 2024 |
| Mar 16, 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Mar 17, 2024 |
| Mar 16, 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Apr 15, 2024 |
| Dec 21, 2023 | F0551 | Give the resident's representative the ability to exercise the resident's rights.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jan 20, 2024 |
| Dec 21, 2023 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jan 20, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home2.96 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.59 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.[26]
- This nursing homeNot available
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 4 penalties for this nursing home: 4 fines totaling $112,386, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 143 |
|---|---|
| Average residents per day | 61.8 |
| Ownership | For profit - Limited Liability company |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Optima Care (8 facilities) |
| Legal business name | FRIO HOSPITAL DISTRICT |
| First approved for Medicare and Medicaid | Jul 1, 1985 |
| County | Bexar |
| CMS certification number | 455510 |
Also in San Antonio
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Morningside Manor | 147 | Non profit - Corporation | ||
| San Pedro Manor | 150 | Government - Hospital district | ||
| Silver Creek Nursing and Rehabilitation | 120 | For profit - Limited Liability company | ||
| San Antonio Wellness & Rehabilitation | 154 | For profit - Corporation | ||
| Avir at San Antonio | 119 | For profit - Corporation | ||
| Broadway Nursing & Rehabilitation | 237 | For profit - Limited Liability company | ||
| Buena Vida Nursing and Rehab-San Antonio | 222 | Government - Hospital district | ||
| Memorial Medical Nursing and Rehabilitation | 135 | Government - Hospital district | ||
| Meridian Care Monte Vista | 106 | For profit - Individual | ||
| Mesa Vista Inn Health Center | 144 | For profit - Corporation | ||
| Northeast Rehabilitation and Healthcare Center | 120 | Government - Hospital district | ||
| The Lev at San Antonio | 106 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| San Antonio VA Medical Center (VA South Texas Healthcare System) | Acute Care - Veterans Administration | Yes | |
| Methodist Hospital | Acute Care Hospitals | Yes | |
| Baptist Medical Center | Acute Care Hospitals | Yes | |
| CHRISTUS Santa Rosa Medical Center | Acute Care Hospitals | Yes | |
| University Health System | Acute Care Hospitals | Yes | |
| Children's Hospital of San Antonio | Not available | Childrens | Yes |
| San Antonio State Hosp State School | Not available | Psychiatric | No |
| South Texas Spine and Surgical Hospital | Not available | Acute Care Hospitals | Yes |
CMS footnotes on this page
- [26]
- This facility did not submit staffing data or submitted staffing data that is considered to be invalid for the purpose of calculating turnover. This measure will receive the minimum points for calculating the overall staffing score and rating.