Castle Hills Rehabilitation and Care Center

8020 Blanco Rd, San Antonio, TX 78216 · (210) 344-4553
For profit - Limited Liability company · 143 certified beds

Castle Hills Rehabilitation and Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in September 2025, found 10 citations (the Texas average is 9.4). It was fined 4 times in the last three years, $112,386 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on September 12, 2025 found 10 citations. What an inspection citation means

• 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.September 12, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.September 12, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.September 12, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.September 12, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.September 12, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.September 12, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.September 12, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.September 12, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have policies on smoking.September 12, 2025 · F0926 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.September 12, 2025 · F0577 · Level of harm: Potential for minimal harm · Residents affected: Many

Complaint inspections, last three years

Inspections after complaints found 36 citations.

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.May 20, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 20, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 20, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 15, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 15, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 15, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.May 15, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 24, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.April 24, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 6, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives an accurate assessment.February 22, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 22, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 22, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.January 16, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.January 16, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 10, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Keep all essential equipment working safely.December 10, 2025 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.November 25, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.November 14, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.November 14, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 12, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.August 15, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 26, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMay 2, 2025 · F0655 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.May 2, 2025 · F0690 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.September 13, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.September 10, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 2, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 23, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 23, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 16, 2024 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 16, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.March 16, 2024 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.March 16, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Give the resident's representative the ability to exercise the resident's rights.December 21, 2023 · F0551 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.December 21, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $19,418September 12, 2025
• Fine of $27,094May 2, 2025
• Fine of $10,226August 2, 2024
• Fine of $55,648March 16, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home