Castle Hills Rehabilitation and Care Center
8020 Blanco Rd
San Antonio TX 78216
Phone: 2103444553
Special Focus watch list For profit - Limited Liability company
Official CMS provider data, processing date 2026-09-01. Not an endorsement.
- Overall rating vs. the Texas average: 1.7 star lower (2.7), below average
- Overall rating vs. the national average: 2.0 star lower (3.0), below average
- Overall rating vs. the San Antonio average: 1.3 star lower (2.3), below average
CMS lists this facility as a candidate for its Special Focus Facility program, which targets homes with a persistent record of poor quality.
Facility details
Size, ownership, and inspection history as reported to CMS.
| Certified beds | 143 |
| Average residents per day | 61.8 |
| Occupancy | 43% |
| Ownership | For profit - Limited Liability company |
| Chain | OPTIMA CARE (8 facilities) |
| County | Bexar |
| Provider type | Medicare and Medicaid |
| First certified for Medicare & Medicaid | 1985-07-01 |
| CMS certification number (CCN) | 455510 |
| Health deficiencies in the latest inspection cycle | 31 |
Staffing and turnover
Staffing hours and turnover are among the most predictive measures CMS publishes.
| Adjusted total nurse staffing hours per resident per day | 2.78 |
| Reported total nurse staffing hours per resident per day | 2.96 |
| Resident and family council | No |
Fines and penalties
Civil money penalties and payment denials on record, as published by CMS.
| Fines (count) | 4 |
| Fines (total value) | $112,386 |
| Payment denials | 0 |
| Total penalties | 4 |
Other nursing homes in San Antonio
Compare this facility with others in the same city, highest rated first.
Questions to ask Castle Hills Rehabilitation and Care Center
- What are the staffing levels on the specific unit my relative would be admitted to, and how do they compare with the figures above?
- How many residents were transferred to hospital in the last year, and for what reasons?
- What was cited at the most recent inspection, and what has changed since?
- Does this facility accept Medicaid on admission, and what happens when private funds are exhausted?
- What is the all-in monthly cost, including therapy, pharmacy, and any ventilator or dialysis surcharges?
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Is Castle Hills Rehabilitation and Care Center highly rated?
CMS rates it 1 out of 5 overall, which CMS labels "Much below average". Health inspections rate 1, staffing 1, and quality measures 1.
How many beds does Castle Hills Rehabilitation and Care Center have?
CMS certifies 143 beds; the facility reports an average of 61.8 residents per day (about 43% occupancy).
Does Castle Hills Rehabilitation and Care Center have any fines or citations?
Yes. CMS records $112,386 in fines and 0 payment denials for this facility.
Has Castle Hills Rehabilitation and Care Center been cited for abuse?
CMS lists this facility as a candidate for its Special Focus Facility program, which targets homes with a persistent record of poor quality.