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Home › Nursing homes › Texas › San Antonio › Castle Hills Rehabilitation and Care Center

Nursing home · San Antonio, TX

Castle Hills Rehabilitation and Care Center

8020 Blanco Rd, San Antonio, TX 78216 · (210) 344-4553

★★★★★CMS overall rating
143certified beds
3.02nurse hours / resident / day
41deficiencies at last inspection
SFF candidate
CMS lists this nursing home as a Special Focus Facility candidate, based on its inspection history. Source: CMS Five-Star Quality Rating System, Technical Users' Guide (Sept 2026).

Castle Hills Rehabilitation and Care Center is a 143-bed for-profit nursing home in San Antonio, Texas (Bexar County). It has been certified to provide Medicare and Medicaid services since 1985. On average it cares for 57 residents a day (about 40% of its certified beds). It is part of Optima Care, a group of 8 nursing homes. CMS gives it an overall rating of 1 out of 5 stars; the average in Texas is 2.8.

Ratings

CMS ratingStars
Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality measures★★★★★

Staffing

StaffingThis homeTexas avgUS avg
Total nurse hours per resident per day3.023.423.90
Registered nurse (RN) hours per resident per day0.650.440.69
Nurse hours per resident per day, weekends2.46––
Nursing staff turnover78%51%45%
RN turnover67%––
Administrators who left1––

Inspections and penalties

Inspections & penaltiesThis home
Most recent standard health inspectionSeptember 12, 2025
Health deficiencies cited (most recent cycle)41 above the state average of 10
…of which from complaint inspections31
Federal fines (as reported by CMS)4 totalling $112,386
Medicare payment denials0

Source: CMS Provider Data Catalog, nursing home provider information, Oct 2026 release (CMS Provider Data Catalog: Nursing homes). Ownership: For profit - Limited Liability company. Legal business name: Frio Hospital District. Check the latest details and full inspection reports on Medicare Care Compare. How to read these ratings →

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Common questions

What is the star rating of Castle Hills Rehabilitation and Care Center?

CMS rates Castle Hills Rehabilitation and Care Center 1 out of 5 stars overall, with 1 stars for health inspections, 1 for staffing and 2 for quality measures (Medicare Care Compare).

How many beds does Castle Hills Rehabilitation and Care Center have?

143 certified beds, with an average of 57 residents a day.

Does Castle Hills Rehabilitation and Care Center accept Medicare and Medicaid?

CMS lists it as certified for Medicare and Medicaid. Ask the nursing home about current availability for your coverage.

What is the phone number for Castle Hills Rehabilitation and Care Center?

(210) 344-4553. Address: 8020 Blanco Rd, San Antonio, TX 78216.

Before you choose

  • Visit at different times, including evenings and weekends.
  • Ask how many residents each nurse and aide cares for on each shift.
  • Read the latest inspection report and ask what has been fixed.
  • Ask whether a bed is available for your coverage (Medicare, Medicaid or private pay).
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