Castle Hills Rehabilitation and Care Center
Nursing Home Facility
8020 Blanco Rd, San Antonio, TX 78216
Castle Hills Rehabilitation and Care Center is a senior care community located in San Antonio, TX. It provides nursing home care and senior living for older adults in the San Antonio area. To learn more or schedule a tour, call (210) 344-4553.
Operated by Optima Care, which runs 7 communities in our directory.
Castle Hills Rehabilitation and Care Center is licensed for 143 beds, about typical for the area, where senior care communities in San Antonio average about 169 beds.
Federal reporting puts occupancy at about 43% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the San Antonio average of roughly 65%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in San Antonio average about 2.3 stars. Its most recent standard health inspection was in September 2025 and recorded 32 deficiencies.
Residents receive about 3.0 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Communities in San Antonio average about 3.4 hours.
The community is located in Bexar County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 67 problems at Castle Hills Rehabilitation and Care Center. 8 findings involved harm to a resident, including 8 that put residents in immediate danger. 36 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 4 times, a total of $112,386.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, widespread
Nursing and Physician Services
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
Show 24 more
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Environmental
Keep all essential equipment working safely.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Environmental
Have policies on smoking.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Minimal harm or the potential for it, widespread
Resident Rights
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Castle Hills Rehabilitation and Care Center offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 143
- Occupancy 43%
- Nursing hours per resident/day 3.0
- Last health inspection September 2025
Resident & family reviews
No one has shared a review of Castle Hills Rehabilitation and Care Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.