Castle Hills Rehabilitation and Care Center
Nursing home in San Antonio, Texas, CMS certification number 455510
8020 Blanco Rd, San Antonio, TX 78216 · Bexar County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 143
- Certified for
- Medicare and Medicaid
- Last standard inspection
- September 12, 2025
- Deficiencies at that inspection
- 41
- Fines in 3 years
- $112,386 (4)
Does Castle Hills Rehabilitation and Care Center take Medicare and Medicaid?
Yes to both. Castle Hills Rehabilitation and Care Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | 1 of 5 |
Nurse staffing hours and turnover
These are the hours Castle Hills Rehabilitation and Care Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.02
- Registered nurse hours
- 0.65
- Licensed practical nurse hours
- 0.80
- Nurse aide hours
- 1.56
- Weekend total hours
- 2.46
- Nursing staff turnover
- 77.6%
- Registered nurse turnover
- 66.7%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on September 12, 2025 and cited 41 deficiencies, plus 31 from complaint visits.
The visit before, on August 23, 2024, found 10.
It is a candidate for the CMS special focus program. CMS puts homes with a long record of serious problems on this list for extra inspections.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Castle Hills Rehabilitation and Care Center 4 times in the past 3 years, for $112,386 in total.
Beds and residents
On an average day 57.4 residents live here, about 40% of its 143 certified beds.
- Certified beds
- 143
- Average residents per day
- 57.4
- Certified since
- July 1, 1985
- Resident or family council
- Resident
Who owns Castle Hills Rehabilitation and Care Center
- Legal business name
- Frio Hospital District
- Ownership type
- For profit - Limited Liability company
- Chain
- 8 homes nationally under Optima Care, 2.9-star chain average
Other nursing homes near Castle Hills Rehabilitation and Care Center
- Broadway Nursing & Rehabilitation8223 Broadway, San Antonio 78209
- Sage Park San Antonio855 E Basse Rd, San Antonio 78209
- The Lev at San Antonio7703 Briaridge Drive, San Antonio 78230
- The Heights at Medical Center3935 Medical Drive, San Antonio 78229
- Golden Estates Rehabilitation Center130 Spencer Ln., San Antonio 78201
See also all nursing homes in San Antonio.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 58 in San Antonio, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Castle Hills Rehabilitation and Care Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Castle Hills Rehabilitation and Care Center
What is the CMS star rating of Castle Hills Rehabilitation and Care Center?
1 out of 5 stars overall.
Does Castle Hills Rehabilitation and Care Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Castle Hills Rehabilitation and Care Center?
41 cited at the last standard visit.
Who owns Castle Hills Rehabilitation and Care Center?
Frio Hospital District, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.