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Nursing homeFAID #12084

Castle Hills Rehabilitation and Care Center

8020 BLANCO RD, SAN ANTONIO, TX, 78216
(210) 344-4553
143 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare

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Photo via Google · Castle Hills Rehabilitation and Care Center
What we can show you for free.
Bed capacity
143
CMS facility ID
455510
Care type
Nursing home
County
Bexar
Facility name
Castle Hills Rehabilitation and Care Center
Street address
8020 BLANCO RD
City / state / ZIP
San Antonio, TX 78216
Phone
(210) 344-4553

Castle Hills Rehabilitation and Care Center is a Medicare/Medicaid-certified skilled nursing facility in San Antonio, Texas. It is licensed for 143 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 341 senior care facilities in San Antonio and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Castle Hills Rehabilitation and Care Center 99 times across 26 inspections in the last three years, including 9 food-safety citations, and CMS has imposed $112,386 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Optima Care
Ownership type
For profit - Limited Liability company

Registered owners & officers

Frio Hospital District
Direct owner — 100% stake — since 2024
Aziz, Wesam
Additional disclosable party — since 2025
Bewsey, Michael
Operational control — since 2025
Castle Hills Nursing and Rehab Center Llc
Operational control · Additional disclosable party — since 2025
Porras, Peter
Operational control · Additional disclosable party — since 2025
Ruff, Michael
Governing body · Officer — since 2024

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1985-07-01
CMS overall rating
1 of 5 stars
Health deficiencies
32 at the last standard inspection
Federal fines
$112,386 total
Last standard inspection
2025-09-12
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$118 per day (≈ $3,590/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
69% Medicaid · 6% Medicare · 26% private/other
Occupancy
73% (fiscal year 2023)
Vs. state median
57% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
143
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 9 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-20Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-05-21
F-0727
F · No harm foundFrom a complaint
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.
Corrected 2026-05-21
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-05-21
2026-05-15Health inspectionComplaint-triggered4 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-05-16
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2026-05-16
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-05-16
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-05-16
22 earlier / fire-safety inspections (92 citations)
2026-04-24Health inspectionComplaint-triggered2 citations
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-05-31
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-05-31
2026-03-06Health inspectionComplaint-triggered1 citation
F-0761
E · No harm foundFrom a complaint
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.
Corrected 2026-03-20
2026-02-22Health inspectionComplaint-triggered3 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-03-15
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-03-15
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-03-15
2026-01-16Health inspectionComplaint-triggered2 citations
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-02-20
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-02-20
2025-12-10Health inspectionComplaint-triggered2 citations
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-10
F-0908
E · No harm foundFrom a complaint
Keep all essential equipment working safely.
Corrected 2025-12-12
2025-11-25Health inspectionComplaint-triggered1 citation
F-0726
D · No harm foundFrom a complaint
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.
Corrected 2025-11-26
2025-11-14Health inspectionComplaint-triggered2 citations
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-10
F-0925
E · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-11-30
2025-09-12Health inspectionComplaint-triggered11 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-13
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-09-13
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-09-13
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-13
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-13
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-13
F-0761
D · No harm found
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.
Corrected 2025-09-13
F-0803
E · No harm foundFood safety
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.
Corrected 2025-09-13
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-13
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-13
F-0926
D · No harm found
Have policies on smoking.
Corrected 2025-09-13
2025-08-15Health inspectionComplaint-triggered1 citation
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-09-14
2025-06-26Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-30
2025-05-02Health inspectionComplaint-triggered2 citations
F-0655
J · Immediate jeopardyFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-05-03
F-0690
J · Immediate jeopardyFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-05-03
2024-09-13Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-30
2024-09-10Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-09-30
2024-08-23Health inspection10 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-09-23
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-09-23
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-23
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-09-23
F-0726
D · No harm found
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.
Corrected 2024-09-23
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-23
F-0761
D · No harm found
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.
Corrected 2024-09-23
F-0810
D · No harm foundFood safety
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-09-23
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-23
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2024-09-23
2024-08-02Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-20
2024-03-23Health inspectionComplaint-triggered2 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-24
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-24
2024-03-16Health inspectionComplaint-triggered4 citations
F-0580
K · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-17
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-15
F-0760
K · Immediate jeopardyFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-03-17
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-17
2023-12-21Health inspectionComplaint-triggered2 citations
F-0551
D · No harm foundFrom a complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2024-01-20
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-01-20
2023-07-14Health inspection11 citations
F-0582
E · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-08-14
F-0584
E · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-08-14
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-08-14
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-14
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-08-14
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-15
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2023-07-15
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-15
F-0814
D · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2023-08-14
F-0921
E · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-08-14
F-0944
E · No harm found
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2023-07-28
2025-09-12Fire-safety inspection10 citations
E-0032
F · No harm found
Provide primary/alternate means for communication.
Corrected 2025-09-11
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-09-11
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-11
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-11
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-11
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-09-11
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-09-11
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-11
2024-08-23Fire-safety inspection8 citations
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-23
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-07
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-10-07
K-0374
F · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-10-07
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-07
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-23
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-10-07
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-10-07
2023-07-14Fire-safety inspection14 citations
E-0004
D · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-08-25
E-0006
D · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-08-25
K-0200
D · No harm found
Meet other general requirements.
Corrected 2023-08-25
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-07-13
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-25
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2023-08-25
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-25
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-25
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-25
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-07-13
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-08-25
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-08-25
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-25
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-25

Federal penalties

2025-09-12Fine$19,418
2025-05-02Fine$27,094
2024-08-02Fine$10,226
2024-03-16Fine$55,648
Total fines$112,386
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455510.
What people say on Google.
4.056 ratings on Google
★★★Sandra Hernandez · 2026-07-09 · via Google

“Will so far all my visits have been ok. Haven’t had any problems with any of the staff. What I also like about Castled Hill they keep the door lock so they know who enters and who leave the place make it feel safe for my love one. Knowing the fact that not just anyone can be inside the building without them knowing who the person is and who they are visiting. Thank you have a great day.”

★★★★Kennith Casey · 2026-03-20 · via Google

“Every road to recovery and healing has ups and downs, highs and lows, good and bad days. Overall a good experience, I as just the care giver to the patient learned a lot. Staff and management remained professional and respectful even through the tough times. The patient reach our target goal for the discharge. The patient said he would miss everyone from the facility. I even left feeling a percent…”

★★★★★Eva Voorhis · 2025-02-18 · via Google

“From day 1 of bringing my mother here, we have been immensely pleased at the kindness and attention of all the staff. The facility is clean, laundry isn't lost or stolen, residents get diets appropriate for their needs, and patient safety is a top priority. In addition, the front desk staff and administrative team members are warm and welcoming constantly. Activities are regular and frequent, with…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 99 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered