Nursing home
Castle Hills Rehabilitation and Care Center
8020 Blanco Rd, San Antonio, TX 78216 · Map
For profit - Limited Liability company · Part of Optima Care (8 facilities) · 143 certified beds
Castle Hills Rehabilitation and Care Center is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.53 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Sep 12, 2025 cited 22 deficiencies.
- 8 fines totaling $140,095In CMS records: 8 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Castle Hills Rehabilitation and Care Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.53 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.35 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.39 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | —% | 51.5% | 46.4% | — |
| Deficiencies cited, last inspection | 22.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 8 fines totaling $140,095, 8 total penalties.
What inspectors found at Castle Hills Rehabilitation and Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Pharmacy Service Deficiencies · Mar 6, 2026 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Feb 22, 2026 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 22, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Feb 22, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 16, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jan 16, 2026 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Dec 10, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 10, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Nov 14, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 14, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 12, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 8020 Blanco Rd
San Antonio, TX 78216 - CMS certification #
- 455510
- Ownership
- For profit - Limited Liability company
- Certified beds
- 143
- Avg residents/day
- 62.2
- Provider type
- Medicare and Medicaid
- First certified
- 1985-07-01
- Chain
- Optima Care (8 facilities)
- Setting
- Urban
Part of Optima Care
Optima Care operates 8 nursing facilities across the United States. View all Optima Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Castle Hills Rehabilitation and Care Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day, diabetes care
- Staff pay 1 federal wage case with violations found, since 2023
Full public records, with dates and sources
Care and services
From the community’s website
What Castle Hills Rehabilitation and Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24/7 Nursing Care
(page, checked Oct 12, 2026) - Offers diabetes care.
We offer a wide array of skilled nursing services, including pain management, diabetes management, and more to be able to address any and all of your recovery needs.
(page, checked Oct 12, 2026) - Smoke-free.
For the safety and welfare of all residents and staff, we are a non-smoking facility.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jul 1, 2023 to Aug 17, 2024. Violations found: Overtime. Back wages: $1,035 owed to 8 employees. Employer as DOL recorded it: Castle Hills Rehabilitation and Care Center (Blanco Rd Healthcare LLC). Case 1994117.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Baptist Neighborhood Hospital Thousand Oaks, San Antonio. 4.1 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Asbury Care Center of Alamo, San Antonio. 2.9 miles away, straight line.
- Nearest home health agency office
- Health Care Partners Of San Antonio, San Antonio. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78216 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Broadway Kidney Disease Center, San Antonio, 3.1 miles away, straight line (CMS rating 4 of 5 stars)
Innovative Dialysis Solutions At Home Of Devine, San Antonio, 3.2 miles away, straight line (CMS rating 3 of 5 stars)
Irc-San Antonio Medical Drive, San Antonio, 3.4 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 94 Medicare hospices tell CMS they serve ZIP code 78216.
Aspen Hospice And Palliative Care, office in San Antonio, 0.9 miles away, straight line (CMS family survey rating 3 of 5 stars)
The Medical Team Inc, office in San Antonio, 0.9 miles away, straight line
Santa Rita Home Health Services, office in San Antonio, 0.9 miles away, straight line - Nearest geriatric medicine practice
- Tmc Provider Group PLLC, San Antonio. 0.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Castle Hills Rehabilitation and Care Center a good nursing home?
CMS gives Castle Hills Rehabilitation and Care Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Castle Hills Rehabilitation and Care Center staffed?
Castle Hills Rehabilitation and Care Center reports 2.53 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Castle Hills Rehabilitation and Care Center had inspection problems?
Its most recent CMS inspection cited 22 deficiencies.
How many beds does Castle Hills Rehabilitation and Care Center have?
Castle Hills Rehabilitation and Care Center is certified for 143 beds.