Castle Hills Rehabilitation and Care Center

8020 Blanco Rd, San Antonio, TX 78216 · CCN 455510 · 143 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality1 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 8 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2025-09-12 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-05-02 — IMMEDIATE JEOPARDY (tag F0690, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2025-05-02 — IMMEDIATE JEOPARDY (tag F0655, severity J)

Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2024-08-02 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-03-23 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-03-23 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-03-16 — IMMEDIATE JEOPARDY (tag F0760, severity K)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

2024-03-16 — IMMEDIATE JEOPARDY (tag F0580, severity K)

Resident Rights Deficiencies · correction not recorded in CMS data

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Staffing, from payroll records

Nursing hours / resident / day

2.46

state median 2.67

Weekend staffing gap

−12%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.36

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $112,386 in fines.

Date	Type	Amount
2025-09-12	Fine	$19,418
2025-05-02	Fine	$27,094
2024-08-02	Fine	$10,226
2024-03-16	Fine	$55,648

Ownership

Ownership type: For profit - Limited Liability company. Part of the OPTIMA CARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

OPTIMA CARE HARBORVIEW (JERSEY CITY, NJ) — CMS overall3 of 5
OPTIMA CARE CASTLE HILL (UNION CITY, NJ) — CMS overall2 of 5
OPTIMA CARE FOUNTAINS (SECAUCUS, NJ) — CMS overall1 of 5
Brookside Multicare Nursing Center (Smithtown, NY) — CMS overall5 of 5
White Plains Center For Nursing Care, L L C (White Plains, NY) — CMS overall5 of 5
Little Neck Care Center (Little Neck, NY) — CMS overall2 of 5
Maria Regina Rehabilitation and Nursing (Brentwood, NY) — CMS overall4 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 63 · Immediate jeopardy: 8

Survey date	Tag	Category	Severity	Corrected
2026-05-20	F0580	Resident Rights Deficiencies	D	not recorded
2026-05-20	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2026-05-20	F0755	Pharmacy Service Deficiencies	D	not recorded
2026-05-15	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-05-15	F0761	Pharmacy Service Deficiencies	D	not recorded
2026-05-15	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-05-15	F0880	Infection Control Deficiencies	D	not recorded
2026-04-24	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2026-04-24	F0880	Infection Control Deficiencies	D	not recorded
2026-03-06	F0761	Pharmacy Service Deficiencies	E	not recorded
2026-02-22	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-22	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-22	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-01-16	F0755	Pharmacy Service Deficiencies	D	not recorded
2026-01-16	F0880	Infection Control Deficiencies	D	not recorded
2025-12-10	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-12-10	F0908	Environmental Deficiencies	E	not recorded
2025-11-25	F0726	Nursing and Physician Services Deficiencies	D	not recorded
2025-11-14	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-11-14	F0925	Environmental Deficiencies	E	not recorded
2025-09-12	F0558	Resident Rights Deficiencies	D	not recorded
2025-09-12	F0577	Resident Rights Deficiencies	C	not recorded
2025-09-12	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-12	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-12	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-09-12	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-09-12	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-09-12	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2025-09-12	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-09-12	F0880	Infection Control Deficiencies	D	not recorded
2025-09-12	F0926	Environmental Deficiencies	D	not recorded
2025-08-15	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-06-26	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-05-02	F0655	Resident Assessment and Care Planning Deficiencies	J	not recorded
2025-05-02	F0690	Quality of Life and Care Deficiencies	J	not recorded
2024-09-13	F0755	Pharmacy Service Deficiencies	D	not recorded
2024-09-10	F0880	Infection Control Deficiencies	D	not recorded
2024-08-23	F0558	Resident Rights Deficiencies	D	not recorded
2024-08-23	F0641	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-08-23	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-08-23	F0690	Quality of Life and Care Deficiencies	D	not recorded
2024-08-23	F0726	Nursing and Physician Services Deficiencies	D	not recorded
2024-08-23	F0755	Pharmacy Service Deficiencies	D	not recorded
2024-08-23	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-08-23	F0810	Nutrition and Dietary Deficiencies	D	not recorded
2024-08-23	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-08-23	F0908	Environmental Deficiencies	D	not recorded
2024-08-02	F0689	Quality of Life and Care Deficiencies	J	not recorded
2024-03-23	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-03-23	F0689	Quality of Life and Care Deficiencies	J	not recorded
2024-03-16	F0580	Resident Rights Deficiencies	K	not recorded
2024-03-16	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-16	F0760	Pharmacy Service Deficiencies	K	not recorded
2024-03-16	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-12-21	F0551	Resident Rights Deficiencies	D	not recorded
2023-12-21	F0880	Infection Control Deficiencies	D	not recorded
2023-07-14	F0582	Resident Rights Deficiencies	E	not recorded
2023-07-14	F0584	Resident Rights Deficiencies	E	not recorded
2023-07-14	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-07-14	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-07-14	F0661	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-07-14	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-07-14	F0760	Pharmacy Service Deficiencies	E	not recorded
2023-07-14	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-07-14	F0814	Nutrition and Dietary Deficiencies	D	not recorded
2023-07-14	F0921	Environmental Deficiencies	E	not recorded
2023-07-14	F0944	Administration Deficiencies	E	not recorded
2023-07-10	F0584	Resident Rights Deficiencies	D	not recorded
2023-07-10	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-07-10	F0712	Nursing and Physician Services Deficiencies	D	not recorded
2023-07-10	F0800	Nutrition and Dietary Deficiencies	D	not recorded
2023-07-10	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Castle Hills Rehabilitation and Care Center, San Antonio” at medicare.gov/care-compare.