Castle Hills Rehabilitation And Care Center
San Antonio, TX · Medicare and Medicaid-certified nursing home (CCN 455510) · 143 certified beds
Health inspection: 1 · Quality measures: 1 · Staffing: 1
Federal fines: 4 totaling $112,386
Phone: (210) 344-4553 · Verify on Medicare Care Compare ↗
Castle Hills Rehabilitation And Care Center has a CMS overall star rating of 1 out of 5, below the Texas state average of 2.65 stars. Its health inspection rating is 1 star and its staffing rating is also 1 star.
Castle Hills Rehabilitation And Care Center reports total nurse hours of 2.96 per resident per day, with 0.59 RN hours per resident per day, and a CMS staffing rating of 1 star. CMS turnover data was not reported for this facility.
Castle Hills Rehabilitation And Care Center has 4 federal fines on record totaling $112,386.00, with 0 payment denials. CMS does not list an abuse icon or Special Focus status for this facility based on the data provided.
About this facility
Castle Hills Rehabilitation And Care Center is a Medicare and Medicaid certified nursing home in San Antonio, Bexar County, Texas, with 143 certified beds and an average daily census of 61.8 residents. The facility is operated as a for-profit Limited Liability Company and has been certified since 1985. It is part of the Optima Care chain, which includes 8 facilities nationally with an average chain rating of 3.0 stars.
According to CMS Care Compare data, Castle Hills holds an overall star rating of 1 out of 5, below the Texas state average of 2.65. Its health inspection rating is 1 star, its quality measure (QM) rating is 1 star, and its staffing rating is 1 star — all at the lowest end of the CMS five-star scale.
Nurse staffing levels reported to CMS show total nurse hours per resident per day of 2.96, including 0.59 RN hours per resident per day. CMS-reported nursing staff turnover data was not provided in this record.
On penalties, CMS records show 4 federal fines totaling $112,386.00 assessed against this facility, and 0 payment denials. There is no ownership change reported within the last 12 months, so current ratings reflect the present operator.
Families considering this facility for a parent should review the full inspection history, staffing detail, and quality measures directly on CMS Care Compare, as this profile is based on that dataset's most recent published figures.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Castle Hills has a CMS overall rating of 1 out of 5 stars, which is below the Texas state average of 2.65 stars.
Does this facility accept Medicare, Medicaid, or both?
Yes, it is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse hours are 2.96 per resident per day, including 0.59 RN hours per resident per day, with a staffing rating of 1 star; turnover data was not reported.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 4 fines totaling $112,386.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
Based on the data provided, there is no abuse icon or Special Focus designation listed for this facility.
How large is this facility and how many residents live there?
It has 143 certified beds with an average daily census of 61.8 residents.
Who owns this facility — and is it part of a chain?
It is a for-profit Limited Liability Company, part of the Optima Care chain, which includes 8 facilities with an average rating of 3.0 stars.
How long has this facility been Medicare/Medicaid certified?
The facility has been certified since July 1, 1985.
What do the four different CMS star ratings mean?
CMS publishes separate ratings for overall performance, health inspections, staffing, and quality measures; this facility scores 1 star in all four categories.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not specified in the CMS data provided; contact the facility at 2103444553 or verify on Medicare Care Compare.
What should I look for when touring this facility?
This is not addressed by CMS data; contact the facility at 2103444553 to arrange a visit and ask about current conditions.
How do I verify this facility's current record on Medicare Care Compare?
You can review the latest inspection, staffing, and quality data at https://www.medicare.gov/care-compare/details/nursing-home/455510?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.