Skilled Nursing

Castle Hills Rehabilitation and Care Center

8020 Blanco Rd, San Antonio, TX 78216

143beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

2.4h

Hrs/resident · weekday

Expected: 2.9h

2.5h

Hrs/resident · weekend

vs 2.4h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

Turnover data not yet reported for this facility.

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0689Severity JSep 12, 2025

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

Corrected: Sep 13, 2025

SeriousImmediate Jeopardy0690Severity JMay 2, 2025

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: May 3, 2025

SeriousImmediate Jeopardy0655Severity JMay 2, 2025

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

Corrected: May 3, 2025

SeriousImmediate Jeopardy0689Severity JAug 2, 2024

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

Corrected: Jun 20, 2024

SeriousImmediate Jeopardy0689Severity JMar 23, 2024

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

Corrected: Mar 24, 2024

SeriousImmediate Jeopardy0600Severity JMar 23, 2024

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

Corrected: Mar 24, 2024

SeriousImmediate Jeopardy0760Severity KMar 16, 2024

Ensure that residents are free from significant medication errors.

Corrected: Mar 17, 2024

SeriousImmediate Jeopardy0580Severity KMar 16, 2024

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

Corrected: Mar 17, 2024

59 standard deficiencies in the last 3 years

View all
0880Severity DApr 24, 2026

Provide and implement an infection prevention and control program.

0812Severity EApr 24, 2026

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Severity EMar 6, 2026

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.

0842Severity DFeb 22, 2026

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0656Severity DFeb 22, 2026

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0641Severity DFeb 22, 2026

Ensure each resident receives an accurate assessment.

0880Severity DJan 16, 2026

Provide and implement an infection prevention and control program.

0755Severity DJan 16, 2026

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0908Severity EDec 10, 2025

Keep all essential equipment working safely.

0812Severity EDec 10, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0726Severity DNov 25, 2025

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.

0925Severity ENov 14, 2025

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0812Severity ENov 14, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0926Severity DSep 12, 2025

Have policies on smoking.

0880Severity DSep 12, 2025

Provide and implement an infection prevention and control program.

0812Severity ESep 12, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0803Severity ESep 12, 2025

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.

0761Severity DSep 12, 2025

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.

0677Severity DSep 12, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0656Severity DSep 12, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0641Severity DSep 12, 2025

Ensure each resident receives an accurate assessment.

0577Severity CSep 12, 2025

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0558Severity DSep 12, 2025

Reasonably accommodate the needs and preferences of each resident.

0644Severity DAug 15, 2025

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0609Severity DJun 26, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0755Severity DSep 13, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0880Severity DSep 10, 2024

Provide and implement an infection prevention and control program.

0908Severity DAug 23, 2024

Keep all essential equipment working safely.

0812Severity EAug 23, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0810Severity DAug 23, 2024

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0761Severity DAug 23, 2024

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.

0755Severity DAug 23, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0726Severity DAug 23, 2024

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.

0690Severity DAug 23, 2024

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

0689Severity DAug 23, 2024

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

0641Severity EAug 23, 2024

Ensure each resident receives an accurate assessment.

0558Severity DAug 23, 2024

Reasonably accommodate the needs and preferences of each resident.

0842Severity EMar 16, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0656Severity DMar 16, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0880Severity DDec 21, 2023

Provide and implement an infection prevention and control program.

0551Severity DDec 21, 2023

Give the resident's representative the ability to exercise the resident's rights.

0944Severity EJul 14, 2023

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0921Severity EJul 14, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0814Severity DJul 14, 2023

Dispose of garbage and refuse properly.

0812Severity EJul 14, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0760Severity EJul 14, 2023

Ensure that residents are free from significant medication errors.

0695Severity DJul 14, 2023

Provide safe and appropriate respiratory care for a resident when needed.

0661Severity DJul 14, 2023

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0656Severity DJul 14, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0645Severity DJul 14, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

0584Severity EJul 14, 2023

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.

0582Severity EJul 14, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0842Severity DJul 10, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0800Severity DJul 10, 2023

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0712Severity DJul 10, 2023

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0684Severity DJul 10, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0584Severity DJul 10, 2023

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.

0626Severity EJun 29, 2023

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

0623Severity EJun 29, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

FRIO HOSPITAL DISTRICT· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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