Texas nursing homes › San Antonio › Castle Hills Rehabilitation And Care Center
Castle Hills Rehabilitation And Care Center
8020 Blanco Rd, San Antonio, TX 78216 · Bexar County · (210) 344-4553
⚠ Special Focus Facility (chronic non-compliance)
Fewer inspection deficiencies (31) than 1% of nursing homes in Texas. Rated #36 of 58 nursing homes in San Antonio by overall CMS stars. Nursing hours per resident day: 3.0 — below the Texas average of 3.39.
Quality details (CMS data, Oct 2026 release)
| Certified beds | 143 |
| Average residents per day | 61.8 |
| Ownership | For-profit |
| Participation | Medicare and Medicaid |
| Provider chain | OPTIMA CARE |
| Nursing hours per resident per day | 2.96 (Texas average: 3.39) |
| — of which RN hours | 0.59 |
| — of which nurse aide hours | 1.71 |
| Staff turnover | — |
| RN turnover | — |
| Most recent health inspection | Sep 12, 2025 |
| Deficiencies cited (latest cycle) | 31 (Texas average: 9.4) |
| Weighted inspection score (lower is better) | 327.25 |
| Federal fines in past 3 years | 4 fine(s) totaling $112,386 |
| Payment denials / penalties | 4 |
Compare homes before you choose
Ratings change with every inspection cycle. Compare Castle Hills Rehabilitation And Care Center side by side with other homes in San Antonio and check the latest red flags:
See all nursing homes in San Antonio →More nursing homes in San Antonio
Plan the cost of care in Texas
What does care cost in Texas? A semi-private nursing home room runs a median of $5,627 per month — see Texas senior care cost medians and check Texas Medicaid eligibility limits.
Source: U.S. Centers for Medicare & Medicaid Services (CMS), Provider Information dataset, Oct 2026 release (processing date Sep 1, 2026). Ratings reflect inspection cycles and reported staffing; visit any facility in person before deciding.