San Antonio, TX · 80 beds
5.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)Usually has openings
One of San Antonio's top-rated skilled nursing communities.
Est. $5,070–$7,610/mo
View full evaluation →Skilled NursingCMS verified
Castle Hills Rehabilitation and Care Center
8020 Blanco Rd, San Antonio, TX 78216 · Bexar County
15
Use CautionHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.
Photos via google places, facility website.
Availability outlookUsually has openings
Typically 42% full — availability is generally good.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A low federal rating — review the details closely
Castle Hills Rehabilitation and Care Center is a for-profit skilled nursing facility in San Antonio, TX, with 143 certified beds and an average of about 60 residents per day. It operates as part of the Optima Care network.
Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 1/5 on staffing, 1/5 on quality measures.
Staff provide about 2.75 total nurse hours per resident each day (0.40 of them from registered nurses), below the national benchmark of roughly 3.9 hours. On the safety record, CMS notes 26 health deficiencies at its most recent standard survey, and 5 federal fines totaling $117,166 in the recent record.
Strengths
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •Below-average 1-star overall CMS rating
- •Below-average health-inspection rating
- •Below-average nurse staffing (2.75 hrs/resident/day)
- •26 deficiencies at last survey
- •$117,166 in federal fines
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated San Antonio options — our advisors can help you compare.
At a glance
- Certified beds
- 143
- Avg. residents/day
- 60
- Ownership
- For profit - Limited Liability company
- Part of a chain
- Optima Care
- Continuing care
- No
- CMS provider #
- 455510
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $5,070–$7,610/mo (median $6,130) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local San Antonio prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 2.75
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.40
- National avg ≈ 0.75
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
- Health deficiencies (last survey)
- 26
- Federal fines
- 5 ($117,166)
- Total penalties
- 5
- Last standard survey
- 2025-09-12
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (67 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2026-04-24Severity E — potential for harmFrom a complaintNutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2026-04-24Severity D — potential for harmFrom a complaintInfection Control Deficiencies
Provide and implement an infection prevention and control program.
2026-03-06Severity E — potential for harmFrom a complaintPharmacy Service Deficiencies
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, compar…
2026-02-22Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2026-02-22Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2026-02-22Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2026-01-16Severity D — potential for harmFrom a complaintPharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2026-01-16Severity D — potential for harmFrom a complaintInfection Control Deficiencies
Provide and implement an infection prevention and control program.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2025-09-12 | Fine | $19,120 |
| 2025-05-02 | Fine | $27,094 |
| 2024-08-02 | Fine | $10,226 |
| 2024-03-16 | Fine | $55,648 |
| 2023-06-29 | Fine | $5,078 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Rehabilitation services
- ✓ Wellness programs
- ✓ Daily activities & events
Location
8020 Blanco Rd, San Antonio, TX
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Castle Hills Rehabilitation and Care Center.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Castle Hills Rehabilitation and Care Center
How much does Castle Hills Rehabilitation and Care Center cost?
Castle Hills Rehabilitation and Care Center does not publish exact rates. Comparable skilled nursing in the San Antonio, TX area typically runs $5,070–$7,610 per month (median $6,130, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Castle Hills Rehabilitation and Care Center's Medicare rating?
Medicare (CMS) rates Castle Hills Rehabilitation and Care Center 1 out of 5 stars overall, including 1/5 for health inspections, 1/5 for staffing, 1/5 for quality measures. The national average is about 3 stars.
How is the staffing at Castle Hills Rehabilitation and Care Center?
Staff provide about 2.75 total nurse hours per resident per day (national benchmark ≈ 3.9). These figures are reported to the federal government and updated regularly.
What did inspectors find at Castle Hills Rehabilitation and Care Center?
Castle Hills Rehabilitation and Care Center has 67 health citations on its recent federal inspection record (last standard survey: 2025-09-12). The full citation-by-citation detail, with severity levels, is published on this page.
Does Castle Hills Rehabilitation and Care Center have availability?
Typically 42% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Castle Hills Rehabilitation and Care Center offer?
Castle Hills Rehabilitation and Care Center in San Antonio, TX offers skilled nursing and is licensed for 143 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in San Antonio.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Castle Hills Rehabilitation and Care Center — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogle
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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