Castle Hills Rehabilitation and Care Center
Castle Hills Rehabilitation and Care Center is a 143-bed nursing home in San Antonio, Texas. CMS has certified it for Medicare and Medicaid since 1985-07-01. It averages 61.8 residents a day.
What harm was found in the violations cited at Castle Hills Rehabilitation and Care Center?
CMS lists 67 health-inspection deficiencies for Castle Hills Rehabilitation and Care Center since 2023-07-14, 56 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-05-20.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-20 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F |
| 2026-05-20 | F0580, F0755 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2026-05-15 | F0656, F0761, F0842, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2026-04-24 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-04-24 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2026-03-06 | F0761 | 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. | E |
| 2026-02-22 | F0641, F0656, F0842 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-01-16 | F0755, F0880 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | D |
| 2025-12-10 | F0812, F0908 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely. | E |
| 2025-11-25 | F0726 | 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. | D |
| 2025-11-14 | F0812, F0925 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2025-09-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-09-12 | F0803, F0812 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-09-12 | F0558, F0641, F0656, F0677, F0761, F0880, F0926 | Reasonably accommodate the needs and preferences of each resident. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide and implement an infection prevention and control program. / Have policies on smoking. | D |
| 2025-09-12 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C |
| 2025-08-15 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2025-06-26 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-05-02 | F0655, F0690 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | J |
| 2024-09-13 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-09-10 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-08-23 | F0641, F0812 | Ensure each resident receives an accurate assessment. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-08-23 | F0558, F0689, F0690, F0726, F0755, F0761, F0810, F0908 | Reasonably accommodate the needs and preferences of each resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Keep all essential equipment working safely. | D |
| 2024-08-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-03-23 | F0600, F0689 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-03-16 | F0580, F0760 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that residents are free from significant medication errors. | K |
| 2024-03-16 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-03-16 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-12-21 | F0551, F0880 | Give the resident's representative the ability to exercise the resident's rights. / Provide and implement an infection prevention and control program. | D |
| 2023-07-14 | F0582, F0584, F0760, F0812, F0921, F0944 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Ensure that residents are free from significant medication errors. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E |
| 2023-07-14 | F0645, F0656, F0661, F0695, F0814 | PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide safe and appropriate respiratory care for a resident when needed. / Dispose of garbage and refuse properly. | D |
Why was Castle Hills Rehabilitation and Care Center fined 4 times?
| 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 |
How is Castle Hills Rehabilitation and Care Center staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.96372 | 3.38539 |
| Average number of residents per day | 61.8 | 75.8 |
Who owns Castle Hills Rehabilitation and Care Center, and what chain is it in?
Castle Hills Rehabilitation and Care Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name FRIO HOSPITAL DISTRICT and belongs to the OPTIMA CARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | FRIO HOSPITAL DISTRICT | since 02/01/2024 |
| MANAGING CONTROL - GOVERNING BODY | RUFF, MICHAEL | since 02/01/2024 |
| CORPORATE OFFICER | RUFF, MICHAEL | since 02/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | CASTLE HILLS NURSING AND REHAB CENTER LLC, BEWSEY, MICHAEL, PORRAS, PETER | since 02/01/2025 |
| ADP OF THE SNF | CASTLE HILLS NURSING AND REHAB CENTER LLC, AZIZ, WESAM, PORRAS, PETER | since 02/01/2025 |
Were you or a family member harmed at Castle Hills Rehabilitation and Care Center?