Castle Hills Rehabilitation and Care Center

Nursing Home

8020 Blanco Rd
San Antonio, TX 78216 · Bexar County
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Call (210) 344-4553

Official website not yet verified

Overall Medicare rating★★★★★

Overall: state avg 2.8 · U.S. 3.0

Health inspections★★★★★

Staffing★★★★★

Staffing: state avg 1.9 · U.S. 3.0

Quality measures★★★★★

Source: CMS Care Compare (data as of October 1, 2026)

View Safety Report

Important notices from CMS:

CMS lists this facility as a candidate for its Special Focus Facility program, which is reserved for nursing homes with a persistent record of serious quality problems. Candidates are not yet enrolled in the program.

Safety at a glance

8Serious citations (actual harm or immediate jeopardy), last 3 inspection cycles

78Total health citations, last 3 inspection cycles

$112,386Federal fines, last 3 years (4 fines)

Most recent standard inspection: August 15, 2026.

Most recent serious findings

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

September 12, 2025 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.

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

May 2, 2025 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.

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

View the full Safety Report →

Availability

Availability Unknown

This facility has not confirmed current availability. We never estimate vacancies. Please call (210) 344-4553 to ask about openings and waiting lists.

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Nurse staffing

Total nurse hours per resident per day: 3.02 hours · state avg 3.42, U.S. 3.90
Registered nurse (RN) hours per resident per day: 0.65 hours
Total nurse hours on weekends: 2.46 hours · state avg 2.99
Nursing staff turnover (yearly): 77.6% · state avg 50.8%
RN turnover (yearly): 66.7%
Administrators who left (yearly): 1

Hours per resident per day = total nursing hours worked ÷ number of residents. Higher usually means more hands-on time. Values are from payroll records reported to CMS (Payroll-Based Journal).

Source: CMS Provider Information (data as of October 1, 2026)

Paying for care

Medicaid: This nursing home is certified to accept Medicaid. It is also Medicare certified, so Medicare can pay for short-term skilled care after a qualifying hospital stay.

In Texas, Medicaid long-term care is provided through STAR+PLUS (incl. STAR+PLUS HCBS).

Ways to pay for care in Texas →

Pricing

Published price: Not Yet Verified

What families report paying

No family reports yet. To protect privacy and avoid misleading figures, we show a summary only after 5 reports.

Yearly price increases

No increase reports yet. Shown after 5 reports.

Nursing home care may be paid by Medicare (short-term skilled care after a qualifying hospital stay), Medicaid (if eligible), long-term care insurance, or privately. This facility is Medicaid certified.

Share What You Pay Estimate 3- and 5-year costs

Family Cameras & Video Access

Family-installed room cameras: Not Verified
Facility-provided room cameras: Not Verified
Authorized remote family viewing: Not Verified
Live video visitation: Not Verified

We have not yet verified this facility’s camera policy. Rules for in-room cameras vary by state and usually require consent from the resident and any roommate. Ask the facility for its written electronic-monitoring policy.

Applying & contacting

Online admission application: Not yet checked
Online waiting-list form: Not yet checked
Online inquiry form: Not yet checked
Online tour scheduling: Not yet checked

Application checklist & links Applying to several facilities? Add each one to your compare list and open the apply page.

Ownership

Ownership type: For profit - Limited Liability company
Chain / affiliation: Optima Care
Legal business name: Frio Hospital District

Owner or manager	Role	Share
FRIO HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%
AZIZ, WESAM	ADP OF THE SNF	—
BEWSEY, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	—
CASTLE HILLS NURSING AND REHAB CENTER LLC	ADP OF THE SNF	—
CASTLE HILLS NURSING AND REHAB CENTER LLC	OPERATIONAL/MANAGERIAL CONTROL	—
PORRAS, PETER	ADP OF THE SNF	—
PORRAS, PETER	OPERATIONAL/MANAGERIAL CONTROL	—
RUFF, MICHAEL	CORPORATE OFFICER	—
RUFF, MICHAEL	MANAGING CONTROL - GOVERNING BODY	—