Nursing home report
San Antonio, TX · Medicare-certified · 143 beds
Castle Hills Rehabilitation and Care Center has a 1 out of 5 star overall rating, with 1-star health inspection, staffing, and quality ratings. It reports 2.75 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $56,440 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
2.7515 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7515.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited March 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: K
The nursing home failed to ensure residents were free from significant medication errors. Cited March 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited May 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 655 — 42 CFR §483.21 — S/S: J
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited May 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 690 — 42 CFR §483.25(e) — S/S: J
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 3 health deficiencies.
Health inspection found 2 health deficiencies.
A federal fine of $19,120 was recorded.
A federal fine of $27,094 was recorded.
A federal fine of $10,226 was recorded.
On record with Medicare: 5 fines · $117,166 in total fines.
Federal fine
Sep 12, 2025
Federal fine
May 2, 2025
Federal fine
Aug 2, 2024
Federal fine
Mar 16, 2024
Federal fine
Jun 29, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
