Castle Hills Rehabilitation and Care Center

About Castle Hills Rehabilitation and Care Center

Castle Hills Rehabilitation And Care Center, located in San Antonio, TX, is a for-profit organization that accepts Medicare and Medicaid.

Why Families Choose Castle Hills Rehabilitation and Care Center

Key Performance Indicators

CMS Overall Rating 1 Stars
Nursing Hours 2.75 hrs
Safety Record Clean

Chain Affiliations & Network

This facility is part of the OPTIMA CARE network. This chain operates 8 facilities.

Chain Performance Overview

Inspection

2.4

Staffing

3.4

Quality

3.9

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Below Average Staffing

Castle Hills Rehabilitation and Care Center provides less care hours than the state average and less than the national average.

Registered Nurses (RN)

0.40 hrs/day

State: 0.42 US: 0.68

Case Mix Adj: 0.63

Quality Adj: 0.43

Licensed Practical Nurses

1.19 hrs/day

State: 1.37 US: 1.54

Case Mix Adj: 0.80

Quality Adj: 0.84

Certified Assistants

1.56 hrs/day

State: 2.02 US: 2.33

Case Mix Adj: 2.18

Quality Adj: 1.66

CMS Quality Ratings

Category	Rating	Stars
Overall Rating	1
Health Inspection	1
Quality Measures	1
Staffing	1

Health Inspection History

Inspection Cycle	Score	Date
Cycle 1 (Most Recent)	316	Sep 12, 2025
Weighted Average	364	Combined Score

Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure	Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521)	21.9%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522)	12.6%
Number of hospitalizations per 1000 long-stay resident days (QM551)	2.6%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552)	2.2%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure	Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401)	22.8%
Percentage of long-stay residents who lose too much weight (QM404)	2.2%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406)	1.3%
Percentage of long-stay residents with a urinary tract infection (QM407)	3.5%
Percentage of long-stay residents who have depressive symptoms (QM408)	5.5%
Percentage of long-stay residents who were physically restrained (QM409)	0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410)	5.5%
Percentage of long-stay residents assessed and appropriately given the p... (QM415)	98.0%
Percentage of short-stay residents assessed and appropriately given the... (QM430)	92.4%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434)	0.0%
Percentage of long-stay residents whose ability to walk independently wo... (QM451)	28.9%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452)	29.0%
Percentage of long-stay residents assessed and appropriately given the s... (QM454)	100.0%
Percentage of short-stay residents who were assessed and appropriately g... (QM472)	90.0%
Percentage of long-stay residents with pressure ulcers (QM479)	8.2%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480)	27.1%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481)	9.2%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

2023: 7 complaints
2024: 11 complaints
2025: 8 complaints
2026: 8 complaints
Total: 34 complaints on record

Recent Complaints (Since Jan 2023)

Date	Description
Mar 20, 2026	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.
Mar 15, 2026	Ensure each resident receives an accurate assessment.
Mar 15, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Mar 15, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Feb 20, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 20, 2026	Provide and implement an infection prevention and control program.
Jan 10, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jan 10, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dec 12, 2025	Keep all essential equipment working safely.
Nov 30, 2025	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nov 26, 2025	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.
Sep 14, 2025	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Sep 13, 2025	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 30, 2025	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 03, 2025	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
May 03, 2025	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Sep 30, 2024	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 30, 2024	Provide and implement an infection prevention and control program.
Jun 20, 2024	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 15, 2024	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Mar 24, 2024	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 24, 2024	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Mar 17, 2024	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Mar 17, 2024	Ensure that residents are free from significant medication errors.
Mar 17, 2024	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 20, 2024	Give the resident's representative the ability to exercise the resident's rights.
Jan 20, 2024	Provide and implement an infection prevention and control program.
Jul 12, 2023	Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Jul 11, 2023	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 11, 2023	Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Jul 11, 2023	Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Jul 11, 2023	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.
Jul 05, 2023	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Jul 05, 2023	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Nearby Hospitals

Business Entity

FRIO HOSPITAL DISTRICT

Ownership Structure

FRIO HOSPITAL DISTRICT Direct: 100%

Management & Direction

WESAM AZIZ ADP OF THE SNF
MICHAEL BEWSEY OPERATIONAL/MANAGERIAL CONTROL
CASTLE HILLS NURSING AND REHAB CENTER LLC OPERATIONAL/MANAGERIAL CONTROL
CASTLE HILLS NURSING AND REHAB CENTER LLC ADP OF THE SNF
PETER PORRAS OPERATIONAL/MANAGERIAL CONTROL
PETER PORRAS ADP OF THE SNF
MICHAEL RUFF MANAGING CONTROL - GOVERNING BODY
MICHAEL RUFF CORPORATE OFFICER

Associated Doctors

No associated doctor information available.

Local Comparison

Facility	Distance	Rating
The Army Residence Community Health Care Center	N/A	5
Country Care Manor	N/A	4
St. Francis Nursing Home	N/A	5
The Village at Incarnate Word	N/A	4
Silver Creek Nursing and Rehabilitation	N/A	4
Lakeside Nursing and Rehabilitation Center	N/A	5
Legend Oaks Healthcare and Rehabilitation Center -	N/A	5
The Atrium Rehabilitation Center	N/A	2
Medina Valley Health and Rehabilitation Center	N/A	4
Kendall House Wellness and Rehabilitation	N/A	4

Related Analysis

Best Nursing Homes in San Antonio, TX

Compare Castle Hills Rehabilitation and Care Center to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Castle Hills Rehabilitation and Care Center has a 1-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 2.75 hours per resident daily, compared to the national average of 3.87 hours.

Castle Hills Rehabilitation and Care Center is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:

Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
Long-term Residential Care: Assistance with daily living activities for extended stays
Short-term Rehabilitation: Recovery services after hospital stays or surgeries
Memory Care: Specialized programs for residents with dementia and Alzheimer's disease

The facility has 143 certified beds.

Castle Hills Rehabilitation and Care Center accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:

Level of care needed (skilled nursing vs. long-term care)
Room type (private vs. semi-private)
Insurance coverage (Medicare, Medicaid, private insurance)
Length of stay and specific services required

For current rates and to discuss payment options, contact Castle Hills Rehabilitation and Care Center directly at 2103444553. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Castle Hills Rehabilitation and Care Center, pay attention to these important factors:

Environment & Cleanliness

Overall cleanliness and odors
Resident room conditions
Common area maintenance
Safety features and accessibility

Staff & Care Quality

Staff-to-resident ratios
How staff interact with residents
Response time to resident needs
Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.