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Castle Hills Rehabilitation and Care Center, San Antonio, TX: 1 star rating, fined $112,386 across 4 fines

Castle Hills Rehabilitation and Care Center in San Antonio, TX is owned by Frio Hospital District, is rated 1 of 5 stars by Medicare, and was fined $112,386 across 4 fines in the three years to October 1, 2026. CMS lists 67 health citations from inspections in that time, the latest survey on August 15, 2026, and 8 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
8020 Blanco Rd, San Antonio, TX 78216
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5
Certified beds
143
Residents per day
57 on average
Ownership type
For profit, limited liability company
Legal business name
Frio Hospital District
Chain
Optima Care, 8 facilities
Special focus
Special focus candidate
Fines
$112,386 across 4 fines, three years to October 1, 2026
Payment denials
0
Health citations
67, of which 8 with actual harm or immediate jeopardy
Latest survey
August 15, 2026
CMS Certification Number
455510
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
September 12, 2025Fine$19,418Not listeddata.cms.gov
May 2, 2025Fine$27,094Not listeddata.cms.gov
August 2, 2024Fine$10,226Not listeddata.cms.gov
March 16, 2024Fine$55,648Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 15, 2026F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2026data.cms.gov
August 15, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2026data.cms.gov
August 15, 2026F803Ensure 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2026data.cms.gov
August 15, 2026F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2026data.cms.gov
August 15, 2026F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2026data.cms.gov
August 15, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2026data.cms.gov
August 15, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2026data.cms.gov
August 15, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2026data.cms.gov
August 15, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2026data.cms.gov
August 15, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2026data.cms.gov
August 15, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 18, 2026data.cms.gov
May 20, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 21, 2026data.cms.gov
May 20, 2026F727Have 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: widespread, no actual harm, potential for more than minimal harmCorrectedMay 21, 2026data.cms.gov
May 20, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 21, 2026data.cms.gov
May 15, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 16, 2026data.cms.gov
May 15, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 16, 2026data.cms.gov
May 15, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 16, 2026data.cms.gov
May 15, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 16, 2026data.cms.gov
April 24, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 31, 2026data.cms.gov
April 24, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 31, 2026data.cms.gov
March 6, 2026F761Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 20, 2026data.cms.gov
February 22, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 22, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 22, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
January 16, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2026data.cms.gov
January 16, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2026data.cms.gov
December 10, 2025F908Keep all essential equipment working safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2025data.cms.gov
December 10, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2026data.cms.gov
November 25, 2025F726Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 26, 2025data.cms.gov
November 14, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 30, 2025data.cms.gov
November 14, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2026data.cms.gov
September 12, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedSeptember 13, 2025data.cms.gov
September 12, 2025F926Have policies on smoking.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
September 12, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
September 12, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
September 12, 2025F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
September 12, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
September 12, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
September 12, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
September 12, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
September 12, 2025F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C: widespread, minimal harm potentialCorrectedSeptember 13, 2025data.cms.gov
September 12, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2025data.cms.gov
August 15, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 14, 2025data.cms.gov
June 26, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
May 2, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.J: isolated, immediate jeopardyCorrectedMay 3, 2025data.cms.gov
May 2, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJ: isolated, immediate jeopardyCorrectedMay 3, 2025data.cms.gov
September 13, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2024data.cms.gov
September 10, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2024data.cms.gov
August 23, 2024F908Keep all essential equipment working safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2024data.cms.gov
August 23, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2024data.cms.gov
August 23, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2024data.cms.gov
August 23, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2024data.cms.gov
August 23, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2024data.cms.gov
August 23, 2024F726Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2024data.cms.gov
August 23, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2024data.cms.gov
August 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2024data.cms.gov
August 23, 2024F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2024data.cms.gov
August 23, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2024data.cms.gov
August 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceJune 20, 2024data.cms.gov
March 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedMarch 24, 2024data.cms.gov
March 23, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedMarch 24, 2024data.cms.gov
March 16, 2024F760Ensure that residents are free from significant medication errors.K: pattern, immediate jeopardyCorrectedMarch 17, 2024data.cms.gov
March 16, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.K: pattern, immediate jeopardyCorrectedMarch 17, 2024data.cms.gov
March 16, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 17, 2024data.cms.gov
March 16, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 15, 2024data.cms.gov
December 21, 2023F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2024data.cms.gov
December 21, 2023F551Give the resident's representative the ability to exercise the resident's rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 6 individual or personal trusts (3 managers, 1 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Frio Hospital DistrictDirect owner100%February 1, 2024data.cms.gov
Castle Hills Nursing and Rehab Center LLCOperational or managerial controlNot listedFebruary 1, 2025data.cms.gov
Castle Hills Nursing and Rehab Center LLCAdditional disclosable partyNot listedFebruary 21, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.