Castle Hills Rehabilitation and Care Center: Staffing, Turnover, and Inspection Record
Castle Hills Rehabilitation and Care Center is a 143-bed for-profit nursing home in San Antonio, Texas, part of Optima Care. In the CMS August 2026 release it reported 1.71 nurse aide hours per resident per day, 14% below the Texas average of 2.00.
Castle Hills Rehabilitation and Care Center
8020 Blanco RdSan Antonio, TX 78216
Bexar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Castle Hills Rehabilitation and Care Center, nurse aides logged 1.71 hours per resident per day, 14% below the Texas average. With about 62 residents a day, that works out to roughly 106 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.71 | 2.00 | 2.32 |
| Licensed practical nurses | 0.66 | 0.95 | 0.86 |
| Registered nurses | 0.59 | 0.43 | 0.69 |
| All nursing staff | 2.96 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.52 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Castle Hills Rehabilitation and Care Center in this release. 2 administrators left over the same period.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 12, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 32 health deficiencies (Texas average 9.3). CMS lists 4 fines totaling $112,386 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 12, 2025 | Fine | $19,418 |
| May 2, 2025 | Fine | $27,094 |
| Aug 2, 2024 | Fine | $10,226 |
| Mar 16, 2024 | Fine | $55,648 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Castle Hills Rehabilitation and Care Center holds 1 of 5 overall; the Texas average is 2.6.
About Castle Hills Rehabilitation and Care Center
- Ownership: For profit - Limited Liability company
- Chain: Optima Care, 8 homes
- Legal name: Frio Hospital District
- Medicare and Medicaid certified since: Jul 1, 1985
- Councils: resident council
- Area: urban
Nursing homes near Castle Hills Rehabilitation and Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Broadway Nursing & Rehabilitation San Antonio | 2.9 | 237 | 2.29 | 3.65 | 51.4% | 1 | $84,129 |
| Sage Park San Antonio San Antonio | 3.3 | 46 | 2.11 | 4.32 | — | 3 | $121,976 |
| The Lev at San Antonio San Antonio | 3.3 | 106 | 2.10 | 3.09 | 41.5% | 1 | $174,496 |
| The Heights at Medical Center San Antonio | 3.5 | 134 | 1.96 | 3.00 | 56.3% | 1 | $22,052 |
| Golden Estates Rehabilitation Center San Antonio | 4.0 | 93 | 1.95 | 3.29 | 58.5% | 2 | $161,844 |
| The Atrium Rehabilitation Center San Antonio | 4.4 | 87 | 2.53 | 4.31 | 64.0% | 4 | $9,600 |
| Wurzbach Nursing and Rehabilitation San Antonio | 4.4 | 140 | 1.76 | 3.13 | 62.3% | 2 | $34,945 |
| Patriot Heights Health Care Center San Antonio · abuse citation | 4.8 | 74 | 1.88 | 3.46 | 50.0% | 2 | $28,033 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.