Starfile / Texas

Castle Hills Rehabilitation and Care Center

8020 Blanco Rd, San Antonio, TX 78216 · CCN 455510

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$140,095

Number of fines

8

Number of penalties

8

Payment denials

0

Chain

Chain

OPTIMA CARE

Facilities in chain

8

Chain avg overall

3.00 / 5

Inspection citations (66)8 immediate jeopardy

1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-16 · Health · corrected 2026-02-20

   Potential for more than minimal harm

2. DF0880Provide and implement an infection prevention and control program.2026-01-16 · Health · corrected 2026-02-20

   Potential for more than minimal harm

3. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-10 · Health · corrected 2026-01-10

   Potential for more than minimal harm

4. EF0908Keep all essential equipment working safely.2025-12-10 · Health · corrected 2025-12-12

   Potential for more than minimal harm

5. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-11-25 · Health · corrected 2025-11-26

   Potential for more than minimal harm

6. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-14 · Health · corrected 2026-01-10

   Potential for more than minimal harm

7. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-11-14 · Health · corrected 2025-11-30

   Potential for more than minimal harm

8. DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-12 · Health · corrected 2025-09-13

   Potential for more than minimal harm

9. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2025-09-12 · Health · corrected 2025-09-13

   Potential for minimal harm

10. DF0641Ensure each resident receives an accurate assessment.2025-09-12 · Health · corrected 2025-09-13

    Potential for more than minimal harm

11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-09-12 · Health · corrected 2025-09-13

    Potential for more than minimal harm

12. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-12 · Health · corrected 2025-09-13

    Potential for more than minimal harm

13. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-12 · Health · corrected 2025-09-13

    Immediate jeopardy

14. DF0761Ensure 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.2025-09-12 · Health · corrected 2025-09-13

    Potential for more than minimal harm

15. EF0803Ensure 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.2025-09-12 · Health · corrected 2025-09-13

    Potential for more than minimal harm

16. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-12 · Health · corrected 2025-09-13

    Potential for more than minimal harm

17. DF0880Provide and implement an infection prevention and control program.2025-09-12 · Health · corrected 2025-09-13

    Potential for more than minimal harm

18. DF0926Have policies on smoking.2025-09-12 · Health · corrected 2025-09-13

    Potential for more than minimal harm

19. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-08-15 · Health · corrected 2025-09-14

    Potential for more than minimal harm

20. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-26 · Health · corrected 2025-06-30

    Potential for more than minimal harm

21. JF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-05-02 · Health · corrected 2025-05-03

    Immediate jeopardy

22. JF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-05-02 · Health · corrected 2025-05-03

    Immediate jeopardy

23. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-13 · Health · corrected 2024-09-30

    Potential for more than minimal harm

24. DF0880Provide and implement an infection prevention and control program.2024-09-10 · Health · corrected 2024-09-30

    Potential for more than minimal harm

25. DF0558Reasonably accommodate the needs and preferences of each resident.2024-08-23 · Health · corrected 2024-09-23

    Potential for more than minimal harm

26. EF0641Ensure each resident receives an accurate assessment.2024-08-23 · Health · corrected 2024-09-23

    Potential for more than minimal harm

27. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-23 · Health · corrected 2024-09-23

    Potential for more than minimal harm

28. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-08-23 · Health · corrected 2024-09-23

    Potential for more than minimal harm

29. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-08-23 · Health · corrected 2024-09-23

    Potential for more than minimal harm

30. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-23 · Health · corrected 2024-09-23

    Potential for more than minimal harm

31. DF0761Ensure 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.2024-08-23 · Health · corrected 2024-09-23

    Potential for more than minimal harm

32. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-08-23 · Health · corrected 2024-09-23

    Potential for more than minimal harm

33. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-23 · Health · corrected 2024-09-23

    Potential for more than minimal harm

34. DF0908Keep all essential equipment working safely.2024-08-23 · Health · corrected 2024-09-23

    Potential for more than minimal harm

35. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-02 · Health · corrected 2024-06-20

    Immediate jeopardy

36. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-23 · Health · corrected 2024-03-24

    Immediate jeopardy

37. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-23 · Health · corrected 2024-03-24

    Immediate jeopardy

38. KF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-16 · Health · corrected 2024-03-17

    Immediate jeopardy

39. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-16 · Health · corrected 2024-04-15

    Potential for more than minimal harm

40. KF0760Ensure that residents are free from significant medication errors.2024-03-16 · Health · corrected 2024-03-17

    Immediate jeopardy

41. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-16 · Health · corrected 2024-03-17

    Potential for more than minimal harm

42. DF0551Give the resident's representative the ability to exercise the resident's rights.2023-12-21 · Health · corrected 2024-01-20

    Potential for more than minimal harm

43. DF0880Provide and implement an infection prevention and control program.2023-12-21 · Health · corrected 2024-01-20

    Potential for more than minimal harm

44. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

45. EF0584Honor 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.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

46. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

47. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

48. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

49. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-07-14 · Health · corrected 2023-07-15

    Potential for more than minimal harm

50. EF0760Ensure that residents are free from significant medication errors.2023-07-14 · Health · corrected 2023-07-15

    Potential for more than minimal harm

51. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-14 · Health · corrected 2023-07-15

    Potential for more than minimal harm

52. DF0814Dispose of garbage and refuse properly.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

53. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-07-14 · Health · corrected 2023-08-14

    Potential for more than minimal harm

54. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2023-07-14 · Health · corrected 2023-07-28

    Potential for more than minimal harm

55. DF0584Honor 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.2023-07-10 · Health · corrected 2023-07-11

    Potential for more than minimal harm

56. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-10 · Health · corrected 2023-07-11

    Potential for more than minimal harm

57. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2023-07-10 · Health · corrected 2023-07-11

    Potential for more than minimal harm

58. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2023-07-10 · Health · corrected 2023-07-12

    Potential for more than minimal harm

59. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-10 · Health · corrected 2023-07-11

    Potential for more than minimal harm

60. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-06-29 · Health · corrected 2023-07-05

    Potential for more than minimal harm

61. EF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2023-06-29 · Health · corrected 2023-07-05

    Potential for more than minimal harm

62. DF0583Keep residents' personal and medical records private and confidential.2023-04-18 · Health · corrected 2023-04-21

    Potential for more than minimal harm

63. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-18 · Health · corrected 2023-04-21

    Potential for more than minimal harm

64. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-04-18 · Health · corrected 2023-04-25

    Potential for more than minimal harm

65. CF0732Post nurse staffing information every day.2023-04-18 · Health · corrected 2023-04-19

    Potential for minimal harm

66. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-04-18 · Health · corrected 2023-04-19

    Potential for more than minimal harm

Ownership

Other facilities in San Antonio

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.