Overview
Castle Hills Rehabilitation and Care Center has a Medicare overall rating of 1 out of 5, below the Texas average of 2.8. It ranks 53rd of 58 nursing homes in San Antonio. It scores best on quality of care (2 of 5) and lowest on health inspections (1 of 5).
Residents receive about 3.0 hours of nursing care per day, fewer than at 80% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.7 hours come from registered nurses.
Its most recent standard inspection, on September 12, 2025, found 41 health deficiencies, more than the Texas average of 9.6. 31 of them came from complaint investigations. Medicare records 4 fines totaling $112,386 in the past three years.
Castle Hills Rehabilitation and Care Center is a for-profit facility with 143 certified beds, caring for about 57 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1985.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 92%
Top 97%
Top 97%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- September 12, 2025
- Health deficiencies cited
- 41
- Complaint-related deficiencies
- 31
- Fines in the last 3 years
- 4 totaling $112,386
- Payment denials
- 0
- Total penalties
- 4
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.02 hrs
- Registered nurses (RN)0.65 hrs
- Licensed practical nurses (LPN)0.80 hrs
- Nurse aides1.56 hrs
- Physical therapists0.09 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 143
- Average residents per day
- 57
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- July 1, 1985
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes