San Antonio, TX 78216
CMS Certification Number (CCN): 455510 · 143 beds
Castle Hills Rehabilitation and Care Center is a Medicare-certified nursing home in San Antonio, TX (CMS Certification Number 455510). CMS rates it 1 out of 5 stars overall (health inspection 1/5, staffing 1/5, quality measures 1/5). Federal inspection records list 67 health deficiencies, including 8 immediate jeopardy citations. The most recent survey date on record is May 20, 2026. Federal civil monetary penalties on record total $112K across 4 fines. Ownership / chain affiliation in CMS records: OPTIMA CARE. This page summarizes public CMS inspection, staffing, penalty, and ownership data so families can research a nursing home before choosing care. It is not medical advice or a recommendation.
| Overall CMS rating | ★☆☆☆☆ 1/5 |
| Health inspection | ★☆☆☆☆ 1/5 |
| Staffing | ★☆☆☆☆ 1/5 |
| Quality measures | ★☆☆☆☆ 1/5 |
| Total health deficiencies | 67 |
| Most recent inspection / survey date | May 20, 2026 |
| Serious deficiency flags | 8 |
| Harm citations | 0 |
| Immediate jeopardy citations | 8 |
| Total federal fines | $112K |
| Fine count | 4 |
| Staffing star rating | ★☆☆☆☆ 1/5 |
| RN hours per resident day | 0.59 |
| Total nurse staffing hours per resident day | 2.96 |
| Days with zero RN hours | 2.2% |
Chain / affiliated entity: OPTIMA CARE
Ownership type: Organization
This owner operates 30 facilities in the current extract.