Skilled nursing facility · CMS certification number 455510
Castle Hills Rehabilitation and Care Center
San Antonio, Texas · Medicare and Medicaid · 143 certified beds in Care Compare
CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)
In Care Compare’s provider information: Penalties: 4 · Fines: 4 · Fines, total amount: $112,386.00 · Payment denials: 0. The most recent penalty on file: September 12, 2025, Fine, $19,418. Every penalty on file ↓
Castle Hills Rehabilitation and Care Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering January 1, 2025 to August 31, 2025 (242 days, not a full year), and CMS processed it on July 24, 2026.
- Net patient revenue fell from $4.3M in fiscal year 2024 to $3.9M in fiscal year 2025.
- Its result from service to patients: −$629K (2023), −$1.6M (2024), −$274K (2025).
- Its cost reports on file run from fiscal year 1997 to fiscal year 2025.
- Its net patient revenue of $3.9M ranks 385th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 4 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.
Castle Hills Rehabilitation and Care Center: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1451074 | 2024 · report 1435607 | 2023 · report 1384689 | 2022 · report 1358890 | 2021 · report 1330104 | 2020 · report 1283324 | 2019 · report 1258387 | 2018 · report 1223331 | 2017 · report 1200334 | 2016 · report 1169000 | 2015 · report 1137445 | 2014 · report 1121479 | 2013 · report 1061505 | 2012 · report 1041221 | 2011 · report 1014688 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2025 | February 1, 2024 | July 7, 2023 | January 1, 2022 | December 1, 2020 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | August 31, 2025 | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | November 30, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | 242 | — | 177 | — | — | — | — | — | — | — | — | — | — | — | — |
| Processed by CMS | July 24, 2026 | August 28, 2025 | June 18, 2024 | July 14, 2023 | August 18, 2022 | May 4, 2021 | June 18, 2020 | April 25, 2019 | July 19, 2018 | July 17, 2017 | July 25, 2016 | March 30, 2016 | June 2, 2014 | July 23, 2013 | October 26, 2012 |
| Total patient revenue | $4,211,246 | $6,710,661 | $2,521,413 | $3,124,777 | $3,313,951 | $2,103,303 | $3,957,821 | $4,045,031 | $4,326,809 | $5,167,102 | $4,937,875 | $3,875,748 | $3,706,512 | $3,912,890 | $5,105,495 |
| Contractual allowances and discounts | $299,545 | $2,362,824 | $545,948 | $278,897 | $307,188 | −$258,087 | $73,934 | $263,452 | $427,305 | $443,443 | $446,578 | $329,169 | $149,838 | $141,322 | $771,353 |
| Net patient revenue | $3,911,701 | $4,347,837 | $1,975,465 | $2,845,880 | $3,006,763 | $2,361,390 | $3,883,887 | $3,781,579 | $3,899,504 | $4,723,659 | $4,491,297 | $3,546,579 | $3,556,674 | $3,771,568 | $4,334,142 |
| Total operating expenses | $4,185,251 | $5,986,510 | $2,604,892 | $4,630,492 | $4,069,907 | $4,448,989 | $4,812,327 | $4,623,166 | $4,640,097 | $5,352,620 | $4,929,886 | $4,365,559 | $4,147,616 | $4,218,551 | $4,547,500 |
| Net income from service to patients | −$273,550 | −$1,638,673 | −$629,427 | −$1,784,612 | −$1,063,144 | −$2,087,599 | −$928,440 | −$841,587 | −$740,593 | −$628,961 | −$438,589 | −$818,980 | −$590,942 | −$446,983 | −$213,358 |
| Total other income | $130,792 | −$52,223 | $75,338 | $816,152 | $446,284 | −$757,522 | $14,907 | $2,873 | $3,798 | $9,960 | $4,735 | $1,404 | $2,069 | $2,161 | $2,446 |
| Net income after other income | −$142,758 | −$1,690,896 | −$554,089 | −$968,460 | −$616,860 | −$2,845,121 | −$913,533 | −$838,714 | −$736,795 | −$619,001 | −$433,854 | −$817,576 | −$588,873 | −$444,822 | −$210,912 |
| Net income | −$142,758 | −$1,690,896 | −$554,089 | −$968,460 | −$616,860 | −$413,205 | −$913,533 | −$838,714 | −$736,795 | −$619,001 | −$433,854 | −$817,576 | −$588,873 | −$444,822 | −$210,912 |
| Total facility beds, all components | 143 | 143 | 143 | 143 | 143 | 143 | 143 | 143 | 143 | 143 | 143 | 143 | 143 | 143 | 143 |
| Bed days available, all components | 34,749 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 741 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 9,989 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 2,835 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 13,565 | 15,694 | 7,740 | 12,355 | 12,150 | 15,839 | 20,386 | 21,615 | 24,710 | 28,714 | 26,701 | 22,787 | 24,204 | 24,144 | 30,410 |
| Medicare discharges | 15 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 66 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 35 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 116 | 186 | 7 | 47 | 62 | 33 | 70 | 84 | 136 | 194 | 189 | 159 | 104 | 145 | 163 |
| Average length of stay, Medicare, in days | 49.4 | 41.8 | 75.86 | 98.55 | 92.85 | 94.25 | 54.33 | 44.42 | 42.59 | 69.26 | 87 | 60.25 | 55.78 | 65.11 | 54.82 |
| Average length of stay, Medicaid, in days | 151.35 | 115.84 | — | 369.13 | 379.33 | 937.27 | 391.1 | 381.07 | 293.61 | 238.39 | 214.57 | 229.01 | 477.87 | 201.34 | 409.92 |
| Average length of stay, all patients, in days | 116.94 | 84.38 | 1,105.71 | 262.87 | 195.97 | 479.97 | 291.23 | 257.32 | 181.69 | 148.01 | 141.28 | 143.31 | 232.73 | 166.51 | 186.56 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2010 · report 418028 | 2009 · report 374912 | 2008 · report 352252 | 2007 · report 319893 | 2006 · report 291449 | 2005 · report 259402 | 2004 · report 225639 | 2003 · report 200078 | 2002 · report 235113 | 2001 · report 27945 | 2000 · report 27943 | 1999 · report 27941 | 1998 · report 27939 | 1997 · report 65071 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | January 1, 2003 | January 1, 2002 | June 1, 2000 | June 1, 1999 | June 1, 1998 | March 23, 1998 | June 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | July 31, 2003 | December 31, 2002 | May 31, 2001 | May 31, 2000 | May 31, 1999 | May 31, 1998 | May 31, 1997 |
| Days, where not a full year | — | — | — | — | — | — | — | 211 | — | — | — | — | 69 | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled | settled | settled |
| Processed by CMS | September 19, 2011 | June 15, 2010 | July 23, 2009 | July 23, 2008 | August 8, 2007 | July 21, 2006 | June 27, 2005 | November 19, 2004 | October 21, 2005 | February 8, 2002 | December 7, 2001 | October 9, 2001 | September 29, 2000 | July 8, 1999 |
| Net patient revenue | $5,149,360 | $4,866,999 | $4,565,307 | $4,618,279 | $4,144,093 | $3,393,944 | $3,466,409 | — | — | $3,757,081 | $3,895,667 | $4,045,402 | $778,630 | $3,366,169 |
| Total operating expenses | $5,245,727 | $4,823,878 | $4,666,705 | $4,424,933 | $3,933,944 | $3,615,588 | $3,777,723 | — | — | $4,193,525 | $3,923,254 | $4,682,398 | $891,127 | $3,755,311 |
| Net income from service to patients | −$96,367 | $43,121 | −$101,398 | $193,346 | $210,149 | −$221,644 | −$311,314 | — | — | −$436,444 | −$27,587 | −$636,996 | −$112,497 | −$389,142 |
| Total other income | $2,553 | $2,119 | $4,096 | $4,510 | $2,512 | $9,974 | $3,733 | — | — | $2,551 | $4,922 | $1,633 | $1,491 | $1,321 |
| Net income | −$93,814 | $45,240 | −$97,302 | $197,856 | $212,661 | −$211,670 | −$307,581 | — | — | −$433,893 | −$22,665 | −$635,363 | −$111,006 | −$387,821 |
| Total facility beds, all components | 143 | 143 | 143 | 143 | 143 | 143 | 143 | 143 | 143 | 127 | 127 | 126 | 134 | 126 |
| Total patient days, all components | 35,713 | 37,178 | 36,886 | 36,556 | 36,393 | 31,928 | 31,840 | 17,418 | 26,329 | 36,747 | 39,458 | 40,674 | 7,838 | 36,437 |
| Total discharges, all components | 196 | 204 | 210 | 178 | 237 | 167 | 173 | 258 | 301 | 224 | 224 | 163 | 31 | 179 |
| Average length of stay, Medicare, in days | 47.55 | 51.95 | 73.91 | 81.19 | 110.95 | 95.22 | 120.68 | 29.2 | 22.76 | 37.33 | 32.26 | 42.21 | 61.83 | 36.16 |
| Average length of stay, Medicaid, in days | 444.91 | 491.83 | 370.27 | 484.62 | 190.41 | 364.62 | 469.04 | 76.35 | 120.25 | 205.64 | 252.52 | 344.93 | 412.43 | 315.24 |
| Average length of stay, all patients, in days | 182.21 | 182.25 | 175.65 | 205.37 | 153.56 | 191.19 | 184.05 | 67.51 | 87.47 | 164.05 | 176.15 | 249.53 | 252.84 | 203.56 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2001, 2000, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.
Castle Hills Rehabilitation and Care Center: nurse staffing hours by quarter →
Who owns Castle Hills Rehabilitation and Care Center, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FRIO HOSPITAL DISTRICT (organization), 100%%, since 02/01/2024
- ADP OF THE SNF: AZIZ, WESAM (individual), NOT APPLICABLE, since 02/01/2025; CASTLE HILLS NURSING AND REHAB CENTER LLC (organization), NOT APPLICABLE, since 02/21/2025; PORRAS, PETER (individual), NOT APPLICABLE, since 02/01/2025
- CORPORATE OFFICER: RUFF, MICHAEL (individual), NOT APPLICABLE, since 02/01/2024
- MANAGING CONTROL - GOVERNING BODY: RUFF, MICHAEL (individual), NOT APPLICABLE, since 02/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: BEWSEY, MICHAEL (individual), NOT APPLICABLE, since 02/01/2025; CASTLE HILLS NURSING AND REHAB CENTER LLC (organization), NOT APPLICABLE, since 02/01/2025; PORRAS, PETER (individual), NOT APPLICABLE, since 02/01/2025
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of FRIO HOSPITAL DISTRICT (enrollment ID O20240507003550).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FRIO HOSPITAL DISTRICT (organization), 100.00%, since 02/01/2024
- ADP OF THE SNF: JOSHUA SCORPIO (individual), since 08/01/2026; LSSH SAN ANTONIO I LLC (organization), since 08/31/2026; YASMEEN T AGHA (individual), since 08/01/2026
- CORPORATE OFFICER: MICHAEL RUFF (individual), since 02/01/2024
- MANAGING CONTROL - GOVERNING BODY: MICHAEL RUFF (individual), since 02/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: JOSHUA SCORPIO (individual), since 08/01/2026; LSSH SAN ANTONIO I LLC (organization), since 08/01/2026; YASMEEN T AGHA (individual), since 08/01/2026
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: FRIO HOSPITAL DISTRICT; LSSH SAN ANTONIO I LLC; LSSH SAN ANTONIO I LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: JOSHUA SCORPIO; YASMEEN T AGHA; MICHAEL RUFF; MICHAEL RUFF; JOSHUA SCORPIO; YASMEEN T AGHA.
Changes in ownership
- October 1, 2026, enrollment ownership file; no longer listed: PETER PORRAS (ADP OF THE SNF); PETER PORRAS (OPERATIONAL/MANAGERIAL CONTROL); CASTLE HILLS NURSING AND REHAB CENTER LLC (ADP OF THE SNF); CASTLE HILLS NURSING AND REHAB CENTER LLC (OPERATIONAL/MANAGERIAL CONTROL); WESAM SABRI AZIZ (ADP OF THE SNF); MICHAEL C BEWSEY (OPERATIONAL/MANAGERIAL CONTROL); listed: LSSH SAN ANTONIO I LLC (ADP OF THE SNF); first listed: JOSHUA SCORPIO (ADP OF THE SNF), associated since August 1, 2026; JOSHUA SCORPIO (OPERATIONAL/MANAGERIAL CONTROL), associated since August 1, 2026; LSSH SAN ANTONIO I LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since August 1, 2026; YASMEEN T AGHA (ADP OF THE SNF), associated since August 1, 2026; YASMEEN T AGHA (OPERATIONAL/MANAGERIAL CONTROL), associated since August 1, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-10-01.csv
- May 1, 2025, enrollment ownership file; no longer listed: BLANCO RD HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL); WILLIAM MILLER (W-2 MANAGING EMPLOYEE); first listed: PETER PORRAS (ADP OF THE SNF), associated since February 1, 2025; PETER PORRAS (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2025; CASTLE HILLS NURSING AND REHAB CENTER LLC (ADP OF THE SNF), associated since February 21, 2025; CASTLE HILLS NURSING AND REHAB CENTER LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2025; WESAM SABRI AZIZ (ADP OF THE SNF), associated since February 1, 2025; MICHAEL RUFF (MANAGING CONTROL - GOVERNING BODY), associated since February 1, 2024; FRIO HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since February 1, 2024; MICHAEL C BEWSEY (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- September 1, 2024, enrollment ownership file; no longer listed: VHS HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); VERTICAL HEALTH SERVICES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); VHS TX OPCO HOLDINGS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); VHS ULTIMATE PARENT LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); WILLIAM MILLER (OFFICER); WILLIAM MILLER (5% OR GREATER INDIRECT OWNERSHIP INTEREST); LISA SAMUELS (W-2 MANAGING EMPLOYEE); first listed: MICHAEL RUFF (OFFICER), associated since February 1, 2024; BLANCO RD HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2024; WILLIAM MILLER (W-2 MANAGING EMPLOYEE), associated since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- December 1, 2023, enrollment ownership file; no longer listed: GABRIEL MAYER (5% OR GREATER INDIRECT OWNERSHIP INTEREST); AARON MAYER (5% OR GREATER INDIRECT OWNERSHIP INTEREST); GOLDNER FAMILY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); SAMUEL GOLDNER (DIRECTOR); ANTHONY MONACO (W-2 MANAGING EMPLOYEE); AKIVA MAYER (5% OR GREATER INDIRECT OWNERSHIP INTEREST); SUSAN GOLDNER (5% OR GREATER INDIRECT OWNERSHIP INTEREST); BLANCO VILLA MGMT LLC (OPERATIONAL/MANAGERIAL CONTROL); TEXAS OP HOLDINGS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); first listed: VHS HOLDCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since July 7, 2023; VERTICAL HEALTH SERVICES LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since July 7, 2023; VHS TX OPCO HOLDINGS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since July 7, 2023; VHS ULTIMATE PARENT LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since July 7, 2023; WILLIAM MILLER (OFFICER), associated since July 7, 2023; WILLIAM MILLER (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since July 7, 2023; LISA SAMUELS (W-2 MANAGING EMPLOYEE), associated since July 7, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
Recent changes on this record
- September 1, 2026: special_focus_status: SFF Candidate (blank in the earlier file). NH_ProviderInfo_Sep2026_3.csv
- August 15, 2026: A deficiency was cited under tag F 0925, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 15, 2026: A deficiency was cited under tag F 0802, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 15, 2026: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 15, 2026: A deficiency was cited under tag F 0610, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 15, 2026: A deficiency was cited under tag F 0609, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 15, 2026: A deficiency was cited under tag F 0580, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 15, 2026: A deficiency was cited under tag F 0550, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 15, 2026: A deficiency was cited under tag F 0677, scope and severity E. NH_HealthCitations_Oct2026.csv
- August 15, 2026: A deficiency was cited under tag F 0804, scope and severity F. NH_HealthCitations_Oct2026.csv
- August 15, 2026: A deficiency was cited under tag F 0803, scope and severity F. NH_HealthCitations_Oct2026.csv
- August 15, 2026: A deficiency was cited under tag F 0801, scope and severity F. NH_HealthCitations_Oct2026.csv
Inspections of Castle Hills Rehabilitation and Care Center
- Cycle 1: health September 12, 2025 (41 deficiencies), fire safety September 12, 2025 (10)
- Cycle 2: health August 23, 2024 (15 deficiencies), fire safety August 23, 2024 (8)
- Cycle 3: health July 14, 2023 (22 deficiencies), fire safety July 14, 2023 (14)
Deficiencies cited at Castle Hills Rehabilitation and Care Center
78 deficiencies on file, by tag, newest citation first
every one from a health inspection; 47 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0550, resident rights: August 15, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2026).
- F 0580, resident rights: August 15, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2026); May 20, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 21, 2026); March 16, 2024 (K, from a complaint, Deficient, Provider has date of correction, corrected March 17, 2024).
- F 0609, freedom from abuse, neglect, and exploitation: August 15, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2026); June 26, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected June 30, 2025).
- F 0610, freedom from abuse, neglect, and exploitation: August 15, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2026).
- F 0677, quality of life and care: August 15, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2026); September 12, 2025 (D, Deficient, Provider has date of correction, corrected September 13, 2025).
- F 0689, quality of life and care: August 15, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2026); September 12, 2025 (J, from a complaint, Deficient, Provider has date of correction, corrected September 13, 2025); August 23, 2024 (D, Deficient, Provider has date of correction, corrected September 23, 2024); August 2, 2024 (J, from a complaint, Past Non-Compliance, corrected June 20, 2024); March 23, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected March 24, 2024).
- F 0801, nutrition and dietary: August 15, 2026 (F, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2026).
- F 0802, nutrition and dietary: August 15, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2026).
- F 0803, nutrition and dietary: August 15, 2026 (F, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2026); September 12, 2025 (E, Deficient, Provider has date of correction, corrected September 13, 2025).
- F 0804, nutrition and dietary: August 15, 2026 (F, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2026).
- F 0925, environmental: August 15, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2026); November 14, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected November 30, 2025).
- F 0727, nursing and physician services: May 20, 2026 (F, from a complaint, Deficient, Provider has date of correction, corrected May 21, 2026).
- F 0755, pharmacy service: May 20, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 21, 2026); January 16, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected February 20, 2026); September 13, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 30, 2024); August 23, 2024 (D, Deficient, Provider has date of correction, corrected September 23, 2024).
- F 0656, resident assessment and care planning: May 15, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 16, 2026); February 22, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected March 15, 2026); September 12, 2025 (D, Deficient, Provider has date of correction, corrected September 13, 2025); March 16, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected April 15, 2024); July 14, 2023 (D, Deficient, Provider has date of correction, corrected August 14, 2023).
- F 0761, pharmacy service: May 15, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 16, 2026); March 6, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected March 20, 2026); September 12, 2025 (D, Deficient, Provider has date of correction, corrected September 13, 2025); August 23, 2024 (D, Deficient, Provider has date of correction, corrected September 23, 2024).
- F 0842, resident assessment and care planning: May 15, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 16, 2026); February 22, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected March 15, 2026); March 16, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected March 17, 2024).
- F 0880, infection control: May 15, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 16, 2026); April 24, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 31, 2026); January 16, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected February 20, 2026); September 12, 2025 (D, Deficient, Provider has date of correction, corrected September 13, 2025); September 10, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 30, 2024); December 21, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected January 20, 2024).
- F 0812, nutrition and dietary: April 24, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected May 31, 2026); December 10, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected January 10, 2026); November 14, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected January 10, 2026); September 12, 2025 (E, Deficient, Provider has date of correction, corrected September 13, 2025); August 23, 2024 (E, Deficient, Provider has date of correction, corrected September 23, 2024); July 14, 2023 (E, Deficient, Provider has date of correction, corrected July 15, 2023).
- F 0641, resident assessment and care planning: February 22, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected March 15, 2026); September 12, 2025 (D, Deficient, Provider has date of correction, corrected September 13, 2025); August 23, 2024 (E, Deficient, Provider has date of correction, corrected September 23, 2024).
- F 0908, environmental: December 10, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected December 12, 2025); August 23, 2024 (D, Deficient, Provider has date of correction, corrected September 23, 2024).
- F 0726, nursing and physician services: November 25, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 26, 2025); August 23, 2024 (D, Deficient, Provider has date of correction, corrected September 23, 2024).
- F 0558, resident rights: September 12, 2025 (D, Deficient, Provider has date of correction, corrected September 13, 2025); August 23, 2024 (D, Deficient, Provider has date of correction, corrected September 23, 2024).
- F 0577, resident rights: September 12, 2025 (C, Deficient, Provider has date of correction, corrected September 13, 2025).
- F 0926, environmental: September 12, 2025 (D, Deficient, Provider has date of correction, corrected September 13, 2025).
- F 0644, resident assessment and care planning: August 15, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected September 14, 2025).
- F 0655, resident assessment and care planning: May 2, 2025 (J, from a complaint, Deficient, Provider has date of correction, corrected May 3, 2025).
- F 0690, quality of life and care: May 2, 2025 (J, from a complaint, Deficient, Provider has date of correction, corrected May 3, 2025); August 23, 2024 (D, Deficient, Provider has date of correction, corrected September 23, 2024).
- F 0810, nutrition and dietary: August 23, 2024 (D, Deficient, Provider has date of correction, corrected September 23, 2024).
- F 0600, freedom from abuse, neglect, and exploitation: March 23, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected March 24, 2024).
- F 0760, pharmacy service: March 16, 2024 (K, from a complaint, Deficient, Provider has date of correction, corrected March 17, 2024); July 14, 2023 (E, Deficient, Provider has date of correction, corrected July 15, 2023).
- F 0551, resident rights: December 21, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected January 20, 2024).
- F 0582, resident rights: July 14, 2023 (E, Deficient, Provider has date of correction, corrected August 14, 2023).
- F 0584, resident rights: July 14, 2023 (E, Deficient, Provider has date of correction, corrected August 14, 2023).
- F 0645, resident assessment and care planning: July 14, 2023 (D, Deficient, Provider has date of correction, corrected August 14, 2023).
- F 0661, resident assessment and care planning: July 14, 2023 (D, Deficient, Provider has date of correction, corrected August 14, 2023).
- F 0695, quality of life and care: July 14, 2023 (D, Deficient, Provider has date of correction, corrected July 15, 2023).
- F 0814, nutrition and dietary: July 14, 2023 (D, Deficient, Provider has date of correction, corrected August 14, 2023).
- F 0921, environmental: July 14, 2023 (E, Deficient, Provider has date of correction, corrected August 14, 2023).
- F 0944, administration: July 14, 2023 (E, Deficient, Provider has date of correction, corrected July 28, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| September 12, 2025 | Fine | $19,418 | 135164 | ||
| May 2, 2025 | Fine | $27,094 | 113826 | ||
| August 2, 2024 | Fine | $10,226 | 113093 | ||
| March 16, 2024 | Fine | $55,648 | 112531 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Castle Hills Rehabilitation and Care Center in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: FRIO HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 1985-07-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Bexar
- Telephone Number: 2103444553
- Chain Name: OPTIMA CARE
- Chain ID: 386
- Special Focus Status: SFF Candidate
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 57.4
- Overall Rating: 1
- Health Inspection Rating: 1
- QM Rating: 2
- Long-Stay QM Rating: 3
- Short-Stay QM Rating: 1
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in San Antonio
Report a figure on Castle Hills Rehabilitation and Care Center’s record that differs from its CMS file, quoting 455510.